Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients

Choo, Carol C; Chew, Peter K. H.; Lai, Shuet-Ming; Soo, Shuenn-Chiang; Ho, Cyrus S.H.; Ho, Roger; Wong, Raymond

doi:10.3390/ijerph15061095

Cited by 38 publications

(41 citation statements)

References 39 publications

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“…The greater psychological burden found in our outpatient group may represent poor emotional coping and distress in response to having to manage their illness and be related to the low attendance of the outpatient chronic disease management program offered by the hospital. Similar challenges with rehabilitation program attendance have been described elsewhere and point out the importance of considering mental health and psychological distress as an explanation for early dropout, given their effectiveness in improving overall well-being among patients [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 80%

“…In the absence of this work, HRQOL studies will play an important role as researchers attempt to describe the morbidity and suffering associated with cardiovascular disease in Vietnam. Generating a better understanding of this burden may be crucial when developing effective CVD rehabilitation programs, which have had demonstrable impacts on improving the HRQOL of patients in both Singapore [ 20 ] and Malaysia [ 21 ]. While previous reports have described the relationship between the development of CVD/ CVD risk factors and sociodemographic factors, what is less clear is how the HRQOL impacts of CVD are related to or determined by these factors.…”

Section: Introductionmentioning

confidence: 99%

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Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam

Tran

Moir

Thai

et al. 2018

BioMed Research International

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Purpose This study aims to explore the sociodemographic differences in health-related quality of life (HRQOL) among Vietnamese patients with cardiovascular diseases (CVD). Methods A cross-sectional survey of 600 cardiovascular disease patients (300 inpatients and 300 outpatients) being treated at the Hanoi Heart Hospital was completed between July and December 2016. Data about HRQOL were collected by using the EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) and EuroQOL-visual analogue scale (VAS). Sociodemographic characteristics were collected. A multivariate Tobit regression was used to detect the correlations between HRQOL and sociodemographic factors. Results Our sample had an average EQ-5D index of 0.82 (SD=0.21) and VAS score of 77.8 (SD=13.6). Participants were most likely to report problems in pain/discomfort (38.8%) and anxiety/depression (35.2%) and were least likely to report problems related to self-care (19.8%). Age and sex were strongly associated with the EQ-5D index and the VAS. Having health insurance and the number of hospital visits were negatively associated with HRQOL, while participation in the chronic disease management program had the positive relationship. Conclusions HRQOL among patients with CVD was moderately lower compared to the Vietnamese general population. Sociodemographic characteristics were strongly associated with HRQOL suggesting that addressing these inequalities should be prioritized in delivering services. Patients should also be encouraged to participate in the chronic disease management program due to its positive effects on quality of life.

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Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam

Tran

Moir

Thai

et al. 2018

BioMed Research International

View full text Add to dashboard Cite

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“…Furthermore, this study did not investigate the effect of physical activity on psychological conditions such as depression, which can lead to work-related disability and productivity loss [ 52 ]. In fact, physical activity can reduce the severity of depression as well as improving cardiac function [ 53 ]. The present study only focused on anthropometric and biochemical indicators, but the psychological aspect could certainly be investigated in a future study on HCWs.…”

Section: Discussionmentioning

confidence: 99%

Combined Before-and-After Workplace Intervention to Promote Healthy Lifestyles in Healthcare Workers (STI-VI Study): Short-Term Assessment

Comiati

Buja

et al. 2018

IJERPH

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Health care workers (HCWs) are prone to a heavy psycho-physical workload. Health promotion programs can help prevent the onset of chronic and work-related diseases. The aim of the STI-VI ‘before-and-after’ study, with assessments scheduled at 6 and 12 months, was to improve the lifestyle of HCWs with at least one cardiovascular risk factor. A tailored motivational counseling intervention, focusing on dietary habits and physical activity (PA) was administered to 167 HCWs (53 males; 114 females). BMI, waist circumference, blood pressure, and cholesterol, triglyceride, and blood glucose levels were measured before and after the intervention. The 6-month results (total sample and by gender) showed a marked effect on lifestyle: PA improved (+121.2 MET, p = 0.01), and diets became more similar to the Mediterranean model (+0.8, p < 0.001). BMI dropped (−0.2, p < 0.03), and waist circumference improved even more (−2.5 cm; p < 0.001). Other variables improved significantly: total and LDL cholesterol (−12.8 and −9.4 mg/dL, p < 0.001); systolic and diastolic blood pressure (−4.4 and −2.5 mmHg, p < 0.001); blood glucose (−1.5 mg/dL, p = 0.05); and triglycerides (significant only in women), (−8.7 mg/dL, p = 0.008); but HDL cholesterol levels dropped too. If consolidated at 12 months, these results indicate that our intervention can help HCWs maintain a healthy lifestyle and work ability.

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“…In the future, psychological intervention is required to address this competition of control as it may affect adherence to treatment. Previous research found that cardiac patients who had poor adherence to cardiac rehabilitation reported lower levels of physical and mental quality of life and higher levels of depression post-cardiac rehabilitation [41].…”

Section: Discussionmentioning

confidence: 96%

Motivational Conflicts and the Psychological Structure of Perfectionism in Patients with Anxiety Disorders and Patients with Essential Hypertension

Pervichko

Babaev

Podstreshnaya

et al. 2020

Behavioral Sciences

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Many studies have shown connections between perfectionism, motivation, and anxiety disorders (AD), as well as essential hypertension (EH). The objective of this study is to examine the connections between motivation and the structure of perfectionism in AD patients and EH patients compared to healthy individuals. Projective and semi-projective tests (thematic apperception test (TAT) of Heckhausen, Multi-Motive Grid) were used to measure motivation, while a perfectionism questionnaire by Hewitt and Flett was used to determine perfectionism levels. The participants were 21 AD patients, 21 EH patients, and 33 healthy individuals. EH patients show higher level of other-oriented perfectionism, and AD patients demonstrate increased levels of self-oriented perfectionism compared to the healthy group. Both groups of patients are motivated by fear of failure rather than hope for success, and they also demonstrate an increased fear of rejection. AD patients have an increased fear of power of other people. In EH patients, the fear of power seems to play a significant role as it correlates with many other variables. In EH patients, the other-oriented perfectionism is connected to achievement motivation, whereas in AD patients the same is true for socially prescribed perfectionism. Overall, studying motivation and perfectionism in relation to various disorders seems to offer research prospects.

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Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients

Cited by 38 publications

References 39 publications

Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam

Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam

Combined Before-and-After Workplace Intervention to Promote Healthy Lifestyles in Healthcare Workers (STI-VI Study): Short-Term Assessment

Motivational Conflicts and the Psychological Structure of Perfectionism in Patients with Anxiety Disorders and Patients with Essential Hypertension

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