Background 

An estimated 6.5 million American adults live with heart failure (HF). Elevated anxiety symptoms may worsen HF symptoms and contribute to decreases in overall quality of life (QOL). Mindfulness has been associated with better psychological health with lower levels of anxiety symptoms. Mindfulness may be a modifiable target for reducing anxiety symptoms and increasing QOL in patients with HF.

Objective 

The objective of this study is to examine the relationships among anxiety symptoms, dispositional mindfulness, and QOL in patients with symptomatic HF.

Methods 

In this cross-sectional study, we conducted a secondary analysis of baseline data from 70 participants. We performed descriptive statistics, bivariate Pearson correlations, and multiple linear regression.

Results 

The sample included 70 individuals with a mean age of 65 ± 10.5 years, 89% male, mean left ejection fraction of 45.7 ± 13.6, mean total QOL of 36.9 ± 21.7, mean total mindfulness of 82.2 ± 12.8, and mean anxiety of 4.8 ± 2.9. In multiple regression analyses, total mindfulness was significantly associated with lower anxiety (β = −0.491, P < .01), greater observational mindfulness was significantly associated with lower anxiety (β = −0.377, P < .01), and greater nonreactivity to inner experience was significantly associated with lower anxiety (β = −0.320, P < .05). Lower anxiety was associated with greater total QOL (β = 0.488, P < .01), greater physical QOL (β = 0.381, P < .01), and greater emotional QOL (β = 0.639, P < .01).

Conclusions 

Mindfulness may be a way of improving both anxiety symptoms and QOL in this population.

中文翻译：

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心力衰竭中的正念、焦虑症状和生活质量。

背景 

估计有 650 万美国成年人患有心力衰竭(HF)。焦虑症状升高可能会加重 HF 症状并导致整体生活质量 (QOL) 下降。正念与焦虑症状水平较低的更好的心理健康有关。正念可能是减少心衰患者焦虑症状和提高生活质量的可修改目标。

客观的 

本研究的目的是检查症状性心力衰竭患者的焦虑症状、性格正念和生活质量之间的关系。

方法 

在这项横断面研究中，我们对 70 名参与者的基线数据进行了二次分析。我们进行了描述性统计、双变量 Pearson 相关性和多元线性回归。

结果 

样本包括 70 人，平均年龄为 65 ± 10.5 岁，89% 为男性，平均左射血分数为 45.7 ± 13.6，平均总 QOL 为 36.9 ± 21.7，平均总正念为 82.2 ± 12.8，平均焦虑为 4.8 ± 2.9。在多元回归分析中，全正念与较低的焦虑显着相关（β = -0.491，P < .01），更大的观察正念与较低的焦虑显着相关（β = -0.377，P < .01），并且对内在体验与较低的焦虑显着相关（β = -0.320，P < .05）。降低焦虑与更高的总 QOL (β = 0.488, P < .01)、更高的身体 QOL (β = 0.381, P < .01) 和更高的情绪 QOL (β = 0.639, P < .01) 相关。

结论 

正念可能是改善该人群焦虑症状和生活质量的一种方式。