Illness perception among patients with chest pain and palpitations before and after negative cardiac evaluation

Jonsbu, Egil; Martinsen, Egil W.; Morken, Gunnar; Moum, Torbjørn; Dammen, Toril

doi:10.1186/1751-0759-6-19

Cited by 24 publications

(28 citation statements)

References 22 publications

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“…1a Rief et al [2008] und Schaefert et al [2012]). Es wird daher gefordert, Interventionen anzubieten, die auf ein besseres Verständnis und eine bessere persönliche Kontrolle der Beschwerden abzielen [Jonsbu et al, 2012] …”

Section: Anwendbarkeit Der Interventionergebnisse Der Analysenunclassified

“…Bei Patienten mit nicht-kardialen Brustschmerzen bestehen bereits zum Zeitpunkt der diagnostischen Abklä-rung ungünstige Krankheitsrepräsentationen bezüglich der empfundenen Kontrollierbarkeit und des Verständnisses der Schmerzen. Diese schwächen die subjektiv erlebte Rückver-sichertheit nach Mitteilung unauffälliger kardialer Befunde deutlich ab und beeinflussen so den Verlauf der Beschwerden sowie assoziierte psychosoziale Beeinträchtigungen ungünstig [Donkin et al, 2006;Jonsbu et al, 2012;Robertson et al, 2008]. Die einfache ärztliche Rückmeldung über unauffällige Untersuchungsbefunde reicht dann häufig nicht aus, um die Sorgen und Ängste der Patienten langfristig zu beseitigen [Jonsbu et al, 2012;Robertson et al, 2008].…”

Section: Introductionunclassified

“…Diese schwächen die subjektiv erlebte Rückver-sichertheit nach Mitteilung unauffälliger kardialer Befunde deutlich ab und beeinflussen so den Verlauf der Beschwerden sowie assoziierte psychosoziale Beeinträchtigungen ungünstig [Donkin et al, 2006;Jonsbu et al, 2012;Robertson et al, 2008]. Die einfache ärztliche Rückmeldung über unauffällige Untersuchungsbefunde reicht dann häufig nicht aus, um die Sorgen und Ängste der Patienten langfristig zu beseitigen [Jonsbu et al, 2012;Robertson et al, 2008]. Um einer Chronifizierung der Beschwerden effektiv entgegenzuwirken, wurden daher psychologische Interventionen vorgeschlagen, die die subjektiven Krankheitsannahmen der Betroffenen, deren Sorgen und Ängste explizit berücksichtigen sowie ein alternatives Erklärungsmodell anbieten [Mayou und Farmer, 2002].…”

Section: Introductionunclassified

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Krankheitsrepräsentationen bei nicht-kardialem Brustschmerz - eine verhaltensmedizinische Kurzintervention

Schroeder¹,

Schmid²,

Martin³

2013

Verhaltenstherapie

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Summary Illness Perceptions in Noncardiac Chest Pain -A Brief Psychological InterventionBackground: Noncardiac chest pain is a frequent condition that is likely to develop a chronic course. Simply reassuring patients about nonpathological diagnostic test results has proved to be insufficient to effectively reduce dysfunctional illness representations and worry. The aim of the study was to develop a brief psychological intervention focussing on subjective illness representations and to evaluate its practicability. Patients and Methods: 57 patients with noncardiac chest pain participated. Illness representations and chest pain characteristics as well as the participants' subjective evaluation of the intervention were assessed. Results: Subjective ratings by the participants were mostly positive, but of all patients eligible for the intervention 42% declined to participate. In comparison to the refusers, the intervention participants were younger and reported stronger dysfunctional illness representations and higher pain intensity. Conclusion: It remains a challenge to affect patients with noncardiac chest pain with early psychological interventions, in particular patients who feel only mildly impaired. Nevertheless, our results show that a low-threshold intervention is applicable and is mainly seen as effective. Schlüsselwörter

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Section: Anwendbarkeit Der Interventionergebnisse Der Analysenunclassified

Section: Introductionunclassified

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Krankheitsrepräsentationen bei nicht-kardialem Brustschmerz - eine verhaltensmedizinische Kurzintervention

Schroeder¹,

Schmid²,

Martin³

2013

Verhaltenstherapie

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“…Patients with NCCP perceive themselves as having less control over their situation and less understanding for their chest pain compared to patients with cardiac pain, despite having undergone a cardiac evaluation (55,59). They experience unfulfilled information needs, including unanswered questions and healthcare providers not focusing on their individual problems (60).…”

Section: The Impact Of Non-cardiac Chest Painmentioning

confidence: 99%

“…Relatively recent studies have shown that negative illness perception is associated with psychological distress and chest pain (22,59,144), and that the way patients perceive and interpret their chest pain has an impact on the management of NCCP (82). Fear of cardiac sensations may increase pain, disability and avoidance behaviour (81).…”

