Factors associated with psychological resilience in patients with chronic heart failure and efficacy of psycho-cardiology intervention

Xinkang Wang; Jie Gao; Jianchun Zhang; Yanqiu Yang; Weixin Zhang; Xiling Zhang; Lihong Lu; Rehua Wang

Factors associated with psychological resilience in patients with chronic heart failure and efficacy of psycho-cardiology intervention

Am J Transl Res. 2022 Jun 15;14(6):4104-4113. eCollection 2022.

Authors

Xinkang Wang^{1

2}, Jie Gao^{1

2}, Jianchun Zhang^{1

2}, Yanqiu Yang^{1

2}, Weixin Zhang^{1

2}, Xiling Zhang¹, Lihong Lu^{1

3}, Rehua Wang^{1

3}

Affiliations

¹ Shengli Clinical Medical College of Fujian Medical University Fuzhou 350122, Fujian Province, China.
² Department of Electrocardiographic Diagnosis, Fujian Provincial Hospital Fuzhou 350001, Fujian Province, China.
³ Department of Cardiology, Fujian Provincial Hospital Fuzhou 350001, Fujian Province, China.

PMID: 35836861
PMCID: PMC9274571

Abstract

Objective: To explore the value of psycho-cardiology intervention on psychological resilience in patients with chronic heart failure (CHF) and investigate the associated factors.

Methods: A retrospective study of 142 patients with CHF was carried out. These patients were admitted to the Department of Cardiology, Provincial Clinical Medical College of Fujian Medical University from January 2017 to January 2021. They were grouped according to intervention method, including 74 patients with psycho-cardiology intervention and 68 with conventional intervention. The psychological resilience and the levels of anxiety and depression before and after intervention were assessed with the Connor-Davidson resilience scale (CD-RISC), self-rating anxiety scale (SAS), and self-rating depression scale (SDS), respectively. The factors associated with psychological resilience in patients with CHF were observed. The relationship between psychological resilience and SAS scores before intervention was studied.

Results: Using multivariate logistic regression analysis, we found that age (OR (95% CI): 3.452 (0.862-4.872), P=0.015), gender (OR, (95% CI): 3.389 (0.872-5.023), P=0.035), SAS score (OR (95% CI) 5.433 (1.543-14.333), P=0.027) and SDS score (OR (95% CI): 5.654 (1.572-15.823), P=0.021) were factors associated with psychological resilience in patients with CHF (all P<0.05). The average CD-RISC scores were 56.55±8.89 points in patients with CHF. The psychological resilience was inversely correlated with SAS score (r=-0.450, P<0.001) and SDS scores (r=-0.401, P<0.001). The CD-RISC scores of the observation group after intervention were higher than before intervention and higher than the control group, while SAS and SDS scores were decreased (all P<0.05).

Conclusion: Age, gender, SAS, and SDS scores are factors associated with psychological resilience in patients with CHF. Psychological resilience was inversely associated with both anxiety and depression. Psycho-cardiology intervention can improve patients' psychological resilience, and reduce their anxiety and depression.

Keywords: Chronic heart failure; anxiety; associated factors; depression; psycho-cardiology intervention; psychological resilience.