title: Coping and health-related quality of life in individuals with heart failure: an integrative review.
abstract: OBJECTIVE
  The purpose of this review is to examine and synthesize recent literature regarding the influence of coping on constructs contributing to health-related quality of life (HRQOL) in individuals with heart failure (HF).
  
  
  BACKGROUND
  Poor HRQOL is associated with HF-related outcomes, including increased mortality and poor self-care. Coping may influence HRQOL.
  
  
  METHODS
  An review of empirical literature was conducted utilizing CINAHL, PsycARTICLES, and PubMed computerized databases for a period of January 2000 to December 2011.
  
  
  RESULTS
  Only studies investigating coping and physical and psychological HRQOL were found that met the inclusion criteria (N = 16), with 13 studies examining coping and psychological HRQOL, two studies examining coping and physical HRQOL, and one study investigating coping and physical and psychological HRQOL.
  
  
  CONCLUSIONS
  Emotion-focused strategies are negatively associated with physical and psychological HRQOL, whereas, problem-focused strategies are positively associated with physical and psychological HRQOL in individuals with HF. Lack of experimental studies limits the inference of causality.
authors: Florida State University College of Nursing, 98 Varsity Way, P.O. Box 3064310, Tallahassee, FL 32306, USA. lgraven@fsu.edu
authors: Lucinda J
authors: LJ
authors: Graven
authors: Joan S
authors: JS
authors: Grant
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D004644:Emotions; D006333:Heart Failure / Q000523:psychology*; D006801:Humans; D011788:Quality of Life; D012648:Self Care / Q000379:methods*