Health Psychology

In collaboration with Payame Noor University and Iranian Health Psychology Association

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

Journal Metrics

News

Relationship between Personality Traits and Quality of Life in Heart Failure Patients: The Mediating Role of Self-Care Behaviors

Document Type : Scientific Research

Authors

1 Associate Professor in Psychology, University of Kashan.

2 M.A. in Clinical Psychology.

Abstract

Objectives: Quality of life in patients with heart failure can be affected by several factors. The present study aimed to examine the relationship between personality traits and quality of life in heart failure patients mediated by self-care behaviors. Method: This study is a structural equation modeling. Among the heart failure patients referred to Tehran Heart Hospitals, 300 patients referred to Jam Hospital and Bustan Cardiovascular Clinic were recruited through convenient sampling. In order to collect information, NEO-FFI (Costa & McCrae, 1992), MOS (Ware & Sherbourne, 1992) and EHFSCB (Jarsma et al., 2003) were used. Data were analyzed using SPSS and AMOS 24 software. Results: The results of correlation coefficients showed that there are significant negative correlation between the personality traits of neuroticism and agreeableness with quality of life, while there are significant positive correlation between extroversion and quality of life (P<0.01). Also, there are significant negative correlation between self-care behaviors and quality of life (P<0.01). According to the results the proposed model has a good fit (x2/df=2.786, p<0.001, CFI= 0.92, RMSEA=0.07). In addition, the direct effect of neuroticism, extroversion and agreeableness on quality of life is significant (P<0.01). When self-care behaviors are included as mediators in the relationship between personality traits and quality of life, the indirect effect of neuroticism and conscientiousness on quality of life is 0.09 and 0.049 respectively, and these indirect effects are significant (P<0.01). Therefore, self-care behaviors mediate the relationship between personality traits of neuroticism and conscientiousness with quality of life.Conclusion: These results have important implications for clinical practice and research in the field of cardiac health psychology and indicate the need to develop approaches and better management of these patients in self- care behaviors. Considering the widespread prevalence of heart diseases as a chronic disease and the high costs of treatment, the results of this research have many practical implications for health psychologists, doctors and nurses. Interventions aimed at changing personality characteristics (especially reducing neuroticism and increasing conscientiousness) in order to improve the quality of life of heart patients is a complex and time-consuming task. Therefore, one of the effective interventions to increase these patients’ quality of life can be focusing on increasing self-care behaviors. Hence, educating patients about the importance of this issue can play an important role in improving these patients’ quality of life.

Highlights

These results have important implications for clinical practice and research in the field of cardiac health psychology and indicate the need to develop approaches and better management of these patients in self- care behaviors. Considering the widespread prevalence of heart diseases as a chronic disease and the high costs of treatment, the results of this research have many practical implications for health psychologists, doctors and nurses. Interventions aimed at changing personality characteristics (especially reducing neuroticism and increasing conscientiousness) in order to improve the quality of life of heart patients is a complex and time-consuming task. Therefore, one of the effective interventions to increase these patients’ quality of life can be focusing on increasing self-care behaviors. Hence, educating patients about the importance of this issue can play an important role in improving these patients’ quality of life.

