Female Psychological Adjustment Following an Acute Coronary Syndrome
INTRODUCTION: The outcomes of cardiovascular disease are consistently worse among women, regardless of age or disease severity. Such trend might arise from psychosocial factors, which should be examined in this population. Obective: To evaluate the influence of type-D personality on anxiety and depression symptoms reported by female patients after a first acute coronary syndrome.
MATERIAL AND METHODS: As part of a larger study, 34 female patients with a first acute coronary syndrome were compared with 43 controls on psychosocial measures (Hospital Anxiety and Depression Scale; type-D personality, DS - 14).
RESULTS: Hypertension (p < 0.001), diabetes (p < 0.05), dyslipidemia (p < 0.05), type-D personality (p = 0.001) and anxiety (p < 0.001) were more prevalent among patients. Exercise (p < 0.05) and antidepressant use (p < 0.05) were more common among controls. Logistic regression analysis confirmed that higher prevalence of hypertension (p < 0.05), dyslipidemia (p < 0.05), type-D personality (p < 0.05), anxiety (p < 0.05) and less antidepressant use (p < 0.05), were independently associated with acute coronary syndrome. Type-D personality was associated with higher Hospital Anxiety and Depression Scale scores in controls (anxiety: p = 0.001; depression: p < 0.001) but not in patients.
DISCUSSION: High anxiety after an acute coronary syndrome might reflect a short-term adaptive response, albeit worsening the disease long-term prognosis. The lack of differences in some group comparisons (patients versus controls for depression scores; type-D 'positive' versus type-D 'negative' for anxiety and depression scores within patients) is discussed.
CONCLUSION: Type-D personality, high anxiety, hypertension and dyslipidemia seem to cluster among female acute coronary syndrome patients. Nevertheless, type-D personality itself was not associated with higher anxiety and depressive scores during the post-acute period.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2017 |
|---|---|
| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
|---|---|
| Enthalten in: |
Acta medica portuguesa - 30(2017), 5 vom: 31. Mai, Seite 373-380 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Prata, Joana [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Acute Coronary Syndrome |
|---|
| Anmerkungen: |
Date Completed 15.06.2018 Date Revised 23.10.2018 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.20344/amp.7871 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM275376370 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM275376370 | ||
| 003 | DE-627 | ||
| 005 | 20231225005533.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2017 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.20344/amp.7871 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0917.xml |
| 035 | |a (DE-627)NLM275376370 | ||
| 035 | |a (NLM)28865501 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Prata, Joana |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Female Psychological Adjustment Following an Acute Coronary Syndrome |
| 264 | 1 | |c 2017 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 15.06.2018 | ||
| 500 | |a Date Revised 23.10.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION: The outcomes of cardiovascular disease are consistently worse among women, regardless of age or disease severity. Such trend might arise from psychosocial factors, which should be examined in this population. Obective: To evaluate the influence of type-D personality on anxiety and depression symptoms reported by female patients after a first acute coronary syndrome | ||
| 520 | |a MATERIAL AND METHODS: As part of a larger study, 34 female patients with a first acute coronary syndrome were compared with 43 controls on psychosocial measures (Hospital Anxiety and Depression Scale; type-D personality, DS - 14) | ||
| 520 | |a RESULTS: Hypertension (p < 0.001), diabetes (p < 0.05), dyslipidemia (p < 0.05), type-D personality (p = 0.001) and anxiety (p < 0.001) were more prevalent among patients. Exercise (p < 0.05) and antidepressant use (p < 0.05) were more common among controls. Logistic regression analysis confirmed that higher prevalence of hypertension (p < 0.05), dyslipidemia (p < 0.05), type-D personality (p < 0.05), anxiety (p < 0.05) and less antidepressant use (p < 0.05), were independently associated with acute coronary syndrome. Type-D personality was associated with higher Hospital Anxiety and Depression Scale scores in controls (anxiety: p = 0.001; depression: p < 0.001) but not in patients | ||
| 520 | |a DISCUSSION: High anxiety after an acute coronary syndrome might reflect a short-term adaptive response, albeit worsening the disease long-term prognosis. The lack of differences in some group comparisons (patients versus controls for depression scores; type-D 'positive' versus type-D 'negative' for anxiety and depression scores within patients) is discussed | ||
| 520 | |a CONCLUSION: Type-D personality, high anxiety, hypertension and dyslipidemia seem to cluster among female acute coronary syndrome patients. Nevertheless, type-D personality itself was not associated with higher anxiety and depressive scores during the post-acute period | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute Coronary Syndrome | |
| 650 | 4 | |a Adaptation, Psychological | |
| 650 | 4 | |a Anxiety Disorders | |
| 650 | 4 | |a Depressive Disorder | |
| 650 | 4 | |a Female | |
| 700 | 1 | |a Martins, Amadeu Quelhas |e verfasserin |4 aut | |
| 700 | 1 | |a Ramos, Sónia |e verfasserin |4 aut | |
| 700 | 1 | |a Rocha-Gonçalves, Francisco |e verfasserin |4 aut | |
| 700 | 1 | |a Coelho, Rui |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Acta medica portuguesa |d 1993 |g 30(2017), 5 vom: 31. Mai, Seite 373-380 |w (DE-627)NLM000463329 |x 1646-0758 |7 nnns |
| 773 | 1 | 8 | |g volume:30 |g year:2017 |g number:5 |g day:31 |g month:05 |g pages:373-380 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.20344/amp.7871 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 30 |j 2017 |e 5 |b 31 |c 05 |h 373-380 | ||