Prevalence of Chest Pain, Depression, Somatization, Anxiety, Global Distress, and Substance Use among Cardiac and Pulmonary Rehabilitation Patients
Psychosocial factors of cardiovascular disease receive a preponderance of attention. Little attention is paid to psychosocial factors of pulmonary disease. This paper sought to describe psychosocial characteristics and to identify differences between cardiac and pulmonary patients entering a phase I...
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| Veröffentlicht in: | Pain Research and Treatment Jg. 2012; H. 2012; S. 27 - 30 |
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Cairo, Egypt
Hindawi Limiteds
01.01.2012
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| Abstract | Psychosocial factors of cardiovascular disease receive a preponderance of attention. Little attention is paid to psychosocial factors of pulmonary disease. This paper sought to describe psychosocial characteristics and to identify differences between cardiac and pulmonary patients entering a phase II rehabilitation program. Parametric and nonparametric analyses were conducted to examine scores on the Brief Symptom Inventory-18 (BSI-18) and the CAGE-D, administered at entry as standard clinical care. Participants were 163 cardiac and 63 pulmonary patients. Scores on the BSI-18 “chest pain” item indicated that more cardiac patients report chest pain than pulmonary patients. Among all subjects, chest pain ratings were positively related to anxiety, depression, and global distress. There were equivocal proportions of anxiety and somatization in patient groups. Pulmonary patients were more likely to endorse clinically significant levels of depression and global psychological distress than cardiac patients. Cardiac patients were significantly more likely to screen positively on the CAGE-D than pulmonary patients. Findings show a relationship between symptoms of chest pain and psychological distress. Despite equivalent proportions of anxiety and somatization between groups, a greater proportion of pulmonary patients reported symptoms of depression and global psychological distress, while more cardiac patients reported chest pain. Further research is needed to examine this paradigm. |
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| AbstractList | Psychosocial factors of cardiovascular disease receive a preponderance of attention. Little attention is paid to psychosocial factors of pulmonary disease. This paper sought to describe psychosocial characteristics and to identify differences between cardiac and pulmonary patients entering a phase II rehabilitation program. Parametric and nonparametric analyses were conducted to examine scores on the Brief Symptom Inventory-18 (BSI-18) and the CAGE-D, administered at entry as standard clinical care. Participants were 163 cardiac and 63 pulmonary patients. Scores on the BSI-18 "chest pain" item indicated that more cardiac patients report chest pain than pulmonary patients. Among all subjects, chest pain ratings were positively related to anxiety, depression, and global distress. There were equivocal proportions of anxiety and somatization in patient groups. Pulmonary patients were more likely to endorse clinically significant levels of depression and global psychological distress than cardiac patients. Cardiac patients were significantly more likely to screen positively on the CAGE-D than pulmonary patients. Findings show a relationship between symptoms of chest pain and psychological distress. Despite equivalent proportions of anxiety and somatization between groups, a greater proportion of pulmonary patients reported symptoms of depression and global psychological distress, while more cardiac patients reported chest pain. Further research is needed to examine this paradigm.Psychosocial factors of cardiovascular disease receive a preponderance of attention. Little attention is paid to psychosocial factors of pulmonary disease. This paper sought to describe psychosocial characteristics and to identify differences between cardiac and pulmonary patients entering a phase II rehabilitation program. Parametric and nonparametric analyses were conducted to examine scores on the Brief Symptom Inventory-18 (BSI-18) and the CAGE-D, administered at entry as standard clinical care. Participants were 163 cardiac and 63 pulmonary patients. Scores on the BSI-18 "chest pain" item indicated that more cardiac patients report chest pain than pulmonary patients. Among all subjects, chest pain ratings were positively related to anxiety, depression, and global distress. There were equivocal proportions of anxiety and somatization in patient groups. Pulmonary patients were more likely to endorse clinically significant levels of depression and global psychological distress than cardiac patients. Cardiac patients were significantly more likely to screen positively on the CAGE-D than pulmonary patients. Findings show a relationship between symptoms of chest pain and psychological distress. Despite equivalent proportions of anxiety and somatization between groups, a greater proportion of pulmonary patients reported symptoms of depression and global psychological distress, while more cardiac patients reported chest pain. Further research is needed to examine this paradigm. Psychosocial factors of cardiovascular disease receive a preponderance of attention. Little attention is paid to psychosocial factors of pulmonary disease. This paper sought to describe psychosocial characteristics and to identify differences between cardiac and pulmonary patients entering a phase