Mediating role of cognitive appraisal and benefit-finding in relationship between fear of progression and quality of life in patients with chronic heart failure
10.3969/j.issn.1000-6729.2025.11.03
- VernacularTitle:认知评价及益处发现在慢性心衰患者疾病进展恐惧与生活质量间的作用
- Author:
Yunyao TANG
1
;
Xiaohong ZHANG
;
Qingyan YANG
;
Xinqiong ZHANG
Author Information
1. 安徽医科大学护理学院,合肥 230032;中国科学技术大学附属第一医院安徽省立医院,合肥 230002
- Publication Type:Journal Article
- Keywords:
chronic heart failure;
quality of life;
fear of progression;
cognitive appraisal;
benefit finding
- From:
Chinese Mental Health Journal
2025;39(11):943-948
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the role of cognitive appraisal and benefit-finding in the association be-tween fear of progression and quality of life among patients with chronic heart failure.Methods:A total of 362 chronic heart failure(CHF)patients from two tertiary hospitals were assessed with the Fear of Progression Ques-tionnaire-Short Form(FoP-Q-SF),Cognitive Appraisal of Health Scale(CAHS),Benefit-Finding Scale(BFS),and Minnesota Living with Heart Failure Questionnaire(MLHFQ).Results:The MLHFQ total scores were positively correlated with the scores of FoP-Q-SF and CAHS(r=0.57,0.44,Ps＜0.01),and negatively correlated with the BFS scores(r=0.47,P＜0.01).Structural equation modeling revealed that cognitive appraisal and benefit-finding sequentially mediated the relationship between fear of progression and quality of life,accounting for 27.43％of the total indirect effect.Conclusion:The psychological adaptation of chronic heart failure patients follows a negative chain path of"fear→maladaptive cognition→ meaning deprivation".while the synergistic intervention of cognitive reappraisal and benefit-finding could disrupt this cascade.Interventions combining cognitive reappraisal and benefit-finding may interrupt this process and improve quality of life.
