title: Illness knowledge moderates the influence of coping style on quality of life among women with congestive heart failure.
abstract: OBJECTIVE
  This study evaluated the relationship of coping style with quality of life (QoL) among women with congestive heart failure (CHF), and the role of illness knowledge in this relationship.
  
  
  METHODS
  Thirty-five women with CHF completed measures of coping style (anger-in, alexithymia, and emotional expression), illness knowledge, and emotional/physical QoL.
  
  
  RESULTS
  Symptoms of depression and anxiety were positively associated with anger-in (P < .001) and alexithymia (P < .01), and were negatively correlated with emotional expression (P=.05). Furthermore, illness knowledge moderated the relationship between anger-in and depressive symptoms (P=.01), such that high anger-in individuals with greater illness knowledge displayed greater depressive symptoms. Knowledge also moderated the relationship between emotional expression and anxiety (P=.02), indicating that low emotional expression was associated with greater anxiety among those with less illness knowledge. Depressive and anxiety symptoms, anger-in, alexithymia, and emotional expression were not correlated with physical QoL.
  
  
  CONCLUSIONS
  Illness knowledge is associated with poorer emotional QoL among those using denial-based coping styles, but a better QoL among those avoiding communication of their emotions.
authors.affiliation: Department of Psychology, Ohio State University, Columbus, Ohio 43210, USA.
authors.forename: Jamie L
authors.initials: JL
authors.lastname: Jackson
authors.forename: Charles F
authors.initials: CF
authors.lastname: Emery
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000342:Affective Symptoms / Q000523:psychology; D000786:Anger; D003863:Depression / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006305:Health Status Indicators; D006333:Heart Failure / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D011594:Psychometrics; D011788:Quality of Life / Q000523:psychology*; D013223:Statistics as Topic; D013315:Stress, Psychological; D013318:Stroke Volume; D011795:Surveys and Questionnaires; D016277:Ventricular Function, Left; D016387:Women's Health; D055815:Young Adult