Psychological Distress Affects Performance during Exercise-Based Cardiac Rehabilitation

被引:2
作者
Ricci, Marta [1 ,2 ]
Pozzi, Gino [3 ]
Caraglia, Naike [4 ,5 ]
Chieffo, Daniela P. R. [4 ]
Polese, Daniela [6 ,7 ]
Galiuto, Leonarda [1 ,2 ]
机构
[1] Sapienza Univ Rome, Dept Clin & Mol Med, I-00189 Rome, Italy
[2] St Andrea Univ Hosp, UOC Cardiol, I-00189 Rome, Italy
[3] Catholic Univ, Fdn Policlin Univ A Gemelli IRCCS, Dept Psychiat, I-00153 Rome, Italy
[4] Univ Cattolica Sacro Cuore, Fdn Policlin A Gemelli IRCCS, Clin Psychol Unit, I-00168 Rome, Italy
[5] Fdn Policlin A Gemelli IRCCS, Memory Clin, I-00168 Rome, Italy
[6] Sapienza Univ Rome, St Andrea Univ Hosp, UOD Childhood Neuropsychiat, I-00189 Rome, Italy
[7] Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, I-00185 Rome, Italy
来源
LIFE-BASEL | 2024年 / 14卷 / 02期
基金
英国科研创新办公室;
关键词
cardiac rehabilitation; psychological distress; depression; anxiety; CORONARY-HEART-DISEASE; RISK-FACTORS; MYOCARDIAL-INFARCTION; DEPRESSION; ANXIETY; STRESS; ASSOCIATION; HOSTILITY; HEALTH; ANGER;
D O I
10.3390/life14020236
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: It is known that psychosocial distress affects the morbidity and mortality of patients with cardiovascular disease of every age. The aim of this study was to produce novel information on how psychological distress can influence cardiovascular performance in patients after cardiac surgery undergoing multidisciplinary cardiac rehabilitation. Methods: Patients (n = 57) admitted after cardiac surgery for valvular or coronary disease underwent, within 5 days of admission, the Symptom Checklist-90-Revised (SCL-90-R) self-report questionnaire to measure psychiatric symptoms and the 12-item General Health Questionnaire (GHQ-12) to assess the level of psychological distress. The Positive Symptom Distress Index (PSDI) was measured to indicate the amplitude of symptom distress. Cardiovascular performance was assessed by a 6 min walking test (6MWT) at admission and discharge, and oxygen consumption (VO2 max) was derived. Results: Within the SCL-90-R score, somatic symptoms (47.4%), depressive and anxiety symptoms (36.8% and 33.3%, respectively), symptoms of phobic anxiety (21.1%), and psychoticism (24.6%) were over-represented. As for the GHQ-12, 75.4% of the sample reported an abnormally negative perception of their health status. An inverse correlation was shown between the variation in 6MWT and SCL depression (p = 0.048), PSDI (p = 0.022), and the GHQ-12 (p = 0.040). Similarly, an inverse correlation was shown between the variation in the VO2 max, GHQ-12 (p = 0.041), and the PSDI (p = 0.023). Conclusions: Post-cardiac surgery cardiac rehabilitation was associated with increased symptoms of psychological discomfort, as compared with the general population. The amplitude of psychological distress, depression, and hostility are associated with limited improvement in performance. These data strengthen the need for psychological support during cardiac rehabilitation programs.
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页数:12
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共 44 条
  • [1] Excess risk of chronic physical conditions associated with depression and anxiety
    Bhattacharya, Rituparna
    Shen, Chan
    Sambamoorthi, Usha
    [J]. BMC PSYCHIATRY, 2014, 14
  • [2] PREDICTION OF MORTALITY AND MORBIDITY WITH A 6-MINUTE WALK TEST IN PATIENTS WITH LEFT-VENTRICULAR DYSFUNCTION
    BITTNER, V
    WEINER, DH
    YUSUF, S
    ROGERS, WJ
    MCINTYRE, KM
    BANGDIWALA, SI
    KRONENBERG, MW
    KOSTIS, JB
    KOHN, RM
    GUILLOTTE, M
    GREENBERG, B
    WOODS, PA
    BOURASSA, MG
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 270 (14): : 1702 - 1707
  • [3] The six-minute walk test predicts peak oxygen uptake and survival in patients with advanced heart failure
    Cahalin, LP
    Mathier, MA
    Semigran, MJ
    Dec, GW
    DiSalvo, TG
    [J]. CHEST, 1996, 110 (02) : 325 - 332
  • [4] Post-Operative Benefits of Animal-Assisted Therapy in Pediatric Surgery: A Randomised Study
    Calcaterra, Valeria
    Veggiotti, Pierangelo
    Palestrini, Clara
    De Giorgis, Valentina
    Raschetti, Roberto
    Tumminelli, Massimiliano
    Mencherini, Simonetta
    Papotti, Francesca
    Klersy, Catherine
    Albertini, Riccardo
    Ostuni, Selene
    Pelizzo, Gloria
    [J]. PLOS ONE, 2015, 10 (06):
  • [5] Chronic stress at work and the metabolic syndrome: prospective study
    Chandola, T
    Brunner, E
    Marmot, M
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2006, 332 (7540): : 521 - 524A
  • [6] Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation
    Chauvet-Gelinier, Jean-Christophe
    Bonin, Bernard
    [J]. ANNALS OF PHYSICAL AND REHABILITATION MEDICINE, 2017, 60 (01) : 6 - 12
  • [7] Relationships between exercise capacity and anxiety, depression, and cognition in patients with heart failure
    Chiala, Oronzo
    Vellone, Ercole
    Klompstra, Leonie
    Ortali, Giorgio Alberto
    Stroemberg, Anna
    Jaarsma, Tiny
    [J]. HEART & LUNG, 2018, 47 (05): : 465 - 470
  • [8] The Association of Anger and Hostility With Future Coronary Heart Disease A Meta-Analytic Review of Prospective Evidence
    Chida, Yoichi
    Steptoe, Andrew
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 53 (11) : 936 - 946
  • [9] Effects of Somatic, Depression Symptoms, and Sedentary Time on Sleep Quality in Middle-Aged Women with Risk Factors for Cardiovascular Disease
    Choi, Hyun-Sook
    Kim, Kyung-Ae
    [J]. HEALTHCARE, 2021, 9 (10)
  • [10] State of the Art Review: Depression, Stress, Anxiety, and Cardiovascular Disease
    Cohen, Beth E.
    Edmondson, Donald
    Kronish, Ian M.
    [J]. AMERICAN JOURNAL OF HYPERTENSION, 2015, 28 (11) : 1295 - 1302