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Fatigue in patients with chronic heart failure - A burden associated with emotional and symptom distress

Falk, Kristin; Patel, Harshida LU ; Swedberg, Karl and Ekman, Inger (2009) In European Journal of Cardiovascular Nursing 8(2). p.91-96
Abstract
Background: The relationship between experience of fatigue and emotional and symptom distress in chronic heart failure (CHF) needs to be thoroughly explored, because fatigue has major impact on daily activities in life. Aims: The purpose was to examine the association between fatigue, as a multidimensional experience and anxiety, depression and symptom distress, and to explore the relationships between individual symptoms and the dimensions of fatigue in patients with CHF. Methods: A consecutive sample of 112 patients with exacerbation of symptoms of CHF answered the Multidimensional Fatigue Inventory (MFI-20), the Hospital Depression and Anxiety (HAD) Scale and the Symptom Distress Scale (SDS). Results: Anxiety was associated with mental... (More)
Background: The relationship between experience of fatigue and emotional and symptom distress in chronic heart failure (CHF) needs to be thoroughly explored, because fatigue has major impact on daily activities in life. Aims: The purpose was to examine the association between fatigue, as a multidimensional experience and anxiety, depression and symptom distress, and to explore the relationships between individual symptoms and the dimensions of fatigue in patients with CHF. Methods: A consecutive sample of 112 patients with exacerbation of symptoms of CHF answered the Multidimensional Fatigue Inventory (MFI-20), the Hospital Depression and Anxiety (HAD) Scale and the Symptom Distress Scale (SDS). Results: Anxiety was associated with mental fatigue, whereas depression was associated with reduction of activity, low motivation and decreased functioning. Physical fatigue was affected by symptom distress, with women reporting more distress than men. With exception of breathlessness, poor agreement was found between fatigue and the most intensive reported symptoms. Conclusions: The relationship between emotional distress and the experience of fatigue in patients with CHF may have a devastating affect on the patient's ability to cope and manage daily activities, including self-care and adherence to recommended treatment. (C) 2008 European Society of Cardiology. Published by Elsevier B.V All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anxiety, Depression, Chronic heart failure, Symptom distress, Emotional distress, Fatigue
in
European Journal of Cardiovascular Nursing
volume
8
issue
2
pages
91 - 96
publisher
Elsevier
external identifiers
  • wos:000267152800003
  • scopus:67349259636
ISSN
1474-5151
DOI
10.1016/j.ejcnurse.2008.07.002
language
English
LU publication?
yes
id
077fb56d-5a5d-4b23-a695-d73a59e15bd1 (old id 1441436)
date added to LUP
2009-07-28 09:18:47
date last changed
2017-09-10 03:36:17
@article{077fb56d-5a5d-4b23-a695-d73a59e15bd1,
  abstract     = {Background: The relationship between experience of fatigue and emotional and symptom distress in chronic heart failure (CHF) needs to be thoroughly explored, because fatigue has major impact on daily activities in life. Aims: The purpose was to examine the association between fatigue, as a multidimensional experience and anxiety, depression and symptom distress, and to explore the relationships between individual symptoms and the dimensions of fatigue in patients with CHF. Methods: A consecutive sample of 112 patients with exacerbation of symptoms of CHF answered the Multidimensional Fatigue Inventory (MFI-20), the Hospital Depression and Anxiety (HAD) Scale and the Symptom Distress Scale (SDS). Results: Anxiety was associated with mental fatigue, whereas depression was associated with reduction of activity, low motivation and decreased functioning. Physical fatigue was affected by symptom distress, with women reporting more distress than men. With exception of breathlessness, poor agreement was found between fatigue and the most intensive reported symptoms. Conclusions: The relationship between emotional distress and the experience of fatigue in patients with CHF may have a devastating affect on the patient's ability to cope and manage daily activities, including self-care and adherence to recommended treatment. (C) 2008 European Society of Cardiology. Published by Elsevier B.V All rights reserved.},
  author       = {Falk, Kristin and Patel, Harshida and Swedberg, Karl and Ekman, Inger},
  issn         = {1474-5151},
  keyword      = {Anxiety,Depression,Chronic heart failure,Symptom distress,Emotional distress,Fatigue},
  language     = {eng},
  number       = {2},
  pages        = {91--96},
  publisher    = {Elsevier},
  series       = {European Journal of Cardiovascular Nursing},
  title        = {Fatigue in patients with chronic heart failure - A burden associated with emotional and symptom distress},
  url          = {http://dx.doi.org/10.1016/j.ejcnurse.2008.07.002},
  volume       = {8},
  year         = {2009},
}