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RES227
Correlation of Spirituality with Depression and Quality of Life in the Chronic Heart Failure Patient
By: C. Draus; G.Valencia; Henry Ford Hospital, Detroit, MI, University of Michigan, Ann Arbor, MI
For further information, please contact: drausc@comcast.net
Purpose: The purpose of this study was to determine if any correlation exists between the degree of depression, the patient’s perceived quality of life (QOL)and the role that spirituality may have as a coping mechanism.
Background/Significance: Chronic Heart Failure is a disease state that can result in decrease functional capacity and QOL, which can result in emotional distress, depression and poor clinical outcomes. Studies have suggested that spirituality may be a coping strategy that helps to mediate clinical outcomes in chronic illness. Little attention has been paid to the psychosocial aspects of CHF, particularly the role of spirituality as it relates to emotional distress, depression and clinical outcomes.
Methods: Over a one year period, 1170 patients (with NYHA II-IV classification) were screened for study eligibility, of which 369 were eligible and 119 (32.2%) agreed to be interviewed. A face-to face interview, prior to hospital discharge (baseline), was conducted utilizing the Hospital Anxiety and Depression Questionnaire (scores > 8 = depression), a Visual Analogue Scale (VAS) and Minnesota Living with Heart Failure Questionnaire (MLHFQ) (measures for QOL) and the Spirituality Involvement and Beliefs Scale (SIBS). 53 (44.5%) were able to be interviewed three months (3MO) post discharge.
Results: Results showed that depression and anxiety were prevalent in the hospitalized patient (47% and 55%, respectively). Spirituality remained constant over the 3 month observation period. There was no significant relationship of spirituality and emotional status at baseline, however, at 3MO, there was a significant inverse relationship between spirituality and depression -.325 (p=.01). There was no significant relationship between QOL and spirituality, either at baseline or 3MO.
Conclusion: During hospitalization spirituality has no effect on patient outcome. Over time spirituality may be a coping mechanism, particularly as it relates to depression. Evaluation and incorporation of the patient’s spiritual support network may decrease the degree of depression and improve outcomes.
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