Monthly Archives: March 2015

Predictors of all-cause mortality in patients with stable COPD: medical co-morbid conditions or high depressive symptoms.






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Predictors of all-cause mortality in patients with stable COPD: medical co-morbid conditions or high depressive symptoms.

COPD. 2014 Aug;11(4):468-74

Authors: Maters GA, de Voogd JN, Sanderman R, Wempe JB

Abstract
Co-morbid conditions are frequently found in patients with COPD. We evaluate the association of co-morbidities with mortality, in stable COPD. 224 patients, mean age 61.2 (± 10.00), 48.2% female, mean FEV1 1.1 (± 0.5) liters, median follow-up time 4.2 years, participated. Medical co-morbidities were scored according to the Charlson Co-morbidity Index (CCI). Depressive symptoms were assessed with the Hospital Anxiety and Depression Scale (HADS) and Symptom Checklist-90 (SCL-90). The Cox proportional hazard model was used for survival analyses. In our sample, 70% of all patients have a co-morbid medical condition or high depressive symptoms. During follow-up 51% of all patients died, and those with heart failure have the highest mortality rate (75%). Age, fat-free mass and exercise capacity were predictive factors, contrary to CCI-scores and high depressive symptoms. An unadjusted association between heart failure and survival was found. Although the presence of co-morbidities, using the CCI-score, is not related to survival, heart failure seems to have a detrimental effect on survival. Higher age and lower exercise capacity or fat-free mass predict mortality.

PMID: 24831411 [PubMed – indexed for MEDLINE]

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Personal Networks and Mortality Risk in Older Adults: A Twenty-Year Longitudinal Study.






Personal Networks and Mortality Risk in Older Adults: A Twenty-Year Longitudinal Study.
PLoS One. 2015;10(3):e0116731
Authors: Ellwardt L, van Tilburg T, Aartsen M, Wittek R, Steverink N
Abstract
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Dyadic Coping Within Couples Dealing With Breast Cancer: A Longitudinal, Population-Based Study.






Dyadic Coping Within Couples Dealing With Breast Cancer: A Longitudinal, Population-Based Study.

Health Psychol. 2015 Mar 2;

Authors: Rottmann N, Hansen DG, Larsen PV, Nicolaisen A, Flyger H, Johansen C, Hagedoorn M

Abstract
Objective: The way couples deal with stressors is likely to influence their adjustment after breast cancer diagnosis. Based on the systemic-transactional model, this study examined whether the supportive, delegated and negative dyadic coping provided by patients and partners and their common dyadic coping as a couple were associated with change in relationship quality and depressive symptoms over time. Method: Women with breast cancer and their male partners (N = 538 couples) participated in a longitudinal study (Time 1, ≤4 months after surgery; Time 2, 5 months later). Dyadic coping was assessed using the Dyadic Coping Inventory (Bodenmann, 2008). The Center for Epidemiologic Studies-Depression Scale (Radloff, 1977) and the Relationship Ladder (Kuijer, Buunk, De Jong, Ybema, & Sanderman, 2004) measured depressive symptoms and relationship quality, respectively. Results: Negative dyadic coping was adversely associated with both patients’ and partners’ outcomes. The more patients rated the couple as engaging in common dyadic coping, the higher relationship quality and the fewer depressive symptoms both patients and partners experienced. Patients experienced more depressive symptoms the more delegated coping (i.e., taking over tasks) they provided to the partner. Partners experienced fewer depressive symptoms the more delegated coping they provided to the patient, but more depressive symptoms the more supportive coping the patient provided to them. Conclusion: This study has contributed to disentangling how dyadic coping behaviors influence couples’ adjustment. Interventions may focus on reducing negative dyadic coping and strengthening common dyadic coping, and be attentive to the different effects of dyadic coping on patients and partners. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

PMID: 25730611 [PubMed – as supplied by publisher]

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