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Anxiety and Depressive Symptoms, Frailty and Quality of Life in Atrial Fibrillation

Author

Listed:
  • Katarzyna Lomper

    (Department of Clinical Nursing, Medical University, K. Bartla 5, 51-616 Wroclaw, Poland)

  • Catherine Ross

    (The Centre for Cardiovascular Health, School of Health and Social Care, Edinburgh Napier University, Edinburgh EH11 4BN, UK)

  • Izabella Uchmanowicz

    (Department of Clinical Nursing, Medical University, K. Bartla 5, 51-616 Wroclaw, Poland)

Abstract

Introduction: Symptoms of atrial fibrillation (AF) can significantly affect functioning in daily life and reduce patients’ quality of life (QoL). The severity and type of AF symptoms affects not only patient’s QoL, but can be a cause of the development of emotional and psychological disorders. In addition, frailty syndrome (FS) plays important role from the point of view of developing disability and dependence on others, as well as reducing QoL. Aim: To assess the symptoms of anxiety and depression, to evaluate the co-occurrence of frailty syndrome and the impact of these factors on the quality of life of patients with AF. Methods: The study used a Polish adaptation of the Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmia part III (ASTA part III), the Tilburg Frailty Indicator (TFI) and the Hospital Anxiety Depression Scale (HADS). Results: Analysis showed that anxiety symptoms and depressive symptoms correlate significantly ( p < 0.05) and positively with the physical (r = 0.24; p < 0.001, r = 0.29, p = 0.002, respectively), psychological (r = 0.34, p < 0.001, r = 0.49 p < 0.001, respectively) and total quality of life (r = 0.31, p = 0.001, r = 0.414; p < 0.001, respectively) ASTA III domains. A significant ( p < 0.05) positive correlation was observed between the TFI total score and the physical (r = 0.34, p < 0.001), psychological (r = 0.36, p < 0.001) and overall quality of life (r = 0.38, p < 0.001) in ASTA III domains. Conclusions: Both FS and depressive and anxiety symptoms significantly affect QoL. Understanding the relationship between anxiety and depressive symptoms, FS and QoL may allow for a more targeted approach to the treatment and care of patients with AF.

Suggested Citation

  • Katarzyna Lomper & Catherine Ross & Izabella Uchmanowicz, 2023. "Anxiety and Depressive Symptoms, Frailty and Quality of Life in Atrial Fibrillation," IJERPH, MDPI, vol. 20(2), pages 1-9, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1066-:d:1027995
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    References listed on IDEAS

    as
    1. Youn-Jung Son & Kyoung-Hwa Baek & Suk Jeong Lee & Eun Ji Seo, 2019. "Health-Related Quality of Life and Associated Factors in Patients with Atrial Fibrillation: An Integrative Literature Review," IJERPH, MDPI, vol. 16(17), pages 1-15, August.
    2. Katarzyna Lomper & Maria Łoboz-Rudnicka & Tomasz Bańkowski & Krystyna Łoboz-Grudzień & Joanna Jaroch, 2022. "The Influence of Frailty Syndrome and Dementia on the Convenience and Satisfaction with Oral Anticoagulation Treatment in Elderly Patients with Atrial Fibrillation," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
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