Correlates of fatigue in older women with heart failure

To examine the relative contribution of psychologic factors and physical symptoms to the variance in fatigue in older women with heart failure. Eighty women who had been hospitalized in the previous 12 months for heart failure were interviewed. Fifty-seven women completed second interviews 18 months...

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Bibliographic Details
Published in:Heart & lung 1995-11, Vol.24 (6), p.512-518
Main Authors: Friedman, Maureen M., King, Kathleen B.
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Aged
Aged, 80 and over
Dyspnea - complications
Fatigue - etiology
Fatigue - prevention & control
Fatigue - psychology
Female
Heart Failure - complications
Humans
Middle Aged
Personal Satisfaction
Regression Analysis
Stress, Psychological
Time Factors
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Summary:To examine the relative contribution of psychologic factors and physical symptoms to the variance in fatigue in older women with heart failure. Eighty women who had been hospitalized in the previous 12 months for heart failure were interviewed. Fifty-seven women completed second interviews 18 months after the first interview. Fatigue was the most frequently occurring physical symptom at both measurement times, and it significantly increased with time. Other physical symptoms contributed uniquely to the variance in fatigue at both measurement times, but psychologic factors did not. At time 1, sleep difficulties, chest pain, and weakness each explained unique variance in fatigue. At time 2, dyspnea was the only variable that explained unique variance in fatigue (9%). Dyspnea also explained a significant portion of the variance (7%) in time 2 fatigue, when time 1 fatigue was controlled. Fatigue in older women with heart failure is related more to other physical symptoms than psychologic factors.
ISSN:0147-9563
1527-3288
DOI:10.1016/S0147-9563(95)80029-8