Depressive symptoms in the family caregivers of patients with heart failure: an integrative review

Lacerda, Marianna Sobral; Prado, Patrícia Rezende do; Barros, Alba Lúcia Bottura Leite de; Lopes, Juliana de Lima

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Revista Gaúcha de Enfermagem

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Brasil

Español English

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Sumário

Integrative Review • Rev. Gaúcha Enferm. 40 • 2019 • https://doi.org/10.1590/1983-1447.2019.20180057 copy

Depressive symptoms in the family caregivers of patients with heart failure: an integrative review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

AIMS

Identify the occurrence of depressive symptoms in family caregivers of patients with heart failure and the correlation of other variables with depressive symptoms.

DESIGN/METHOD

The literature review was conducted in the Web of Science, Medline, LILACS and PubMed databases in March 2017. Papers published between 2004 and 2016, written in English, Spanish or Portuguese were included. The descriptors used were health, heart failure, depression, caregivers, and family.

RESULTS

26 papers were selected. 6% to 64% reported depressive symptoms. Depressive symptoms were associated with patients’ and caregivers’ characteristics. In most cases, depressive symptoms were greater among family caregivers than in the general population and were mainly associated with care burden and quality of life.

CONCLUSIONS

The studies report depressive symptoms in caregivers of patients with heart failure.

