Role of psychological resilience and psychological distress in linking fear of disease progression to quality of life in chronic heart failure: a cross-sectional serial mediation analysis - Scorecard - MDSpire
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Role of psychological resilience and psychological distress in linking fear of disease progression to quality of life in chronic heart failure: a cross-sectional serial mediation analysis
Clinical Scorecard: Influence of Psychological Resilience and Distress on the Relationship Between Fear of Disease Progression and Quality of Life in Chronic Heart Failure: A Cross-Sectional Mediation Study
At a Glance
Category
Detail
Condition
Chronic Heart Failure (CHF)
Key Mechanisms
Fear of disease progression (FoP), psychological resilience, psychological distress
Target Population
Patients with chronic heart failure
Care Setting
Inpatient department of a tertiary hospital
Key Highlights
Elevated levels of fear of disease progression (FoP) observed in CHF patients.
Psychological resilience and distress serve as significant mediators between FoP and quality of life (QoL).
FoP negatively impacts QoL directly and indirectly through psychological factors.
Guideline-Based Recommendations
Diagnosis
Confirm diagnosis of CHF with left ventricular ejection fraction (LVEF) ≤ 50%.
Management
Assess psychological status of patients with CHF to improve resilience and reduce distress.
Monitoring & Follow-up
Regularly evaluate QoL and psychological factors in CHF patients.
Risks
Increased risk of rehospitalization associated with high levels of FoP.
Patient & Prescribing Data
212 patients with CHF admitted between June 2023 and June 2025.
Psychological resilience can improve QoL by regulating emotional responses.
Clinical Best Practices
Implement interventions aimed at enhancing psychological resilience.
Address psychological distress to mitigate its impact on QoL.
