Anxiety and health-related quality of life after cardiac surgery

Guzelhan, Yalcin; Uğurlucan, Murat; Öztaş, Didem Melis; Beyaz, Metin Onur; Ünal, Orçun; Bektaş, Nilüfer; Conkbayır, Cenk; Alpagut, Ufuk; Bozbuğa, Nilgün

doi:10.5114/amsad.2020.94376

Cited by 15 publications

(11 citation statements)

References 56 publications

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“…One of the mental disorders most common are anxiety disorders, their annual prevalence in Europe is 14% [ 4 ] They entail emotional, somatic and cognitive symptoms, as well as behavioral disturbances, difficulties in everyday life especially in the social interactions. Anxiety disorders increase the risk of somatic diseases, e.g., cardiovascular diseases and deteriorate the quality of life [ 5 , 6 ]. The cause-and-effect relationships between anxiety disorders and somatic diseases are reciprocal [ 7 ], e.g., fear of surgical treatment may make it difficult or even impossible to properly treat many somatic diseases, but also trigger anxiety disorders [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Can Dog-Assisted Intervention Decrease Anxiety Level and Autonomic Agitation in Patients with Anxiety Disorders?

Wołyńczyk-Gmaj

Ziółkowska

Rogala

et al. 2021

JCM

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Few studies have explored the influence of an Animal-Assisted Intervention on patients with mental disorders. We investigated it’s impact on anxiety symptoms. We divided 51 patients with anxiety symptoms into two groups—treatment group, that went for a short 15–20 min’ walk with a dog, his handler and a researcher and control group, that went for a walk only with a researcher. We used State-Trait Anxiety Inventory (STAI), Visual Analogue Scale (VAS) of fear, Beck Depression Inventory (BDI), Ford Insomnia Response to Stress (FIRST), Brief symptom Inventory (BSI) and VAS of satisfaction after trial to assess. We also checked the resting blood pressure and resting heart rate before and after performing psychological tests while sitting. We have obtained full data of 21 people from the research group and 26 people from the control group. After the intervention, the treatment group reported lower anxiety levels as a state (Mean (M) = 34.35; Standard Deviation (SD) = 6.9 vs. M = 40.94; SD = 8.6) and fear (M = 1.05; SD = 1.0 vs. M = 2.04; SD = 2.2) than the control group. After a walk with a dog, trait anxiety (M = 34.35; SD = 6.9 vs. M = 46.3; SD = 9.6), state anxiety (M = 48.9; SD = 7.2 vs. M = 53.9; SD = 7.8), fear (M = 1.05; SD= 1.0 vs. M = 2.57; SD = 2.3) and resting heart rate (M = 71.05; SD = 12.3 vs. M = 73.67; SD = 13.1) decreased significantly, while walking without a dog only reduced state anxiety (M = 47.24; SD = 11.0 vs. M = 40.94; SD = 8.6). Multivariate analysis of variance showed that after the walk, state anxiety was significantly lower in the treatment group than in the control group, F(1.35) = 6.706, p <0.05, η2 = 0.161. Among those who walked with a dog, the intervention also led to significant decreases in fear and resting heart rate, F(1.44) = 11.694, p < 0.01, η2 = 0.210 and F(1.45) = 8.503; p < 0.01; η2 = 0.159, respectively. For anxious patients, a short walk with a dog is more beneficial than a walk without one. We found significant positive effects of a dog’s company on vegetative arousal and mental comfort. This is another study confirming the possible therapeutic effect of the animal on anxiety symptoms. Further research is required, especially in the large groups of patients, as recommendations on the use of Animal Assisted Interventions (AAI) are needed.

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Section: Introductionmentioning

confidence: 99%

Can Dog-Assisted Intervention Decrease Anxiety Level and Autonomic Agitation in Patients with Anxiety Disorders?

Wołyńczyk-Gmaj

Ziółkowska

Rogala

et al. 2021

JCM

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“…Health-related quality of life is one of the primary goals of treatment in patients with peripheral arterial disease; however, HRQoL is rarely measured directly. Recently HRQoL has been increasingly considered an important patient-oriented outcome measurement of cardiovascular interventions [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

“…There is a growing recognition of the importance of psychosocial factors in the recovery from cardiovascular surgical procedures [18]. Important predictors of advanced high-quality lifestyles consequences contain age, gender education, and comorbidities [17].…”

