Illness perceptions among cardiac patients: Relation to depressive symptomatology and sex

被引:71
作者
Grace, SL
Krepostman, S
Brooks, D
Arthur, H
Scholey, P
Suskin, N
Jaglal, S
Abramson, BL
Stewart, DE
机构
[1] Univ York, Sch Kinesiol & Hlth Sci, Toronto, ON M3J 1P3, Canada
[2] Univ Toronto, Heart & Stroke Richard Lewar Ctr Excellence Cardi, Toronto, ON M3J 1P3, Canada
[3] Univ Hlth Network Womens Hlth Program, Toronto, ON, Canada
[4] McMaster Univ, Hamilton, ON L8S 4L8, Canada
[5] London Hlth Sci Ctr, London, ON, Canada
[6] Univ Western Ontario, London, ON N6A 3K7, Canada
[7] St Michaels Hosp, Cardiac Prevent Ctr, Toronto, ON M5B 1W8, Canada
基金
加拿大健康研究院;
关键词
cardiovascular diseases; depression; illness perceptions; sex;
D O I
10.1016/j.jpsychores.2005.05.005
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: This study examined cardiovascular disease (CVD) illness perceptions and how they relate to depressive symptomatology among women and men. Methods: Acute coronary syndrome (ACS) patients at two hospitals were approached, and 661 consented to participate (504 men, 157 women; 75% response rate). Participants completed a survey including the Hospital Anxiety and Depression Scale (HADS) and Illness Perception Questionnaire (IPQ). Results: Women perceived a significantly more chronic course (P <.001) and more cyclical episodes (P <.05) than men did, while men perceived greater personal control (P <.001) and treatability (P <.05) than women did. Participants perceived diet, heredity, and stress as the greatest CVD causes. For women (F=5.49, P <.001), greater depressive symptomatology was significantly related to younger age (P <.05), lower activity status (P <.001), and perceiving a chronic time course (P <.01). For men (F=7.68, P <.001), greater depressive symptomatology was significantly related to being non-white (P <.05), lower activity status (P <.001), less exercise behavior (P=.01), and three illness perceptions, namely, perceiving a chronic course (P <.05), greater consequences (P <.001), and lower treatability (P <.05). Conclusion: Women, compared with men, are more likely to attribute CVD to causes beyond their control and to perceive CVD as a chronic, untreatable condition. Illness perceptions were related to depressive symptomatology, which suggests that interventions to reframe these perceptions may be warranted to improve emotional health in the context of CVD. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:153 / 160
页数:8
相关论文
共 56 条
[1]   Gender and psychosomatic aspects of ischemic heart disease [J].
Abbey, SE ;
Stewart, DE .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2000, 48 (4-5) :417-423
[2]  
[Anonymous], 2000, PHYS ACTIVITY PSYCHO
[3]  
Berkman LF, 2003, JAMA-J AM MED ASSOC, V289, P3106
[4]  
Bhugra D, 1998, HOSP MED, V59, P126
[5]   The validity of the Hospital Anxiety and Depression Scale - An updated literature review [J].
Bjelland, I ;
Dahl, AA ;
Haug, TT ;
Neckelmann, D .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2002, 52 (02) :69-77
[6]  
BLAZER DG, 1994, AM J PSYCHIAT, V151, P979
[7]   Psychological theories of depression:: Potential application for the prevention of acute coronary syndrome recurrence [J].
Davidson, KW ;
Rieckmann, N ;
Lespérance, F .
PSYCHOSOMATIC MEDICINE, 2004, 66 (02) :165-173
[8]  
Duggirala MK, 2003, NEW ENGL J MED, V348, P1719
[9]   Effect of weight loss and lifestyle changes on vascular inflammatory markers in obese women - A randomized trial [J].
Esposito, K ;
Pontillo, A ;
Di Palo, C ;
Giugliano, G ;
Masella, M ;
Marfella, R ;
Giugliano, D .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (14) :1799-1804
[10]   Gender, depression, and one-year prognosis after myocardial infarction [J].
Frasure-Smith, N ;
Lespérance, F ;
Juneau, M ;
Talajic, M ;
Bourassa, MG .
PSYCHOSOMATIC MEDICINE, 1999, 61 (01) :26-37