In Sickness and in Health: a Literature Review about Function of Social Support within Anxiety and Heart Disease Association

Zarbo, Cristina; Compare, Angelo; Baldassari, Elena; Bonardi, Alberto; Romagnoni, Claudia

doi:10.2174/1745017901309010255

Cited by 9 publications

(5 citation statements)

References 106 publications

(94 reference statements)

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“…In line with previous fi ndings conducted in Cardiac Rehabilitation, our results showed that the presence of children could be considered as a predictor of depression, specifi cally patients without children were more depressed than patients with children [42,43]. This result underlines the role of children as crucial to social support, in predicting less emotional distress and contributing to emotional health, so to a greater support given by family members and children becomes lower levels of depression [44].…”

Section: Discussionsupporting

confidence: 91%

The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients

et al. 2018

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Posoudit pozitivní dopad programu srdeční rehabilitace na stupeň deprese u pacientů po akutní srdeční příhodě a ověřit, zda některé sociodemografi cké proměnné (např. diagnóza, pohlaví a věk) a proměnné v souvislosti se zaměstnáním a podporou ze strany okolí (povolání, rodinný stav, přítomnost/nepřítomnost dětí) lze považovat za prediktory deprese, a to jak na začátku, tak na konci programu srdeční rehabilitace. Metody: K posouzení symptomů deprese vyplnilo před čtyřtýdenním programem a po čtyřtýdenním programu srdeční rehabilitace 122 pacientů dotazník BDI-II. Změny v hodnotách skóre se porovnávaly pomocí párového t-testu. K ověření prediktorů rozvoje deprese byla použita lineární regresní analýza. Výsledky: Průměrné skóre BDI-II se od prvního do druhého hodnocení významně snížilo, jak u afektivního faktoru (t = 2,66; p < 0,01), u kognitivního faktoru (t = 3,89; p < 0,01), tak i v celkovém skóre BDI-II (t = 3,68; p < 0,01). Prediktory stupně deprese před hodnocením byly rovněž pohlaví (= 0,312; t = 2,55; p < 0,01) a přítomnost dětí (= 0,426; t = 3,08; p < 0,01). Závěr: Snížené stupně deprese prokázaly pozitivní dopad programu srdeční rehabilitace, v němž mají strukturované aktivity řadu příznivých účinků na psychiku pacienta. Podle získaných výsledků je vhodné při rozhodování o dalších intervencích u pacientů se srdečním onemocněním vzít v úvahu jeho pohlaví a míru podpory ze strany okolí.

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Section: Discussionsupporting

confidence: 91%

The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients

et al. 2018

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“…Poor social support among patients with ACS was observed in secondary analyses of a randomized trial to reduce the effectiveness of treatment with antidepressants [59]. The quality of social support plays an important role, as overprotective behaviors of partners can have an adverse effect [58]. Interestingly, in the current study marital status and social support were associated with presence of depressive symptoms independently and in opposite directions.…”

Section: Discussionmentioning

confidence: 64%

“…In studies on breast cancer [53], promotion of physical activity may have the additional benefit of improving self-esteem, a factor associated with depression and anxiety in this study and a predictor of mortality in the general population [54]. In addition, according to previous studies [43, 55–58], the inverse association between high social support and low levels of anxiety and depression points to another important target for prevention as it is supported by firm evidence from previous studies. Poor social support among patients with ACS was observed in secondary analyses of a randomized trial to reduce the effectiveness of treatment with antidepressants [59].…”

Section: Discussionmentioning

confidence: 66%

Depression and anxiety symptoms in cardiac patients: a cross-sectional hospital-based study in a Palestinian population

