ORIGINAL ARTICLE
Loneliness predicts physical and mental health-related quality of life over 9 months among patients with coronary heart disease
Yunge Fan,
Moon-Ho Ringo Ho,
Biing-Jiun Shen,
Yunge Fan
Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore
Search for more papers by this authorCorresponding Author
Moon-Ho Ringo Ho
Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore
Correspondence
Ho Moon-Ho Ringo, Psychology Programme, School of Social Sciences, Nanyang Technological University, 48 Nanyang Avenue. Singapore 639818.
Email: [email protected]
Search for more papers by this authorBiing-Jiun Shen
The Wright Institute, Berkeley, California, USA
Search for more papers by this author
Yunge Fan,
Moon-Ho Ringo Ho,
Biing-Jiun Shen,
Yunge Fan
Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore
Search for more papers by this authorCorresponding Author
Moon-Ho Ringo Ho
Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore
Correspondence
Ho Moon-Ho Ringo, Psychology Programme, School of Social Sciences, Nanyang Technological University, 48 Nanyang Avenue. Singapore 639818.
Email: [email protected]
Search for more papers by this authorBiing-Jiun Shen
The Wright Institute, Berkeley, California, USA
Search for more papers by this authorFunding information:
This study was supported by the Singapore Ministry of Education Academic Research Fund Tier 1 Grant (RG60/14) and a STAUG award from Nanyang Technological University.
Abstract
This study investigated whether loneliness would predict physical and mental health-related quality of life (HRQoL) over 9 months and examined whether medical adherence would mediate their associations in patients with coronary heart disease (CHD). The overall design is a three-wave longitudinal study. A sample of 255 outpatients with CHD was recruited from a community-based cardiac rehabilitation programme. Participants, with a mean age of 63 years, completed measures assessing loneliness, depression and physical and mental HRQoL at baseline. Medical adherence was assessed at 3 months, and physical and mental HRQoL were reassessed at 9 months. A total of 88% of participants reported moderate or high loneliness. Baseline loneliness predicted physical and mental HRQoL at 9 months after adjusting for baseline physical and mental HRQoL, respectively. The effects remained significant when depression was also adjusted. Medical adherence at 3 months partially mediated the associations of baseline loneliness with 9-month physical and mental HRQoL. Findings underline the necessity of assessing loneliness for CHD patients to promote long-term medical adherence and further improve physical and mental HRQoL.
Supporting Information
| Filename | Description |
|---|---|
| aphw12403-sup-0001-3 Revision Supplementary material.docxWord 2007 document , 146 KB | Supplementary Table S1. Bivariate correlations for relevant demographic, medical, and study variables Figure S1. Numbers of participants who returned for follow-ups and those who did not with reasons for attrition at 3 and 9 months |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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