KEYWORDS:
Heart failure; Depression; Family; Caregivers

Author/ Year	Type of Study/ Level of Evidence	Quality of Study
Pihl et al. (2005)¹⁷17. Phil E, Jacobsson A, Fridlund B, Strömberg A, Mårtensson J. Depression and health-related quality of life in elderly patients suffering from heart failure and their spouses: a comparative study. Eur J Heart Fail. 2005;7(4):583-9. doi: https://doi.org/10.1016/j.ejheart.2004.07.016. https://doi.org/10.1016/j.ejheart.2004.0...	Cross-sectional study / 2C	10
Hooley et al. (2005)¹⁸18. Hooley PJD, Butler G, Howlett JG. The relationship of quality of life, depression, and caregiver burden in outpatients with congestive heart failure. Congest Heart Fail. 2005;11(6):303-10. doi: https://doi.org/10.1111/j.1527-5299.2005.03620.x. https://doi.org/10.1111/j.1527-5299.2005...	Cohort study / 2B	14
Barnes et al. (2006)¹⁹19. Barnes S, Gott M, Payne S, Parker C, Seamark D, Gariballa S, et al. Characteristics and views of family carers of older people with heart failure. Int J Palliat Nurs. 2006;12(8):380-9. doi: https://doi.org/10.12968/ijpn.2006.12.8.380. https://doi.org/10.12968/ijpn.2006.12.8....	Cross-sectional study / 2C	10
Molloy et al. (2006)²⁰20. Molloy GJ, Johnston DW, Gao C, Witham MD, Gray JM, Argo IS, et al. Effects of an exercise intervention for older heart failure patients on caregiver burden and emotional distress. Eur J Cardiovasc Prev Rehabil. 2006;13(3):381-7. doi: https://doi.org/10.1097/00149831-200606000-00014. https://doi.org/10.1097/00149831-2006060...	Randomized study / 1B	21
Saunders (2008)²¹21. Saunders MM. Family Caregiver support and hospitalization of patients with heart failure. Home Healthc Nurse. 2008;26(4):624-2. doi: https://doi.org/10.1097/01.NHH.0000341226.40640.ad. https://doi.org/10.1097/01.NHH.000034122...	Cross-sectional study / 2C	9
Saunders (2008)²²22. Saunders MM. Factors associated with caregiver burden in heart failure family caregivers. West J Nurs Res. 2008;30(8):943-59. doi: https://doi.org/10.1177/0193945908319990. https://doi.org/10.1177/0193945908319990...	Cross-sectional study / 2C	10
Saunders (2009)²³23. Saunders MM. Indicators of health-related quality of life in heart failure family caregivers. J Community Health Nurs. 2009;26(4):173-82. doi: https://doi.org/10.1080/07370010903259196. https://doi.org/10.1080/0737001090325919...	Cross-sectional study / 2C	9
Luttik et al. (2009)²⁴24. Luttik ML, Lesman-Leegte I, Jaarsma T. Quality of life and depressive symptoms in heart failure patients and their partners: the impact of role and gender. J Card Fail. 2009;15(7):580-5. doi: https://doi.org/10.1016/j.cardfail.2009.02.004. https://doi.org/10.1016/j.cardfail.2009....	Cross-sectional study / 2C	11
Pressler et al. (2009)²⁵25. Pressler SJ, Gradus-Pizlo I, Chubinski SD, Smith G, Wheeler S, Wu J, et al. Family caregiver outcomes in heart failure. Am J Crit Care. 2009;18(2):149-59. doi: https://doi.org/10.4037/ajcc2009300. https://doi.org/10.4037/ajcc2009300...	Cohort study / 2B	17
Chung et al. (2009)²⁶26. Chung ML, Moser DK, Lennie TA, Rayens MK. The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: testing dyadic dynamics using Actor-Partner Interdependence Model. J Psychosom Res. 2009;67(1):29-35. Doi: https://doi.org/10.1016/j.jpsychores.2009.01.009. https://doi.org/10.1016/j.jpsychores.200...	Cross-sectional study / 2C	14
Chung et al. (2010)²⁷27. Chung ML, Pressler SJ, Dunbar SB, Lennie TA, Moser DK. Predictors of depressive symptoms in caregivers of patients with heart failure. J Cardiovasc Nurs. 2010;25(5):411-9. doi: https://doi.org/10.1097/JCN.0b013e3181d2a58d. https://doi.org/10.1097/JCN.0b013e3181d2...	Cross-sectional study / 2C	14
Saunders (2010)²⁸28. Saunders MM. Working and caregiving?: a comparison of employed and unemployed caregivers of older heart failure patients. Holist Nurs Pr. 2010;24(1):16-22. https://doi.org/10.1097/HNP.0b013e3181c8e469. https://doi.org/10.1097/HNP.0b013e3181c8...	Cross-sectional study / 2C	10
Agren et al. (2011)⁴4. Agren S, Evangelista L, Davidson T, Strömberg A. The influence of chronic heart failure in patient-partner dyads: a comparative study addressing issues of health-related quality of life. J Cardiovasc Nurs. 2011;26(1):65-73. doi: https://doi.org/10.1097/JCN.0b013e3181ec0281. https://doi.org/10.1097/JCN.0b013e3181ec...	Cross-sectional study /2C	12
Trivedi et al. (2012)²⁹29. Trivedi RB, Piette J, Fihn SD, Edelman D. Examining the interrelatedness of patient and spousal stress in heart failure: conceptual model and pilot data. J Cardiovasc Nurs. 2012;27(1):24-32. doi: https://doi.org/10.1097/JCN.0b013e3182129ce7. https://doi.org/10.1097/JCN.0b013e318212...	Cross-sectional study/ 2C	12