et al. 2019

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Background Mental health problems have an adverse effect on the course of cardiac disease. The integration of their diagnosis and treatment into cardiology care is generally poor. It is particularly challenging in cultural environments where mental health problems are stigmatized. The objective of the current study was to investigate the proportion of cardiac patients with depression and anxiety as well as factors associated with the presence of these symptoms in a Palestinian population. Methods This cross-sectional hospital-based study was conducted on patients consecutively admitted with a new or existing cardiac diagnosis to one of the four main hospitals in Nablus, Palestine over an eight-month period. Data was obtained from hospital medical charts and an in-person interview, using a structured questionnaire with a sequence of validated instruments. All subjects were screened for depression and anxiety using the Cardiac Depression Scale (CDS) and the Depression Anxiety Stress Scale (DASS-42). Multivariate ordered logistic regression analyses were performed to identify factors among four categories (socio-demographic, clinical, psychosocial, lifestyle) independently associated with depression and anxiety. Results In total, 1053 patients with a confirmed cardiac diagnosis were included in the study with a participation rate of 96%. Based on the CDS and DASS-42, 54% met the criteria for severe depression (CDS > 100) and 19.2% for severe-to-very severe anxiety (DASS-anxiety > 15), respectively. Symptoms of depression and anxiety were more prevalent among females and less educated patients. Factors independently associated with both depressive and anxiety symptoms were post-traumatic stress disorder symptoms, low level of self-esteem, high somatic symptoms, low physical and mental health component scores, active smoking, physical inactivity, and longer disease duration. Patients with depressive and anxiety symptoms also reported poor social support and lower resilience. Conclusion There was a high level of depression and anxiety in this sample of cardiac patients. The results point to characteristics of patients in particular need for mental health screening and suggest possible targets for intervention such as strengthening of social support and of physical activity. The integration of mental health services into cardiac rehabilitation in Palestine and comparable cultural settings is warranted from the time of first diagnosis and onward. Electronic supplementary material The online version of this article (10.1186/s12889-019-6561-3) contains supplementary material, which is available to authorized users.

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“…Except paranoid ideation and psychoticism dimensions, mean scores of rest dimensions including somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, and phobic anxiety in the stroke group were significantly higher than those in the control group. Various studies have established the association between social support and health [23] . Social support plays an important role in coping mechanism to deal with stress and psychological or physical symptoms, and has been recognized as a salient construct in nursing research.…”

Section: Discussionmentioning

confidence: 99%

Psychological distress, social support and medication adherence in patients with ischemic stroke in the mainland of China

Zhang

Qian

Shu-qing

et al. 2015

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

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Stroke research and rehabilitation have traditionally focused on the physical and functional impact of a stroke. Less attention has been given to the psychosocial factors associated with this chronic condition. By the few studies that have specifically focused on psychosocial factors in the context of stroke, poststroke depression is demonstrated to significantly influence stroke outcomes. Associations of stroke with psychological symptoms other than depression have rarely been evaluated. This study was aimed to investigate the changes of psychological stress, social support and medication adherence in patients with ischemic stroke in the mainland of China. In this study, 90 patients with hemiplegia one year after first-ever middle cerebral artery infarction (stroke group) in the Zhongnan Hospital of Wuhan University from June 2008 to June 2011 were recruited for interview. Ninety age- and sex-matched normal volunteers (control group) were also examined at the same period. The psychological distress was assessed by the Symptom Checklist 90 (SCL-90), the social support by the Social Support Rating Scale (SSRS), and medication adherence by Morisky's self-reported inventory, respectively. Group differences were analyzed using unpaired-t test and chi-squared test. The results showed that total mean scores of the SCL-90 in the stroke group were higher than those in the control group (P<0.01). Except two dimensions, paranoid ideation and psychoticism, mean scores of the rest dimensions (including somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, and phobic anxiety) of SCL-90 were significantly higher in the stroke group than those in the control group (P<0.05, or P<0.01). The objective support, subjective support, support availability and total social support scores in the stroke group were significantly higher than those in the control group (P<0.05, or P<0.01). Those in the "SCL-90 total scores >150 group" were significantly higher than in the "SCL-90 total scores <100 group" and the "SCL-90 total scores between 100 to 150 group" (P<0.05, or P<0.01). Those in the "SCL-90 total scores between 100 to 150 group" were significantly higher than in the "SCL-90 total scores <100 group" (P<0.05). In 90 patients with ischemic stroke, 26 (28.89%) patients obtained high medication adherence, 47 (52.22%) patients medium medication adherence, and 17 (18.89%) patients low medication adherence, respectively. Among these stroke patients, there were 17 (50.00%) patients with high medication adherence in the "SCL-90 total scores >150 group", 28 (75.67%) patients with medium medication adherence in the "SCL-90 total scores between 100 to 150 group", and 12 (61.16%) patients with low medication adherence in the "SCL-90 total scores <100 group", respectively. There was significant difference in the medication adherence rate among the different SCL-90 scores groups in these stroke patients (P<0.05 or P<0.01). It was led to conclude that ischemic stroke patients one year after hemiplegia have ps...

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In Sickness and in Health: a Literature Review about Function of Social Support within Anxiety and Heart Disease Association

Cited by 9 publications

References 106 publications

The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients

The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients

Depression and anxiety symptoms in cardiac patients: a cross-sectional hospital-based study in a Palestinian population

Psychological distress, social support and medication adherence in patients with ischemic stroke in the mainland of China

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