II rehabilitation program. Parametric and nonparametric analyses were conducted to examine scores on the Brief Symptom Inventory-18 (BSI-18) and the CAGE-D, administered at entry as standard clinical care. Participants were 163 cardiac and 63 pulmonary patients. Scores on the BSI-18 “chest pain” item indicated that more cardiac patients report chest pain than pulmonary patients. Among all subjects, chest pain ratings were positively related to anxiety, depression, and global distress. There were equivocal proportions of anxiety and somatization in patient groups. Pulmonary patients were more likely to endorse clinically significant levels of depression and global psychological distress than cardiac patients. Cardiac patients were significantly more likely to screen positively on the CAGE-D than pulmonary patients. Findings show a relationship between symptoms of chest pain and psychological distress. Despite equivalent proportions of anxiety and somatization between groups, a greater proportion of pulmonary patients reported symptoms of depression and global psychological distress, while more cardiac patients reported chest pain. Further research is needed to examine this paradigm. |
| Author | Wendy E. Balliet Alok Madan Shenelle A. Edwards-Hampton Marian Taylor Sarah K. Galloway Eva R. Serber Brooke Yeager Mark Clair Jeffrey J. Borckardt |
| AuthorAffiliation | 1 Division of Bio-Behavioral Medicine, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA 2 Cardiopulmonary Rehabilitation, Medical University of South Carolina, Charleston, SC 29425, USA 3 Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA |
| AuthorAffiliation_xml | – name: 3 Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA – name: 2 Cardiopulmonary Rehabilitation, Medical University of South Carolina, Charleston, SC 29425, USA – name: 1 Division of Bio-Behavioral Medicine, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23213509$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.pcad.2011.02.008 10.2165/11535220-000000000-00000 10.1183/09031936.00114307 10.1097/HJR.0b013e32802bf7ae 10.1016/j.jacc.2007.12.024 10.1023/A:1023456419736 10.1161/CIRCULATIONAHA.109.876383 10.1097/MCP.0b013e328343521c 10.1016/j.brat.2010.01.001 10.1161/01.CIR.80.2.234 10.1016/j.amjmed.2007.03.026 10.1097/MCP.0b013e3283218318 10.1016/j.amjmed.2004.01.009 10.1016/j.jacc.2004.12.005 10.1097/HCR.0b013e3181a33365 10.4065/84.4.373 10.1111/j.1440-1843.2012.02148.x 10.1080/10615806.2010.520081 10.1016/j.jpsychores.2007.08.002 10.1164/rccm.200408-1109SO 10.1001/archinte.166.17.1878 10.1016/j.pcad.2011.03.007 |
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| Contributor | Clair, Mark Serber, Eva R Taylor, Marian Galloway, Sarah K Yeager, Brooke Madan, Alok Edwards-Hampton, Shenelle A Borckardt, Jeffery J Balliet, Wendy E |
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| Copyright | Copyright © 2012 Eva R. Serber et al. Copyright © 2012 Eva R. Serber et al. 2012 |
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| References_xml | – volume: 17 start-page: 627 issue: 4 year: 2012 end-page: 638 ident: 13 article-title: Treatments for anxiety and depression in patients with chronic obstructive pulmonary disease: a literature review – volume: 51 start-page: 1237 issue: 13 year: 2008 end-page: 1246 ident: 3 article-title: Psychological stress and cardiovascular disease – volume: 31 start-page: 204 issue: 1 year: 2008 end-page: 212 ident: 1 article-title: Complex chronic comorbidities of COPD – volume: 53 start-page: 397 issue: 6 year: 2011 end-page: 403 ident: 10 article-title: Cardiac rehabilitation and exercise training in secondary coronary heart disease prevention – volume: 116 start-page: 682 issue: 10 year: 2004 end-page: 692 ident: 5 article-title: Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials – volume: 172 start-page: 19 issue: 1 year: 2005 end-page: 38 ident: 17 article-title: Pulmonary rehabilitation in chronic obstructive pulmonary disease – volume: 26 start-page: 197 issue: 3 year: 2003 end-page: 209 ident: 21 article-title: Heart-focused anxiety and chest pain in postangiography medical patients – volume: 14 start-page: 441 issue: 3 year: 2007 end-page: 447 ident: 9 article-title: Short-term patient-reported outcomes after different exercise-based cardiac rehabilitation programmes – volume: 27 start-page: 367 issue: 5 year: 2010 end-page: 375 ident: 14 article-title: Overcoming gaps in the management of chronic obstructive pulmonary disease in older patients: new insights – volume: 15 start-page: 143 issue: 2 year: 2009 end-page: 149 ident: 15 article-title: Does pulmonary rehabilitation reduce anxiety and depression in chronic obstructive pulmonary disease? – volume: 48 start-page: 394 issue: 5 year: 2010 end-page: 401 ident: 20 article-title: Anxiety and hypervigilance to cardiopulmonary sensations in non-cardiac chest pain patients with and without psychiatric disorders – volume: 29 start-page: 161 issue: 3 year: 2009 end-page: 168 ident: 22 article-title: Prevalence and characteristics of multiple psychiatric disorders in cardiac rehabilitation patients – volume: 17 start-page: 62 issue: 2 year: 2011 end-page: 71 ident: 24 article-title: Effects of pulmonary rehabilitation on quality of life in chronic obstructive pulmonary disease patients – reference: Derogatis L. 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| Title | Prevalence of Chest Pain, Depression, Somatization, Anxiety, Global Distress, and Substance Use among Cardiac and Pulmonary Rehabilitation Patients |
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