Section: Psychological Distress Healthcare Utilization and Societal mentioning

confidence: 99%

Improving care for patients with non-cardiac chest pain : Description of psychological distress and costs, and evaluation of an Internet-delivered intervention

Mourad¹

2015

Linköping University Medical Dissertations

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Introduction: More than half of all patients seeking care for chest pain do not have a cardiac cause for this pain. Despite recurrent episodes of chest pain, many patients are discharged without a clear explanation of the cause for their pain. A lack of explanation may result in a misinterpretation of the pain as being cardiac-related, causing worry and uncertainty, which in turn leads to substantial use of healthcare resources. Psychological distress has been associated with non-cardiac chest pain (NCCP), but there is limited research regarding the relationship between different psychological factors and their association with healthcare utilization. There is a need for interventions to support patients to manage their chest pain, decrease psychological distress, and reduce healthcare utilization and costs. Aim: The overall aim of this thesis was to improve care for patients with non-cardiac chest pain by describing related psychological distress, healthcare utilization and societal costs, and by evaluating an Internet-delivered cognitive behavioural intervention. Designs and methods: This thesis presents results from four quantitative studies. Studies I and II had a longitudinal descriptive and comparative design. The studies used the same initial cohort. Patients were consecutively approached within 2 weeks from the day of discharge from a general hospital in southeast Sweden. In study I, 267 patients participated (131 with NCCP, 66 with acute myocardial infarction (AMI), and 70 with angina pectoris (AP)). Out of these, 199 patients (99 with NCCP, 51 with AMI, 49 with AP) participated in study II. Participants were predominantly male (about 60 %) with a mean age of 67 years. Data was collected on depressive symptoms (Study I), healthcare utilization (Study I, II), and societal costs (Study II). Study III had a cross-sectional explorative and descriptive design. Data was collected consecutively on depressive symptoms, cardiac anxiety and fear of body sensations in 552 patients discharged with diagnoses of NCCP (51 % women, mean age 64 years) from four hospitals in southeast Sweden. Patients were approached within one month from the day of discharge. Study IV was a pilot randomized controlled study including nine men and six women with a median age of 66 years, who were randomly assigned to an intervention (n=7) or control group (n=8). The intervention consisted of a four-session guided Internet-delivered cognitive behavioural therapy (CBT) program containing psychoeducation, exposure to physical activity, and relaxation. The control group received usual care. Data was collected on chest pain frequency, cardiac anxiety, fear of body sensations, and depressive symptoms. Results: Depressive symptoms were prevalent in 20 % (Study IV) and 25 % (Study I, III) of the patients, and more than half of the patients still experienced depressive symptoms one year later (Study I). There were no significant differences in prevalence and severity of depressive symptoms between patients diagnosed with NCCP, AMI or AP. Living a...

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Living with non‐cardiac chest pain – An inductive qualitative interview study of spouses' perspectives

Eriksson‐Liebon,

Kärner Köhler,

Johansson

et al. 2024

Nursing Open

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AimTo explore spouses’ experiences of living with a partner suffering from non‐cardiac chest pain (NCPP).DesignAn inductive qualitative study.MethodsIndividual interviews (n = 10) were performed with spouses of partners having NCCP and cardiac anxiety. The analysis was performed according to Patton's guide for content analysis of qualitative data.ResultsThree categories and seven subcategories were identified. First, ‘a feeling of being neglected’, where spouses felt ignored by healthcare professionals and excluded by their partners. Secondly, ‘a tension between hope and despair’ encompassed feelings of faith, support, unpreparedness for chest pain and situational frustration. Lastly, in ‘a threat to ordinary life’, spouses noted chest pain‐induced changes impacting daily life, finances, leisure and relationships. To conclude, NCCP in partners significantly affects their spouses emotionally and practically. Spouses felt neglected and isolated, oscillating between hope and despair and experiencing faith, powerlessness and frustration. They also faced challenges in daily life and relationships.

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Illness perception among patients with chest pain and palpitations before and after negative cardiac evaluation

Cited by 24 publications

References 22 publications

Krankheitsrepräsentationen bei nicht-kardialem Brustschmerz - eine verhaltensmedizinische Kurzintervention

Krankheitsrepräsentationen bei nicht-kardialem Brustschmerz - eine verhaltensmedizinische Kurzintervention

Improving care for patients with non-cardiac chest pain : Description of psychological distress and costs, and evaluation of an Internet-delivered intervention

Living with non‐cardiac chest pain – An inductive qualitative interview study of spouses' perspectives

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