{Reference Type}: Journal Article {Title}: Depression, Anxiety, and Resilience: The Association of Emotions With Self-care in Patients With Heart Failure. {Author}: Kutcher AM;Byon HD;Esquivel JH; {Journal}: J Cardiovasc Nurs {Volume}: 39 {Issue}: 3 {Year}: 2024 May-Jun 1 {Factor}: 2.468 {DOI}: 10.1097/JCN.0000000000001049 {Abstract}: BACKGROUND: Engaging in self-care behaviors improves outcomes in patients with heart failure. Identifying psychological factors that affect self-care behaviors and the role of resilience may inform interventions that improve outcomes.
OBJECTIVE: The study objective was to determine the relationships among depression, anxiety, resilience, and self-care, including whether resilience mediates or moderates the effects of depression and anxiety on self-care.
METHODS: Pearson correlation coefficients were computed to estimate the relationships of depression, anxiety, and resilience with self-care behaviors. Mediating and moderating effects of resilience on the relationships of depression and anxiety with self-care were evaluated using multiple linear regression.
RESULTS: Depression and anxiety were associated with lower self-care. Higher resilience was associated with lower depression and anxiety, but resilience did not mediate or moderate the relationship of depression and anxiety with self-care.
CONCLUSIONS: Interventions that foster resilience may improve outcomes by reducing anxiety and depression in patients with heart failure.