Journal of Behavioral Medicine

, Volume 34, Issue 1, pp 13–22 | Cite as

Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects

  • Andreas Volz
  • Jean-Paul Schmid
  • Marcel Zwahlen
  • Sonja Kohls
  • Hugo Saner
  • Jürgen Barth


Psychological distress is common in patients with chronic heart failure. The impact of different psychological variables on prognosis has been shown but the comparative effects of these variables remain unclear. This study examines the impact of depression, anxiety, vital exhaustion, Type D personality, and social support on prognosis in chronic heart failure patients. One hundred eleven patients (mean age 57 ± 14 years) having participated in an exercise based ambulatory cardiac rehabilitation program were enrolled in a prospective cohort study. Psychological baseline data were assessed at program entry. Mortality, readmission, and health-related quality of life were assessed at follow up (mean 2.8 ± 1.1 years). After controlling for disease severity none of the psychological variables were associated with mortality, though severe anxiety predicted readmission [HR = 3.21 (95% CI, 1.04–9.93; P = .042)]. Health-related quality of life was independently explained by vital exhaustion, anxiety and either body mass index (physical dimension) or sex (emotional dimension). As psychological variables have a strong impact on health-related quality of life they should be routinely assessed in chronic heart failure patients` treatment.


Psychological stress Depression Anxiety Heart failure Mortality Quality of life 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Andreas Volz
    • 1
  • Jean-Paul Schmid
    • 2
  • Marcel Zwahlen
    • 3
  • Sonja Kohls
    • 2
  • Hugo Saner
    • 2
  • Jürgen Barth
    • 1
  1. 1.Division of Social and Behavioral Health Research, Institute of Social and Preventive Medicine (ISPM)University of BernBernSwitzerland
  2. 2.Cardiovascular Prevention and Rehabilitation, Swiss Cardiovascular Center Bern, Bern University HospitalUniversity of BernBernSwitzerland
  3. 3.Institute of Social and Preventive Medicine (ISPM)University of BernBernSwitzerland

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