Agren et al. (2012)³⁰30. Ågren S, Evangelista LS, Hjelm C, Strömberg A. Dyads affected by chronic heart failure: a randomized study evaluating effects of education and psychosocial support to patients with heart failure and their partners. J Card Fail. 2012;18(5):359-66. doi: https://doi.org/10.1016/j.cardfail.2012.01.014. https://doi.org/10.1016/j.cardfail.2012....	Randomized study / 1B	21
Pressler et al. (2013)³¹31. Pressler SJ, Gradus-Pizlo I, Chubinski SD, Smith G, Wheeler S, Sloan R, et al. Family caregivers of patients with heart failure: a longitudinal study. J Cardiovasc Nurs. 2013;28(5):417-8. doi: https://doi.org/10.1097/JCN.0b013e3182563877. https://doi.org/10.1097/JCN.0b013e318256...	Cohort study / 2B	16
McMillan et al. (2013)³²32. McMillan SC, Small BJ, Haley WE, Zambroski C, Buck HG. The COPE intervention for caregivers of patients with heart failure: an adapted intervention. J Hosp Palliat Nurs. 2013;15(4):1-17. doi: https://doi.org/10.1097/NJH.0b013e31827777fb. https://doi.org/10.1097/NJH.0b013e318277...	Randomized study / 1B	19
Löfvenmark et al. (2013)³³33. Löfvenmark C, Saboonchi F, Edner M, Billing E, Mattiasson AC. Evaluation of an educational programme for family members of patients living with heart failure: a randomised controlled trial. J Clin Nurs. 2013;22(1-2):115-26. doi: https://doi.org/10.1111/j.1365-2702.2012.04201.x. https://doi.org/10.1111/j.1365-2702.2012...	Randomized study/ 1B	21
Malik et al. (2013)³⁴34. Malik FA, Gysels M, Higginson IJ. Living with breathlessness: a survey of caregivers of breathless patients with lung cancer or heart failure. Palliat Med. 2013;27(7):647-56. Doi: https://doi.org/10.1177/0269216313488812. https://doi.org/10.1177/0269216313488812...	Cross-sectional study / 2C	12
Harkness et al. (2013)³⁵35. Harkness K, Arthur H, Health H, Mcmaster S. The measurement of uncertainty in caregivers of patients with heart failure. J Nurs Meas. 2013;21(1):21-42. doi: https://doi.org/10.1891/1061-3749.21.1.23. https://doi.org/10.1891/1061-3749.21.1.2...	Cross-sectional study / 2C	12
Lum et al. (2014)⁸8. Lum HD, Lo D, Hooker S, Bekelman DB. Caregiving in heart failure: relationship quality is associated with caregiver benefit finding and caregiver burden. Heart Lung. 2014;43(4):306-10. doi: https://doi.org/10.1016/j.hrtlng.2014.05.002. https://doi.org/10.1016/j.hrtlng.2014.05...	Cross-sectional study /2C	12
Zincir et al. (2014)³⁶36. Boskurt Zincir S, Sunbul M, Zincir S, Aydin Sunbul E, Oguz M, Feriha Cengiz F, et al. Burden and depressive symptoms associated with adult-child caregiving for individuals with heart failure. Scientific World Journal. 2014;2014:641817. doi: https://doi.org/10.1155/2014/641817. https://doi.org/10.1155/2014/641817...	Cross-sectional study / 2C	11
Agren et al. (2015)³⁷37. Ågren S, Berg S, Svedjeholm R, Strömberg A. Psychoeducational support to post cardiac surgery heart failure patients and their partners -a randomised pilot study. Intensive Crit Care Nurs. 2015;31(1):10-8. doi: https://doi.org/10.1016/j.iccn.2014.04.005. https://doi.org/10.1016/j.iccn.2014.04.0...	Randomized study / 1B	19
Piamjariyakul et al. (2015)³⁸38. Piamjariyakul U, Werkowitch M, Wick J, Russell C, Vacek JL, Smith CE. Caregiver coaching program effect: reducing heart failure patient rehospitalizations and improving caregiver outcomes among African Americans. Heart Lung. 2015;44(6):466-73. doi: https://doi.org/10.1016/j.hrtlng.2015.07.007. https://doi.org/10.1016/j.hrtlng.2015.07...	Randomized study / 1B	21
Piette et al. (2015)³⁹39. Piette JD, Striplin D, Marinec N, Chen J, Aikens JE. A randomized trial of mobile health support for heart failure patients and their informal caregivers. Impacts on caregiver-reported outcome. Med Care. 2015;53(8):692-9. doi: https://doi.org/10.1097/MLR.0000000000000378 https://doi.org/10.1097/MLR.000000000000...	Randomized study / 1B	21
Buck et al. (2015)⁴⁰40. Buck HG, Mogle J, Riegel B, McMillan S, Bakitas M. Exploring the relationship of patient and informal caregiver characteristics with heart failure self-care using the actor-partner interdependence model: implications for outpatient palliative care. J Palliat Med. 2015;18(12):1026-32. doi: https://doi.org/10.1089/jpm.2015.0086. https://doi.org/10.1089/jpm.2015.0086...	Cross-sectional study / 2C	11

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[1] Corresponding author:
Marianna Sobral Lacerda sobralmarianna@gmail.com