Psychologic morbidity and health-related quality of life of patients assessed in a chest pain observation unit

Goodacre, Steve; Mason, Suzanne; Arnold, Jane; Angelini, Karen

doi:10.1067/mem.2001.118010

Cited by 65 publications

(42 citation statements)

References 27 publications

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“…Our results regarding the consequences of the chest pain show that unexplained chest pain influenced the daily life that is in accordance with previous studies [2,3]. Other types of long-term pain and chronic pain seem also to influence the quality of life [24,25].…”

Section: Discussionsupporting

confidence: 94%

Description of Unexplained Chest Pain and Its Influence on Daily Life In Men and Women

Fagring

Gaston‐Johansson

Danielson

2005

European Journal of Cardiovascular Nursing

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Section: Discussionsupporting

confidence: 94%

Description of Unexplained Chest Pain and Its Influence on Daily Life In Men and Women

Fagring

Gaston‐Johansson

Danielson

2005

European Journal of Cardiovascular Nursing

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“…The participants in our study were somewhat frightened by their body sensations, and had higher scores than normal controls, but lower than patients with panic and agoraphobia [28,35]. In a study by Jonsbu et al [30], patients with NCCP also scored similar to ours on the BSQ, and Goodacre et al [36] found that a majority of the patients worried about their pain. If patients perceive the pain as threatening, this could lead to pain-related fear and safety seeking behaviour, such as avoidance [37,38] and frequent visits to healthcare professionals [39].…”

Section: Discussionsupporting

confidence: 74%

Depressive Symptoms, Cardiac Anxiety, and Fear of Body Sensations in Patients with Non-Cardiac Chest Pain, and Their Relation to Healthcare-Seeking Behavior: A Cross-Sectional Study

Mourad

Strömberg

Johansson

et al. 2015

Patient

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Results: About 26 % (n=141) of the study participants reported at least moderate depressive symptoms, 42 % (n=229) reported at least moderate cardiac anxiety, and 62 % (n=337) reported some degree of fear of body sensations. We found a strong positive relationship between depressive symptoms and cardiac anxiety (rs=0.49, p<.01), depressive symptoms and fear of body sensations (rs=0.50, p<.01), and cardiac anxiety and fear of body sensations (rs=0.56, p<.01). About 60 % of the participants sought care due to chest pain once, 26 % 2-3 times, and the rest more than 3 times. In a multivariable regression analysis, and after adjusting for multi-morbidity, cardiac anxiety was the only variable independently associated with healthcare seeking behaviour. Conclusions:Patients with NCCP and many healthcare consultations had high levels of depressive symptoms and cardiac anxiety, and moderate levels of fear of body sensations.Cardiac anxiety had the strongest relationship with healthcare seeking behaviour, and may 2 therefore be an important target for intervention to alleviate suffering and reduce healthcare use and costs. Key points for decision makers• Patients with non-cardiac chest pain and many healthcare consultations experience high levels of depressive symptoms and cardiac anxiety, and moderate levels of fear of body sensations.• Depressive symptoms, cardiac anxiety and fear of body sensations are strongly related to each other and to healthcare seeking behaviour.• Cardiac anxiety influence healthcare seeking behaviour the most and should therefore be targeted with interventions to improve patient outcomes and reduce healthcare costs.3

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“…Other studies have reported prevalence frequencies of depression in 20-50 % of patients with chest pain. 7,23,38,39 This is a much higher prevalence than in the general population where the depression rate lies between 10-15%. 40,41 No significant differences were found between patients with NCCP, AMI and AP regarding either prevalence or severity of the depressive symptoms.…”

mentioning

confidence: 99%

Depressive symptoms and healthcare utilization in patients with noncardiac chest pain compared to patients with ischemic heart disease

et al. 2012

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OBJECTIVES: We compared depressive symptoms and healthcare utilization in patients admitted for noncardiac chest pain, acute myocardial infarction, and angina pectoris after hospitalization and at 1-year follow-up. METHODS: One hundred and thirty-one patients with noncardiac chest pain, 66 with acute myocardial infarction, and 70 with angina pectoris completed a depression screening questionnaire and the Montgomery Åsberg Depression Rating Scale. Healthcare utilization data were collected from a population-based, diagnosis-related database. RESULTS: More than 25% of respondents reported depressive symptoms, regardless of diagnosis. At follow-up, 9% had recovered, 19% were still experiencing depressive symptoms, and 13% had developed depressive symptoms. Noncardiac patients with chest pain had similar primary care contacts, but fewer hospital admissions, than patients with an acute myocardial infarction. Patients with angina pectoris and depressive symptoms used the most healthcare services. CONCLUSIONS: Depressive symptoms were common. Patients with noncardiac chest pain used as much primary care as did patients with an acute myocardial infarction. Interventions should focus on identifying and treating depressive symptoms

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Psychologic morbidity and health-related quality of life of patients assessed in a chest pain observation unit

Cited by 65 publications

References 27 publications

Description of Unexplained Chest Pain and Its Influence on Daily Life In Men and Women

Description of Unexplained Chest Pain and Its Influence on Daily Life In Men and Women

Depressive Symptoms, Cardiac Anxiety, and Fear of Body Sensations in Patients with Non-Cardiac Chest Pain, and Their Relation to Healthcare-Seeking Behavior: A Cross-Sectional Study

Depressive symptoms and healthcare utilization in patients with noncardiac chest pain compared to patients with ischemic heart disease

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