Keywords

Main Subjects

References
Abolghasemi, A., Taghipoor, M., & Narimani, M. (2012). The relationship of type D personality, self-compassion and social support with health behaviors in patients with coronary heart disease. Health Psychology, 1(1): 1-12. (persian)
Alizadehgoradel, J., Tabansadeghi, M.R., Sadeghi, B., & Sadeghi, D.(2013). Relationship between quality of life and type-D personality with coronary heart disease: role of gender factor. Journal of Health and Care. 15(1 and 2):26-34. (persian)
Allen, L. A., Gheorghiade, M., Reid, K. J., Dunlay, S. M., Chan, P. S., Hauptman, P. J., ... & Spertus, J. A. (2011). Identifying patients hospitalized with heart failure at risk for unfavorable future quality of life. Circulation: Cardiovascular Quality and Outcomes, 4(4): 389-398.
Almas, A., Moller, J., Iqbal, R., & Forsell, Y. (2017). Effect of neuroticism on risk of cardiovascular disease in depressed persons-a Swedish population-based cohort study. BMC cardiovascular disorders, 17(1): 1-10.
Arnetz, J. E., Höglund, A. T., Arnetz, B. B., & Winblad, U. (2008). Development and evaluation of a questionnaire for measuring patient views of involvement in myocardial infarction care. European Journal of Cardiovascular Nursing, 7(3): 229-238.
Auld, J. P., Mudd, J. O., Gelow, J. M., Hiatt, S. O., & Lee, C. S. (2018). Self-care moderates the relationship between symptoms and health-related quality of life in heart failure. The Journal of cardiovascular nursing, 33(3): 217-224.
Azizi, A., & Faghih, S. (2019). Comparison of quality of life in patients with acute myocardial infarction, heart failure and normal. Journal of Sabzevar University of Medical Sciences, 26(5): 593-598. (persian)
Bagherian, R., Kheirabadi, G. R., Maracy, M. R., & Ghaneeian, S. (2019). The relationship between psychological factors (personality traits, anxiety, depression and stress) and the self- care of hemodialysis patient. Health Psychology, 8(30): 145-156. (persian)
Beshlideh, k. (2015). Research methods and statistical analysis of research examples with SPSS and AMOS (special for humanities). University of Ahvaz pubication. (persian)
Bogg, T., & Roberts, B. W. (2004). Conscientiousness and health-related behaviors: a meta-analysis of the leading behavioral contributors to mortality. Psychological bulletin, 130(6): 887-919.
Brannon, L., & Feist, J. (2001). Psicología de la salud. Madrid: Thomson
Britz, J. A., & Dunn, K. S. (2010). Self‐care and quality of life among patients with heart failure. Journal of the American Academy of nurse practitioners, 22(9): 480-487.
Buneviciute, J., Staniute, M., Brozaitiene, J., Girdler, S. S., & Bunevicius, R. (2013). Mood symptoms and personality dimensions as determinants of health-related quality of life in patients with coronary artery disease. Journal of health psychology, 18(11): 1493-1504.
Cao, X., Wang, X. H., Wong, E. M., Chow, C. K., & Chair, S. Y. (2016). Type D personality negatively associated with self-care in Chinese heart failure patients. Journal of Geriatric Cardiology: JGC, 13(5): 401-407.
Celano, C. M., Villegas, A. C., Albanese, A. M., Gaggin, H. K., & Huffman, J. C. (2018). Depression and anxiety in heart failure: a review. Harvard review of psychiatry, 26(4): 175-184.
Chauvet-Gelinier, J. C., & Bonin, B. (2017). Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation. Annals of physical and rehabilitation medicine, 60(1): 6-12.
Chow, P. C. (2021). Quality of life, psychological resilience, personality traits and illness perception in grown-up congenital heart patients in Hong Kong. International Journal of Cardiology Congenital Heart Disease, 6, 100279.
Costa Jr., P. T., & McCrae, R. R. (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-factor Inventory (NEO-FFI): Professional manual. Odessa: Psychological Assessment Resources.
De Fruyt, F., & Denollet, J. (2002). Type D personality: A five-factor model perspective. Psychology and Health, 17(5): 671-683.
Deaton, C., & Grady, K. L. (2004). State of the science for cardiovascular nursing outcomes: heart failure. Journal of Cardiovascular Nursing, 19(5): 329-338.
Enatescu, V. R., Cozma, D., Tint, D., -Enatescu, I., Simu, M., Giurgi-Oncu, C., ... & Mornos, C. (2021). The relationship between type D personality and the complexity of coronary artery disease. Neuropsychiatric Disease and Treatment, 17, 809-820.
Garossi Farshi, M. (2015). New approaches in personality assessment (application of factor analysis in personality studies). Tabriz: Jamee Pajooh Publication. (persian)
Hashemi, T., Aliloo, M. M., Poorsharifi, H., Bayrami, M., & Nemati-Sogolitappeh, F. (2013). The Role of Personality Characteristics and Coping Strategies in Self-Care of Patients with Type 2 Diabetes. Journal of Clinical Psychology, 5(2): 89-99. (persian)
