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Optimism and quality of life in patients with heart failure

Published online by Cambridge University Press:  04 December 2017

I.H. Kraai ,
K.M. Vermeulen ,
H.L. Hillege ,
T. Jaarsma  and
T. Hoekstra
I.H. Kraai*
Affiliation:
Department of Cardiology, University Medical Center Groningen, University of Groningen, The Netherlands
K.M. Vermeulen
Affiliation:
Department of Epidemiology, University Medical Center Groningen, University of Groningen, The Netherlands
H.L. Hillege
Affiliation:
Department of Epidemiology, University Medical Center Groningen, University of Groningen, The Netherlands
T. Jaarsma
Affiliation:
Department of Social and Welfare Studies, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden Mary MacKillop Institute, Australian Catholic University, Melbourne, Australia
T. Hoekstra
Affiliation:
Department of Epidemiology, University Medical Center Groningen, University of Groningen, The Netherlands
*
Author for correspondence: I.H. Kraai, Department of Cardiology, University Medical Center Groningen, University of Groningen, PO Box 30.001 HPC AB 41, 9700 RB Groningen, The Netherlands. E-mail: i.h.kraai@xs4all.nl
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Abstract

Objectives

Health-related quality of life (HR-QoL) of patients with heart failure (HF) is low despite the aim of HF treatment to improve HR-QoL. To date, most studies have focused on medical and physical factors in relation to HR-QoL, few data are available on the role of emotional factors such as dispositional optimism. This study examines the prevalence of optimism and pessimism in HF patients and investigates how optimism and pessimism are associated with different patient characteristics and HR-QoL.

Methods

Dispositional optimism was assessed in 86 HF patients (mean age 70 ± 9 years, 28% female, mean left ventricular ejection fraction 33%) with the Revised Life Orientation Test (LOT-R). HR-QoL was assessed with the Minnesota Living with Heart Failure Questionnaire and the EuroQol.

Results

The (mean ± SD) total score on the LOT-R was 14.6 ± 2.9 (theoretical range 0–24) and the scores on the subscales optimism and pessimism were 8.1 ± 1.9 and 5.5 ± 2.5, respectively. Higher age was related to more optimism (r = 0.22, p < 0.05), and optimism was associated with higher generic HR-QoL (B = 0.04, p < 0.05).

Significance of results

The association found between optimism and generic HR-QoL of HF patients can lead to promising strategies to improve HF patients’ HR-QoL, particularly because the literature has indicated that optimism is a modifiable condition.

Keywords

OptimismPessimismHealth-related quality of lifeHeart failure
Type
Original Article
Information
Palliative & Supportive Care , Volume 16 , Issue 6 , December 2018 , pp. 725 - 731
Copyright
Copyright © Cambridge University Press 2017 

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