Cognitive-Perceptual Factors in Noncardiac Chest Pain and Cardiac Chest Pain

Schroeder, Stefanie; Achenbach, Stephan; Körber, Stephanie; Nowy, Kerstin; Zwaan, Martina de; Martin, Alexandra

doi:10.1097/psy.0b013e31826ae4ae

Cited by 18 publications

(19 citation statements)

References 42 publications

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“…Another study found that beliefs in a chronic timeline and doubts regarding treatment efficacy predicted low reassurance at one-month follow-up in patients newly diagnosed with NCCP (Donkin et al, 2006). As previously mentioned, there are also recent results linking maladaptive illness perceptions in NCCP patients to more severe chest pain (Schroeder et al, 2012). Further, negative illness perceptions fit with theoretical conceptualizations of NCCP, in which beliefs regarding the detrimental effects of chest pain have been proposed as a cognitive factor in the maintenance of this condition (Eifert, 1992).…”

Section: Discussionmentioning

confidence: 81%

“…Eifert et al, (1996) have demonstrated that individuals with NCCP display stronger disease conviction than patients diagnosed with cardiac disease. Recent findings from NCCP samples have also shown an association between illness-specific beliefs and chest pain severity (Schroeder et al, 2012), depression, and health-related quality of life (Jonsbu, Martinsen, Morken, Moum, & Dammen, 2012). These studies have established the significance of cognitive processes in NCCP, however, continued investigation is needed to expand our understanding of the function of maladaptive illness beliefs.…”

Section: Introductionmentioning

confidence: 95%

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Illness Perceptions, Negative Emotions, and Pain in Patients with Noncardiac Chest Pain

Israel

White

Gervino

2015

J Clin Psychol Med Settings

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Illness-specific cognitions are associated with outcomes in numerous health conditions, however, little is known about their role in noncardiac chest pain (NCCP). NCCP is prevalent, impairing, and associated with elevated health care utilization. Our objective was to investigate the relations between illness perceptions, emotion, and pain in a sample of 196 adult patients diagnosed with NCCP. We found that negative illness perceptions were associated with greater anxiety, depression, chest pain, and pain-related life interference while controlling for the effects of demographic and pain-related variables. These results expand current NCCP theory and may inform future treatment development.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 95%

Illness Perceptions, Negative Emotions, and Pain in Patients with Noncardiac Chest Pain

Israel

White

Gervino

2015

J Clin Psychol Med Settings

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“…Os estudos revisados, em sua grande parte, analisavam principalmente as Karademas, Zarogiannos, & Karamvakalis, 2010;MacInnes, 2013;MacInnes, 2014;McCabe, Barnason, & Houfek, 2011;Molloy et al, 2009;Mulligan et al, 2012;Riley et al, 2012;Schroeder et al, 2012;Steca et al, 2013a;2013b), um estudo foi realizado no continente Asiático (Yan et al, 2011) Mulligan et al, 2012;Schroeder et al, 2012;Steca et al, 2013b). Um outro estudo também utilizou uma escala (Self-Efficacy Scale) para medir os fatores de risco cardíaco (Steca et al, 2013a).…”

Section: Resultsunclassified

“…Em um outro estudo, maiores crenças na duração cíclica da doença se relacionaram com níveis mais elevados de incapacidade funcional e sintomas depressivos três meses após a cirurgia (Juergens et al, 2010). Já as crenças relacionadas à cronicidade da doença estiveram associadas a maiores crenças no controle do tratamento e controle pessoal (Riley et al, 2012) e com maior crença no autocuidado e autoeficácia (Steca et al, 2013b) Houve também a falta de disposição e interesse dos participantes em responderem os questionários (Mulligan et al, 2012;Schroeder et al, 2012). No estudo de Schroeder et al (2012), segundo os autores, esse aspecto deu-se pela forma de abordagem aos pacientes e pelas implicações do seu quadro clínico no momento da abordagem.…”

Section: Resultsunclassified

Percepção da doença em pacientes cardíacos: Uma revisão sistemática

Castro

Altenhofen

Lima

2016

Estud. Interdiscip. Psicol.

