Symptom burden, depression, and spiritual well-being: A comparison of heart failure and advanced cancer patients

David B. Bekelman, John S. Rumsfeld, Edward P. Havranek, Traci E. Yamashita, Evelyn Hutt, Sheldon Gottlieb, Sydney E Dy, Jean S. Kutner

Research output: Contribution to journalArticle

Abstract

Background: A lower proportion of patients with chronic heart failure receive palliative care compared to patients with advanced cancer. OBJECTIVE: We examined the relative need for palliative care in the two conditions by comparing symptom burden, psychological well-being, and spiritual well-being in heart failure and cancer patients. DESIGN: This was a cross-sectional study. PARTICIPANTS: Sixty outpatients with symptomatic heart failure and 30 outpatients with advanced lung or pancreatic cancer. Measurements: Symptom burden (Memorial Symptom Assessment Scale-Short Form), depression symptoms (Geriatric Depression Scale-Short Form), and spiritual well-being (Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale). Main Results: Overall, the heart failure patients and the cancer patients had similar numbers of physical symptoms (9.1 vs. 8.6, p∈=∈0.79), depression scores (3.9 vs. 3.2, p∈=∈0.53), and spiritual well-being (35.9 vs. 39.0, p∈=∈0.31) after adjustment for age, gender, marital status, education, and income. Symptom burden, depression symptoms, and spiritual well-being were also similar among heart failure patients with ejection fraction 30, ejection fraction >30, and cancer patients. Heart failure patients with worse heart failure-related health status had a greater number of physical symptoms (13.2 vs. 8.6, p∈=∈0.03), higher depression scores (6.7 vs. 3.2, p∈=∈0.001), and lower spiritual well-being (29.0 vs. 38.9, p∈

Original languageEnglish (US)
Pages (from-to)592-598
Number of pages7
JournalJournal of General Internal Medicine
Volume24
Issue number5
DOIs
StatePublished - May 2009

Fingerprint

Heart Failure
Depression
Neoplasms
Palliative Care
Outpatients
Spiritual Therapies
Heart Neoplasms
Symptom Assessment
Marital Status
Pancreatic Neoplasms
Geriatrics
Health Status
Lung Neoplasms
Chronic Disease
Cross-Sectional Studies
Psychology
Education

Keywords

  • Depression
  • Heart failure
  • Palliative
  • Quality of life
  • Spirituality
  • Symptoms

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Symptom burden, depression, and spiritual well-being : A comparison of heart failure and advanced cancer patients. / Bekelman, David B.; Rumsfeld, John S.; Havranek, Edward P.; Yamashita, Traci E.; Hutt, Evelyn; Gottlieb, Sheldon; Dy, Sydney E; Kutner, Jean S.

In: Journal of General Internal Medicine, Vol. 24, No. 5, 05.2009, p. 592-598.

Research output: Contribution to journalArticle

Bekelman, David B. ; Rumsfeld, John S. ; Havranek, Edward P. ; Yamashita, Traci E. ; Hutt, Evelyn ; Gottlieb, Sheldon ; Dy, Sydney E ; Kutner, Jean S. / Symptom burden, depression, and spiritual well-being : A comparison of heart failure and advanced cancer patients. In: Journal of General Internal Medicine. 2009 ; Vol. 24, No. 5. pp. 592-598.
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