Heo, J. M., & Kim, C. G. (2020). The mediating effect of resilience on the relationship between Type D personality and self‐care behavior in patients with heart failure. Japan Journal of Nursing Science, 17(4): e12359.
Heo, S., Lennie, T. A., Okoli, C., & Moser, D. K. (2009). Quality of life in patients with heart failure: ask the patients. Heart & Lung, 38(2): 100-108.
Hwang, S. L., Liao, W. C., & Huang, T. Y. (2014). Predictors of quality of life in patients with heart failure. Japan Journal of Nursing Science, 11(4): 290-298.
Jaarsma, T., Halfens, R., Tan, F., Abu-Saad, H. H., Dracup, K., & Diederiks, J. (2000). Self-care and quality of life in patients with advanced heart failure: the effect of a supportive educational intervention. Heart & Lung, 29(5): 319-330.
Jaarsma, T., Hill, L., Bayes‐Genis, A., La Rocca, H. P. B., Castiello, T., Čelutkienė, J., ... & Strömberg, A. (2021). Self‐care of heart failure patients: practical management recommendations from the -Heart Failure Association of the European Society of Cardiology. European journal of heart failure, 23(1): 157-174.
Jaarsma, T., Strömberg, A., Mårtensson, J., & Dracup, K. (2003). Development and testing of the European heart failure self‐care behaviour scale. European Journal of Heart Failure, 5(3): 363-370.
James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., ... & Briggs, A. M. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159): 1789-1858.
-Kelly, W. E., & Johnson, J. L. (2005). Time use efficiency and the five-factor model of personality. Education, 125, 511–515.
Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford publications.
Lee, C. S., Bidwell, J. T., Paturzo, M., Alvaro, R., Cocchieri, A., Jaarsma, T., ... & Vellone, E. (2018). Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up. Heart & Lung, 47(1): 40-46.
Maddux, J. E., & Volkmann, J. (2010). Self-efficacy. In R. H. Hoyle (Ed.), Handbook of personality and self-regulation (pp. 315–331). Malden: Wiley-Blackwell.
Mahmoud Alilou, M., Asbaghi, M., Narimani, M., & Agamohammadzadeh, N.  (2014). Relationship between personality characteristics with self- care behavior and consequences of treatment in patients with Diabetes. Iranian Journal of Psychiatric Nursing, 2 (3) :77-85. (persian)
Malouff, J. M., Thorsteinsson, E. B., & Schutte, N. S. (2005). The relationship between the five-factor model of personality and symptoms of clinical disorders: A meta-analysis. Journal of psychopathology and behavioral assessment, 27(2):101-114.
Mendoza-Catalán, G., Rodríguez-Santamaría, Y., Domínguez-Chávez, C. J., Juárez-Medina, L. L., Villa--Rueda, A. A., González-Ramírez, J., & Gutiérrez-Valverde, J. M. (2022). Personality Traits and Self-Care Behaviors in Adults with Type 2 Diabetes Mellitus. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 15, 1-6.
Mohammadi, Sh.(2011). Relationship between personality factors and job satisfaction among highschool teachers. International Journal of Psychology, 5(2): 1-14.
Montazeri A., Goshtasebi A., Vahdaninia, M. & Gandek, B. (2005). The short Form Health Survey (SF-36); Translation and validation study of Iranian version, QualIty Life Research. 14(3): 875-82.
Moryś, J. M., Bellwon, J., Höfer, S., Rynkiewicz, A., & Gruchała, M. (2016). Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure. Archives of medical science: AMS, 12(2): 326-333.
Nasiłowska-Barud, A., Zapolski, T., Barud, M., & Wysokiński, A. (2021). An analysis of anxiety and selected aspects of personality in women with ischemic heart disease according to PT Costa and RR McCrae theory–The role of psychosocial factors in ischemic heart disease. Annals of Agricultural and Environmental Medicine, 28(1): 107-113.
Park, C., Won, M. H., & Son, Y. J. (2021). Mediating effects of social support between Type D personality and self‐care behaviours among heart failure patients. Journal of Advanced Nursing, 77(3): 1315-1324.
Pedersen, S. S., & Denollet, J. (2003). Type D personality, cardiac events, and impaired quality of life: a review. European Journal of Preventive Cardiology, 10(4): 241-248.
Pedersen, S. S., Herrmann-Lingen, C., de Jonge, P., & Scherer, M. (2010). Type D personality is a predictor of poor emotional quality of life in primary care heart failure patients independent of depressive symptoms and New York Heart Association functional class. Journal of behavioral medicine, 33(1): 72-80.
Pocnet, C., Antonietti, J.-P., Rossier, J., Strippoli, M.-P., Glaus, J., & Preisig, M. (2016a). Personality, tobacco consumption, physical inactivity, obesity markers, and metabolic components as risk factors for cardiovascular disease in the general population. Psychology, Health and Medicine, 3, 1–8.