Section: Discussionmentioning

confidence: 99%

“…A well-recognized HRQoL instrument is the Medical Outcomes Survey Short-Form 36 (SF-36) [ 31 ]. Studies have demonstrated that one of the most appropriate methods to assess cardiovascular diseases HRQoL is the SF-36 survey [ 18 , 32 – 35 ]. The SF-36 questionnaire was developed during the Medical Outcomes Study to evaluate the general health condition of various patient groups [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Assessment of anxiety and health-related quality of life in patients with lower extremity peripheral arterial occlusive disease

Guzelhan¹,

Öztaş²,

Conkbayır³

et al. 2020

Arch Med Sci Atheroscler Dis

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The aim of this study was to investigate the effect of chronic occlusive vascular disease on anxiety with adverse outcome with health-related quality of life (HRQoL). Material and methods: Three hundred and thirty-five patients who were treated for peripheral arterial occlusive disease were enrolled in this study. 187 patients who had undergone percutaneous transluminal angioplasty and 148 patients who had one or more surgical revascularizations enrolled in the study. Mean age of the patients was 62.6 ±10 years. Two hundred and eighty-nine patients were male, 46 patients were female. Physical and mental domains of quality of life were measured using the 36-item Medical Outcomes Short-Form Health Survey (SF-36) self-administered questionnaire and anxiety symptoms were assessed using the Spielberger State-Trait Anxiety Inventory (STAI). At baseline 335 patients filled out the SF-36 and STAI, and 304 patients (90.7 % of the series) filled them out at 6-month follow-up. Results: There was no mortality and no significant morbidity after vascular interventions in the series. Significant improvement was found in two of eight health domains. The score of social functioning increased to 60.4 from 52.6 (p < 0.03) and general health perception increased to 75.1 from 60.5 (p < 0.04) at 6-month follow-up. The two STAI sub-scores, the State Anxiety Inventory (STAI-S) and the Trait Anxiety Inventory (STAI-T) were found high (≥ 40) both preoperatively and 6 months postoperatively. Postoperatively there was no significant decrease of the levels of anxiety. Conclusions: This study suggests that the assessment of psychosocial factors, particularly the ongoing assessment of anxiety, could help in risk stratification and prediction of functional status in patients suffering from lower extremity peripheral arterial occlusive disease.

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“…surgical complications, progression of non-cardiac diseases, or neurological and psychological complications after cardiopulmonary bypass). However, presence of anxiety and depression either as result of the diagnosis or pre-existing before disease onset can additionally worsen HRQL not only the mental health aspect, but could also influence the course of the disease by modifying susceptibility to aspects such as pain or poor physical functioning [32]. Anxiety and depression may thereby influence HRQL by impacting on unhealthy lifestyles (e.g.…”

Section: Plos Onementioning

confidence: 99%

Posttraumatic stress disorder predicts poor health-related quality of life in cardiac patients in Palestine

et al. 2021

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Background The longitudinal association of posttraumatic stress disorder (PTSD) with health-related quality of life (HRQL) in cardiac patients’ remains poorly studied, particularly in conflict-affected settings. Materials and methods For this cohort study, we used baseline and one-year follow-up data collected from patients 30 to 80 years old consecutively admitted with a cardiac diagnosis to four major hospitals in Nablus, Palestine. All subjects were screened for PTSD and HRQL using the PTSD Checklist Specific and the HeartQoL questionnaire. We used a generalized structural equation model (GSEM) to examine the independent predictive association of PTSD at baseline with HRQL at follow-up. We also examined the mediating roles of depression, anxiety, and stress at baseline. Results The prevalence of moderate-to-high PTSD symptoms among 1022 patients at baseline was 27∙0%. Patients with PTSD symptoms reported an approximate 20∙0% lower HRQL at follow-up. The PTSD and HRQL relationship was largely mediated by depressive and anxiety symptoms. It was not materially altered by adjustment for socio-demographic, clinical, and lifestyle factors. Discussion Our findings suggest that individuals with a combination of PTSD and depression, or anxiety are potentially faced with poor HRQL as a longer-term outcome of their cardiac disease. In Palestine, psychological disorders are often stigmatized; however, integration of mental health care with cardiac care may offer an entry door for addressing psychological problems in the population. Further studies need to assess the effective mental health interventions for improving quality of life in cardiac patients.

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Anxiety and health-related quality of life after cardiac surgery

Cited by 15 publications

References 56 publications

Can Dog-Assisted Intervention Decrease Anxiety Level and Autonomic Agitation in Patients with Anxiety Disorders?

Can Dog-Assisted Intervention Decrease Anxiety Level and Autonomic Agitation in Patients with Anxiety Disorders?

Assessment of anxiety and health-related quality of life in patients with lower extremity peripheral arterial occlusive disease

Posttraumatic stress disorder predicts poor health-related quality of life in cardiac patients in Palestine

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