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ResumoA presente revisão sistemática da literatura teve por objetivo investigar estudos publicados entre 2009 e 2015 que examinaram a percepção da doença em pacientes cardíacos a partir do Modelo do Senso Comum. As buscas foram feitas nas bases de dados PsycInfo, Medline e PubMed. Foram utilizados os descritores: cardiac disease, illness perception, illness representation e illness beliefs. Os resultados mostraram que a percepção da doença cardíaca é associada a consequências graves à vida do paciente, com causas atribuídas a fatores independentes dos comportamentos do indivíduo (causas psicológicas, hereditariedade, vírus, má sorte etc.). Além disso, os pacientes cardíacos acreditam mais no tratamento para o controle da doença do que no seu controle pessoal. Palavras-chave: Doença cardíaca; Percepção da doença; Representação da doença; Crenças. IILNESS PERCEPTION IN CARDIAC PATIENTS: A SYSTEMATIC REVIEW AbstractThis systematic review of literature aimed to investigate articles published between 2009 and 2015 about illness perception in cardiac patients, based on the Common Sense Model (CSM). Searches were performed at the databases PsycInfo, Medline e PubMed. The descriptors used were cardiac disease, illness perception, illness representation and illness beliefs. The results showed that cardiac disease is associated to serious consequences to patient's life, with causes attributed to factors regardless of the individual's behavior (psychological causes, hereditary, virus, bad luck, etc.). Furthermore, cardiac patients tend to believe more in treatment to control than in personal control. Keywords: Cardiac disease; Illness perception; Illness representation; Beliefs. PERCEPCIÓN DE LA ENFERMEDAD EN PACIENTES CARDÍACOS: UNA REVISIÓN SISTEMÁTICA ResumenLa presente revisión sistemática de la literatura tuvo el objetivo de analizar artículos publicados entre 2009 y 2015 que examinaron la percepción de la enfermedad en pacientes cardíacos a partir del Modelo del Sentido Común. Las búsquedas fueron realizadas en las bases de datos PsycInfo, Medline e PubMed. Fueron utilizados las palabras-clave: cardiac disease, illness perception, illness representation e illness beliefs. Los resultados mostraron que la percepción de la enfermedad cardíaca está asociada a consecuencias graves a la vida del paciente, con causas atribuidas a factores independientes de las conductas de la persona (causas psicológicas, hereditariedade, virus, mala suerte, etc). Además, los pacientes cardíacos creen más en el tratamiento para el control de la enfermedad que en su control personal.Palabras clave: enfermedad cardíaca; percepción de la enfermedad; representación de la enfermedad.

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“…The CSM has been applied to NCCP, with findings demonstrating that negative illness representations are related to psychological (Jonsbu et al 2012) and physical (Schroeder et al 2012) outcomes in patients with NCCP. Webster et al (2014b) found that illness representations were related to elevated anxiety and depression and poorer QoL.…”

Section: Introductionmentioning

confidence: 99%

‘Everything's fine, so why does it happen?’ A qualitative investigation of patients' perceptions of noncardiac chest pain

Webster

Thompson

Norman

2015

Journal of Clinical Nursing

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Aims and objectivesTo examine patients' perceptions and experiences of noncardiac chest pain, within the framework of the common sense model.BackgroundPatients with noncardiac chest pain have good physical prognosis, but frequently suffer prolonged pain and psychological distress. The common sense model may provide a good framework for examining outcomes in patients with noncardiac chest pain.DesignQualitative thematic analysis with semi‐structured interviews.MethodsIn 2010, participants recruited from an emergency department (N = 7) with persistent noncardiac chest pain and distress were interviewed using a semi‐structured schedule, and data were analysed using thematic analysis.ResultsSeven themes were identified; six of which mapped onto core dimensions of the common sense model (identity, cause, timeline, consequences, personal control, treatment control). Contrary to previous research on medically unexplained symptoms, most participants perceived psychological factors to play a causal role in their chest pain. Participants' perceptions largely mapped onto the common sense model, although there was a lack of coherence across dimensions, particularly with regard to cause.ConclusionPatients with noncardiac chest pain lack understanding with regard to their condition and may be accepting of psychological causes of their pain.Relevance to clinical practiceBrief psychological interventions aimed at improving understanding of the causes of noncardiac chest pain and providing techniques for managing pain and stress may be useful for patients with noncardiac chest pain.

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Cognitive-Perceptual Factors in Noncardiac Chest Pain and Cardiac Chest Pain

Cited by 18 publications

References 42 publications

Illness Perceptions, Negative Emotions, and Pain in Patients with Noncardiac Chest Pain

Illness Perceptions, Negative Emotions, and Pain in Patients with Noncardiac Chest Pain

Percepção da doença em pacientes cardíacos: Uma revisão sistemática

‘Everything's fine, so why does it happen?’ A qualitative investigation of patients' perceptions of noncardiac chest pain

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