The association of quality of life and fear of progression in patients with pulmonary hypertension: a cross-sectional network analysis

Abstract Background The quality of life (QoL) of patients with pulmonary hypertension (PH) is severely compromised. Fear of progression (FoP) may be an important predictor of compromising the QoL in PH patients. Therefore, our study aimed to investigate the association between QoL and FoP among PH p...

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Main Authors: Mengqi Liu, Yijin Huang
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Psychology
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Online Access:https://doi.org/10.1186/s40359-024-02205-7
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author Mengqi Liu
Yijin Huang
author_facet Mengqi Liu
Yijin Huang
author_sort Mengqi Liu
collection DOAJ
description Abstract Background The quality of life (QoL) of patients with pulmonary hypertension (PH) is severely compromised. Fear of progression (FoP) may be an important predictor of compromising the QoL in PH patients. Therefore, our study aimed to investigate the association between QoL and FoP among PH patients. Methods A cross-sectional study comprising 255 patients was conducted using convenience sampling, using the Self-administered socio-demographic information questionnaire, the World Health Organization quality of life questionnaire abbreviated version, and the Chinese version of the Fear of Progression Questionnaire-Short Form. Network analysis was completed using R software. Results In the current network model, the QoL in the psychological domain had the highest node centrality (strength = 1.155). The highest bridge centrality node was physiological health-related fear (bridge strength = 0.303). The edge between physiological health-related fear and social family-related fear has the highest strength (edge weights = 0.596). Conclusions This study revealed that the psychological domain of QoL is likely to be the most dominant in the overall QoL of PH patients. It can serve as a primary focus for QoL management strategies to improve the overall QoL of PH patients. Furthermore, physical health-related fear is an urgent mental health concern to be alleviated in PH patients' FoP. As a bridge variable, physical health-related fear can be used as a potential clinical intervention target for developing and utilizing intervention programs to alleviate the FoP in PH patients, which may help maintain or even enhance the psychological and overall QoL of PH patients.
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spelling doaj-art-fcd1c9909ce94654baf7d3a9c6d534fd2024-12-01T12:50:58ZengBMCBMC Psychology2050-72832024-11-0112111110.1186/s40359-024-02205-7The association of quality of life and fear of progression in patients with pulmonary hypertension: a cross-sectional network analysisMengqi Liu0Yijin Huang1Shandong Provincial HospitalHealth Center of Sanchang StreetAbstract Background The quality of life (QoL) of patients with pulmonary hypertension (PH) is severely compromised. Fear of progression (FoP) may be an important predictor of compromising the QoL in PH patients. Therefore, our study aimed to investigate the association between QoL and FoP among PH patients. Methods A cross-sectional study comprising 255 patients was conducted using convenience sampling, using the Self-administered socio-demographic information questionnaire, the World Health Organization quality of life questionnaire abbreviated version, and the Chinese version of the Fear of Progression Questionnaire-Short Form. Network analysis was completed using R software. Results In the current network model, the QoL in the psychological domain had the highest node centrality (strength = 1.155). The highest bridge centrality node was physiological health-related fear (bridge strength = 0.303). The edge between physiological health-related fear and social family-related fear has the highest strength (edge weights = 0.596). Conclusions This study revealed that the psychological domain of QoL is likely to be the most dominant in the overall QoL of PH patients. It can serve as a primary focus for QoL management strategies to improve the overall QoL of PH patients. Furthermore, physical health-related fear is an urgent mental health concern to be alleviated in PH patients' FoP. As a bridge variable, physical health-related fear can be used as a potential clinical intervention target for developing and utilizing intervention programs to alleviate the FoP in PH patients, which may help maintain or even enhance the psychological and overall QoL of PH patients.https://doi.org/10.1186/s40359-024-02205-7Fear of ProgressionNetwork AnalysisNursingPulmonary HypertensionQuality of life
spellingShingle Mengqi Liu
Yijin Huang
The association of quality of life and fear of progression in patients with pulmonary hypertension: a cross-sectional network analysis
BMC Psychology
Fear of Progression
Network Analysis
Nursing
Pulmonary Hypertension
Quality of life
title The association of quality of life and fear of progression in patients with pulmonary hypertension: a cross-sectional network analysis
title_full The association of quality of life and fear of progression in patients with pulmonary hypertension: a cross-sectional network analysis
title_fullStr The association of quality of life and fear of progression in patients with pulmonary hypertension: a cross-sectional network analysis
title_full_unstemmed The association of quality of life and fear of progression in patients with pulmonary hypertension: a cross-sectional network analysis
title_short The association of quality of life and fear of progression in patients with pulmonary hypertension: a cross-sectional network analysis
title_sort association of quality of life and fear of progression in patients with pulmonary hypertension a cross sectional network analysis
topic Fear of Progression
Network Analysis
Nursing
Pulmonary Hypertension
Quality of life
url https://doi.org/10.1186/s40359-024-02205-7
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