Association between psychological complaints and recurrence of vasovagal syncope

Romme, Jacobus J. C. M.; Dijk, Nynke van; Go-Schön, Ingeborg K.; Casteelen, G.; Wieling, Wouter; Reitsma, Johannes B.

doi:10.1007/s10286-011-0125-7

Cited by 6 publications

(5 citation statements)

References 32 publications

(52 reference statements)

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“…They also reported more negative affect and less positive affect. This is concordant with previous findings that VVS patients have higher levels of general psychological complaints compared to a general reference population . One limitation of prior studies is that psychological distress varies with age and sex, so a general reference population may not be well matched.…”

Section: Discussionsupporting

confidence: 90%

“…This is concordant with previous findings that VVS patients have higher levels of general psychological complaints compared to a general reference population. 7 One limitation of prior studies is that psychological distress varies with age and sex, so a general reference population may not be well matched. Our study used a closely sex and age-matched group of individuals with no previous diagnosis of psychiatric disorders or other comorbidities.…”

Section: Vvs and Psychological Distressmentioning

confidence: 99%

“…Patients with frequently recurring VVS experience an impaired health‐related quality of life (HRQoL) compared to general population norms, although it is not associated with an increased risk of mortality . There is also significant psychological distress observed within the VVS population itself, compared to patients with unexplained syncope and the general population . Despite knowing that both the physical and psychosocial functioning of syncope patients are negatively impacted, there are few data comparing these outcomes with those of closely matched healthy individuals.…”

Section: Introductionmentioning

confidence: 99%

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Reduced quality of life and greater psychological distress in vasovagal syncope patients compared to healthy individuals

Sheldon

Ritchie

et al. 2018

Pacing Clinical Electrophis

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Background Vasovagal syncope (VVS) patients have a reduced health‐related quality of life (HRQoL). There are limited data comparing HRQoL and psychological profile in VVS patients and healthy individuals. We tested the hypothesis that VVS patients have greater impairment in both HRQoL and psychological profile compared to healthy nonfainting individuals, and that both outcome measures are negatively correlated for VVS patients. Methods The RAND 36‐Item Health Survey (RAND36), global health visual analogue scale (VAS), Hospital Anxiety and Depression Scale, Anxiety Sensitivity Index, and Positive and Negative Affect Schedule – Expanded Form were completed by healthy individuals and at baseline by VVS patients enrolled in the Second Prevention of Syncope Trial, a randomized, placebo‐controlled trial of fludrocortisone for VVS. Results Data were available on 76 VVS patients (34 ± 14 years; 68% F) and 85 healthy participants (35 ± 11 years; 80% F). Compared to healthy participants, VVS patients reported poorer HRQoL on all scales of the RAND36 and the VAS. VVS patients had significantly greater anxiety, depression, and anxiety sensitivity (each P < 0.001). VVS patients had more negative affect (P < 0.001) and less positive affect (P = 0.003) compared to healthy participants. Anxiety, depression, and anxiety sensitivity were negatively correlated with HRQoL for VVS patients, but not for healthy participants. Conclusion In this first direct comparison, VVS patients have a significantly reduced HRQoL and more anxiety and depression compared to healthy nonfainting individuals. For VVS patients, there is a relationship between psychological distress and HRQoL, suggesting a potential benefit from more comprehensive assessment and treatment.

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Section: Discussionsupporting

confidence: 90%

Section: Vvs and Psychological Distressmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reduced quality of life and greater psychological distress in vasovagal syncope patients compared to healthy individuals

Sheldon

Ritchie

et al. 2018

Pacing Clinical Electrophis

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“…Previous studies that investigated risk factors for recurrence of syncope were number of previous syncopal episodes [8,12], female gender [8], and higher levels of general psychological complaints [10]. Our results are in agreement with the results of some previous studies suggesting that the frequency of previous syncope is a good predictor of syncope recurrence.…”

Section: Discussionsupporting

confidence: 83%

“…Frequent syncopal episodes, female gender [8,9], and psychiatric distress [10] are known to affect syncope recurrence. The aim of this study was to assess the clinical factors affecting syncope recurrence.…”

Section: Introductionmentioning

confidence: 99%

Clinical Factors Affecting Symptom Recurrence in Patients with Syncope

Lee

Kim²,

Park³

et al. 2014

Cardiology

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Purpose: Recurrent syncope leads to poor functional status and psychiatric impairment in patients with syncope. The aim of the study was to prospectively analyze the risk factors attributed to syncope recurrence. Materials and Methods: Between 2009 and 2010, 289 patients with all cause of syncope visited our institution. Syncope recurrences were followed for 1 year by telephone interview every 3 months. Results: We diagnosed 181 (63%) patients with neurally mediated syncope (NMS), 39 (13%) with orthostatic hypotension, 34 (12%) with cardiac syncope, and 35 (12%) with unexplained syncope. During the 1-year follow-up period, 19 (6.6%) patients suffered recurrent syncope. Kaplan-Meier curves showed that recurrent syncope was observed more often in patients with unexplained syncope compared with those with NMS (p < 0.01), and also observed more often in patients with six previous syncopal episodes compared to those with fewer episodes (p = 0.02). Cox regression analysis showed that the recurrence of syncope was significantly associated with more than six previous syncopal episodes (HR 5.38, 95% CI 1.17-24.71, p = 0.03) and that there was a tendency for association between recurrence of syncope and unexplained syncope (HR 6.13, 95% CI 0.96-39.1, p = 0.05). Conclusions: Patients with previous frequent syncopal episodes or unexplained syncope had higher rates of syncope recurrence during the follow up period.

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Therapy: Conclusive Remarks

Alboni¹,

Furlan

2014

Vasovagal Syncope

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Association between psychological complaints and recurrence of vasovagal syncope

Abstract: Levels of general psychological complaints are higher in patients with syncopal recurrence during non-pharmacological treatment of VVS, even after adjusting for previous syncopal episodes.

Cited by 6 publications

References 32 publications

Reduced quality of life and greater psychological distress in vasovagal syncope patients compared to healthy individuals

Reduced quality of life and greater psychological distress in vasovagal syncope patients compared to healthy individuals

Clinical Factors Affecting Symptom Recurrence in Patients with Syncope

Therapy: Conclusive Remarks

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