Pocnet, C., Antonietti, J-P., Strippoli, M-P., Glaus, J., Preisig, M., & Rossier, J. (2016b). Individuals’quality of life linked to major life events, perceived social support, and personality traits. Quality of Research.
Pocnet, C., Dupuis, M., Congard, A., & Jopp, D. (2017). Personality and its links to quality of life: Mediating effects of emotion regulation and self-efficacy beliefs. Motivation and Emotion, 41(2): 196-208.
Rajadurai, J., Tse, H. F., Wang, C. H., Yang, N. I., Zhou, J., & Sim, D. (2017). Understanding the epidemiology of heart failure to improve management practices: an Asia-Pacific perspective. Journal of Cardiac Failure, 23(4): 327-339.
Rassart, J., Luyckx, K., Goossens, E., Apers, S., Klimstra, T., & Moons, P.(2013). Personality traits, quality of life, and perceived health in adolescents with congenital heart disease. Psychology & Health, 28 (3): 319-335.
Riegel, B., Jaarsma, T., & Strömberg, A. (2012). A middle-range theory of self-care of chronic illness. Advances in Nursing Science, 35(3): 194-204.
Rodríguez-Artalejo, F., Guallar-Castillón, P., Pascual, C. R., Otero, C. M., Montes, A. O., García, A. N., ... & Herrera, M. C. (2005). Health-related quality of life as a predictor of hospital readmission and death among patients with heart failure. Archives of internal medicine, 165(11): 1274-1279.
Roger, V. L. (2013). Epidemiology of heart failure. Circulation research, 113(6), 646-659.
Samartzis, L., Dimopoulos, S., Manetos, C., Agapitou, V., Tasoulis, A., Tseliou, E., Pozios, I., Kaldara, E., Terrovitis, J., & Nanas, S. (2014). Neuroticism personality trait is associated with Quality of Life in patients with Chronic Heart Failure. World journal of cardiology, 6(10): 1113–1121.
Seid, M. A. (2020). Health-related quality of life and extent of self-care practice among heart failure patients in Ethiopia. Health and Quality of Life Outcomes, 18(1): 1-7.
Seto, E., Leonard, K. J., Cafazzo, J. A., Masino, C., Barnsley, J., & Ross, H. J. (2011). Self-care and quality of life of heart failure patients at a multidisciplinary heart function clinic. Journal of cardiovascular nursing, 26(5): 377-385.
Shojaee, F., Asemi, S., Najaf Yarandi, A., Hoseini, F. (2008). Self-care behaviors in heart failure patients. The Quarterly Journal of the Research Institute of Health Sciences, Jihad University, 8(4): 361-369.
Skinner, T. C., Bruce, D. G., Davis, T. M. E., & Davis, W. A. (2014). Personality traits, self‐care behaviours and glycaemic control in Type 2 diabetes: The Fremantle Diabetes Study Phase II. Diabetic Medicine, 31(4): 487-492.
Soleimani, M. A., Zarabadi-Pour, S., Motalebi, S. A., & Allen, K. A. (2020). Predictors of quality of life in patients with heart disease. Journal of religion and health, 59(4): 2135-2148.
Staniute, M., Brozaitiene, J., Burkauskas, J., Kazukauskiene, N., Mickuviene, N., & Bunevicius, R. (2015). Type D personality, mental distress, social support and health-related quality of life in coronary artery disease patients with heart failure: a longitudinal observational study. Health and quality of life outcomes, 13(1): 1-11.
Stewart, S., & Blue, L. (Eds.). (2008). Improving outcomes in chronic heart failure: a practical guide to specialist nurse intervention. John Wiley & Sons.
Sutin, A. R., Stephan, Y., Luchetti, M., Artese, A., Oshio, A., & Terracciano, A. (2016). The five-factor model of personality and physical inactivity: A meta-analysis of 16 samples. Journal of research in personality, 63, 22-28.
Ware Jr, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical care, 473-483.
Westlake, C., Dracup, K., Creaser, J., Livingston, N., Heywood, J. T., Huiskes, B. L., ... & Hamilton, M. (2002). Correlates of health-related quality of life in patients with heart failure. Heart & Lung, 31(2): 85-93.
Wheeler, K., Wagaman, A., & McCord, D. (2012). Personality traits as predictors of adherence in adolescents with type I diabetes. Journal of child and adolescent psychiatric nursing, 25(2): 66-74.
Wong, C.W, KwMyint, P.K., & Mamas, M.A. (2018). Marital status and risk of cardiovascular diseases: A systematic review and meta-analysis. Heart, 104(23):1937-48.
Zaighami Mohammadi, S., Danesh, A., Farmani, P., Shakur, M., Fahidi, F,. Mohseni, B., & Falah Taherzhan, A. (2016). Correlation between personality type D and adherence to low-salt diet in patients with systolic heart failure. Journal of Qom University of Medical Sciences, 11 (4): 32-42. (persian)
Zipes, D. P., Libby, P., Bonow, R. O., Mann, D. L., & Tomaselli, G. F. (Eds.). (2019). Braunwald. Tratado de cardiología: Texto de medicina cardiovascular. Elsevier Health Sciences.
Health Psychology
Volume 12, Issue 47
January 2024
Pages 33-46
Files
Share
How to cite
Statistics