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Depressive symptoms and their associated factors in heart failure patients


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Figure 1

The conceptual model guiding this study.
The conceptual model guiding this study.

Comparison of HADS-D score by sample characteristics.

Variable N(%)/M ± SD/Median (Q) HADS-D M ± SD r t F P-value Post hoc test
Gender −0.064 0.949
  Male 165 (51.4) 4.8 ± 3.2
  Female 156 (48.6) 4.8 ± 3.1
Age, years 63.6 ± 10.6 0.110 0.048
Education 4.002 <0.001
  <High school 209 (65.1) 5.3 ± 3.0
  ≥High school 112 (34.9) 3.9 ± 3.2
Employment 2.383 0.018
  Unemployed 191 (59.5) 5.3 ± 3.4
  Employed 130 (40.5) 4.5 ± 2.9
Marital status 2.006 0.046
  Single/divorced/widowed 46 (14.3) 5.7 ± 3.1
  Married/cohabitating 275 (85.7) 4.7 ± 3.1
Residence 3.049 0.002
  Rural area 123 (38.3) 5.5 ± 3.4
  Urban area 198 (61.7) 4.4 ± 2.9
Income (RMB per month) 3.318 0.001
  <1000 88 (27.4) 5.8 ± 3.5
  1000 233 (72.6) 4.5 ± 2.9
LVEF 0.789 0.431
  <40% 51 (15.9) 5.1 ± 3.4
  ≥40% 270 (84.1) 4.8 ± 3.1
NYHA class 6.590 0.002
   (a) II 202 (62.9) 4.4 ± 3.0 a<b**, a<c**
   (b) III 93 (29.0) 5.5 ± 3.2 b<c
   (c) IV 26 (8.1) 6.0 ± 3.5
NT-pro BNP, pg/mL 2384.6 (262.3–2714.1) 0.135 0.015
Hospitalizations −3.187 0.002
  <3 261 (81.3) 4.6 ± 3.2
  ≥3 60 (18.7) 6.0 ± 2.7
HF duration −2.206 0.028
  <6 months 202 (62.9) 4.5 ± 3.2
  ≥6 months 119 (37.1) 5.3 ± 2.9
Comorbidities −0.945 0.345
  <3 39 (12.1) 4.7 ± 3.1
  ≥3 282 (87.9) 5.1 ± 3.1
BMI, kg/m2 6.371 < 0.001
   (a) <18.5 11 (3.4) 7.7 ± 3.1 a>b*, a>c**, a>d***
   (b) 18.5–23.9 86 (26.8) 5.5 ± 3.5 b>c*, b>d**
   (c)24.0–27.9 147 (45.8) 4.6 ± 3.0 c>d
   (d) ³28.0 77 (24.0) 4.1 ± 2.5

Stepwise multiple linear regression analysis of HADS-D score (n = 321).

Variables β 95% CI t P-value Collinearity statistics

Tolerance VIF
Hospitalizations <3 0.737 0.039 1.436 2.079 0.038 0.878 1.139
DASI −0.043 −0.075 −0.012 −2.734 0.007 0.778 1.285
MSPSS −0.047 −0.086 −0.009 −2.426 0.016 0.806 1.241
LOT-R −0.513 −0.639 −0.388 −8.035 < 0.001 0.863 1.159
Self-care confidence −0.032 −0.053 −0.012 −3.092 0.002 0.859 1.164
HLS −0.076 −0.099 −0.053 −6.503 < 0.001 0.785 1.273
DASI*LOT-R 0.017 0.005 0.030 2.723 0.007 0.934 1.071

Mean scores and correlation coefficients between potential influencing factors and HADS-D (n = 321).

Variable Mean SD 1 2 3 4 5
1. HADS-D 4.8 3.1 1
2. DASI 20.6 9.3 −0.353*** 1
3. MSPSS 64.7 7.4 −0.378*** 0.170** 1
4. LOT-R 20.7 2.2 −0.456*** 0.110* 0.325*** 1
5. Self-care confidence 57.1 13.4 −0.321*** 0.126* 0.212*** 0.156** 1
6. HLS 99.5 12.5 −0.462*** 0.335*** 0.275*** 0.107 0.299***
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Inglés
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Medicine, Assistive Professions, Nursing