Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Mar-Apr;44(2):107-12.
doi: 10.1016/j.hrtlng.2014.07.008. Epub 2015 Jan 6.

The relationship between pain, fatigue, depression and functional performance in stable heart failure

Samantha Conley  1 , Shelli Feder  2 , Nancy S Redeker  2
Affiliations

The relationship between pain, fatigue, depression and functional performance in stable heart failure

Samantha Conley et al. Heart Lung. 2015 Mar-Apr.

Abstract

Objective: Evaluate the relationship between pain, fatigue, depression, demographic, clinical, and functional variables in stable heart failure (HF).

Background: Pain, fatigue and depression are common in HF. Little is known about the relationship between pain, fatigue and depression and functional measures in this population.

Methods: Secondary data analysis of a cross sectional study of 173 stable HF patients. Associations between clinical and demographic factors, pain (SF-36), depression (CES-D), and fatigue (MAF) to functional performance and capacity (SF-36 role limitations due to physical functioning and 6-Minute Walk Test) were evaluated using hierarchical multiple regressions.

Results: The sample was 65% male with a mean age of 60. Fifty-seven percent (n = 100) had pain, 54% (n = 94) had fatigue, and 46% (n = 79) had depression. Pain, depression and fatigue were negatively associated with functional performance but not functional capacity when controlling for demographic and clinical covariates.

Conclusions: Pain, fatigue and depression were associated with decreased functional performance in stable HF. Symptom management interventions are needed in HF.

Keywords: Depression; Fatigue; Functional status; Heart failure; Pain.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Roger VL, Go AS, Lloyd-Jones DM, et al. Executive summary: Heart disease and stroke statistics--2012 update: A report from the american heart association. [Accessed 11/19/2013 1:22:36 PM];Circulation. 2012 125(1):188–197. doi: 10.1161/CIR.0b013e3182456d46. 10.1161/CIR.0b013e3182456d46. - DOI - PubMed
    1. Albert NM, Fonarow GC, Abraham WT, et al. Depression and clinical outcomes in heart failure: An OPTIMIZE-HF analysis. [Accessed 11/19/2013 1:03:52 PM];Am J Med. 2009 122(4):366–373. doi: 10.1016/j.amjmed.2008.09.046. 10.1016/j.amjmed.2008.09.046. - DOI - PubMed
    1. Barnes S, Gott M, Payne S, et al. Prevalence of symptoms in a community-based sample of heart failure patients. [Accessed 11/16/2013 3:37:34 PM];J Pain Symptom Manage. 2006 32(3):208–216. doi:http://dx.doi.org/10.1016/j.jpainsymman.2006.04.005. - PubMed
    1. Bekelman DB, Dy SM, Becker DM, et al. Spiritual well-being and depression in patients with heart failure. [Accessed 11/19/2013 1:08:09 PM];J Gen Intern Med. 2007 22(4):470–477. doi: 10.1007/s11606-006-0044-9. - DOI - PMC - PubMed
    1. Carels RA, Musher-Eizenman D, Cacciapaglia H, Perez-Benitez CI, Christie S, O'Brien W. Psychosocial functioning and physical symptoms in heart failure patients: A within-individual approach. [Accessed 11/19/2013 1:09:03 PM];J Psychosom Res. 2004 56(1):95–101. doi: 10.1016/S0022-3999(03)00041-2. - DOI - PubMed

Publication types

  NODES
Association 3
COMMUNITY 2
INTERN 1
twitter 2