Psychological symptom clusters, psychiatric comorbidity and poor self-reported health status following myocardial infarction

Martens, Elisabeth J.; Smith, Otto Robert Frans; Denollet, Johan

doi:10.1007/bf02879924

Cited by 17 publications

(17 citation statements)

References 45 publications

(43 reference statements)

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“…This finding may be explained by the inclusion of somatic symptoms such as fatigue and sleeping problems in the definition of depression. In fact, depression in post-MI patients is confounded by cardiac health (i.e., pump function, cardiac history) [34,35]. Therefore, it was to be expected that depression (and anxiety, a frequent comorbid condition to depression) would act as a significant covariate of the physical summary score.…”

Section: Discussionmentioning

confidence: 99%

Normative data of the SF-12 health survey with validation using postmyocardial infarction patients in the Dutch population

2009

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Objective To gain Dutch population norms for the Short Form-12 (SF-12), a generic health status questionnaire, in a random sample of the general population and to validate these in postmyocardial infarction (MI) patients. Methods 2,301 respondents from the general population and 459 post-MI patients completed the Short Form-36 (SF-36), which was used to calculate SF-12 scores. Results The SF-12 summary scores correlated highly with SF-36 summary scores, demonstrating that these scores explain the same amount of variance in health status. Significant sex differences (P \ .001) existed for both the physical component summary (PCS) and the mental component summary (MCS). Multivariate analysis of variance showed a main effect of age in oblique (PCS-12: P \ .001; MCS-12: P \ .001) and orthogonally rotated PCS scores (PCS-12_uc: P \ .001; MCS-12_uc: P = .07). As expected, post-MI patients reported statistically significant and clinically relevant poorer mental (P \ .001) and physical functioning (P \ .001). Differences were less pronounced for MCS and PCS derived from orthogonal rotation data. When controlling for covariates, MI did not significantly affect PCS-12_uc anymore in orthogonally rotated data, while PCS-12_uc was affected by fewer covariates compared with PCS-12. Conclusions This study presents Dutch population norms for the SF-12 in a large random population sample obtained from both oblique and orthogonal PCA rotation methods, revealing systematic differences between the results based on these two methods. Furthermore, this study demonstrates the discriminative validity of the SF-12 by showing that post-MI patients differ significantly from the normative population on PCS-12 scores.

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Section: Discussionmentioning

confidence: 99%

Normative data of the SF-12 health survey with validation using postmyocardial infarction patients in the Dutch population

2009

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“…Alternatively, it may be the clustering of sadness and hopelessness and fatigue which was especially cardiotoxic. 45 Previous research addressing these issues has been inconsistent, and has used only single items to assess hopelessness. 9,46 Further research is needed to extricate these issues, and should involve validated hopelessness scales.…”

Section: Derived Symptom Scales and Prognosismentioning

confidence: 99%

Depressive symptoms in persons with acute coronary syndrome: Specific symptom scales and prognosis

Doyle

Conroy

McGee

et al. 2010

Journal of Psychosomatic Research

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“…in their childhood, social and specific phobias, or panic (Cohen et al 2000;Thayer et al 2000;Mauss and Gross 2004;Yeragani et al 2004;Scheeringa et al 2008). Other essays point at HR dynamics analysis as a tool to predict the mortality risk due to cardiac disorders in patients with anxiety, depression and nervous breakdown (Blasco-Lafarga et al 2010;Martens et al 2007). In fact, psychophysiology perspectives like the ''polyvagal theory'' (Porges 2001(Porges , 2003(Porges , 2007(Porges , 2009) deep on holistic and systemic approaches which relate autonomic function to behavior, and provide a wide and dynamic theoretical framework to support this crossroad of disciplines.…”

Section: Introductionmentioning

confidence: 98%

Heart rate variability and pre-competitive anxiety in BMX discipline

et al. 2011

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Altered neural mechanisms implying autonomic functioning have been described related to anxiety. Pre-competitive stress may be considered as an anxiety-state associated with disorders (i.e. somatic and cognitive alterations, and self-confidence worsening) that severely impair sport performance, conditioning short-lasting strength-related disciplines like BMX. From the psychological perspective, coaches use questionnaires like CSAI-2R to identify these alterations. However, with the emergence of psycho-physiological and non-linear approaches, recent studies suggest that HRV analysis provides a non-invasive tool to assess them. Hence, our purpose was to analyze how BMX competition affects subjective perception of anxiety, and if this emotional alteration is reflected in HR dynamics, analyzed both linear and nonlinearly, exploring the evolution of this relationship in a 2-day competition. Eleven male athletes from the BMX Spanish National Team were assessed from baseline HRV the morning of a training session (rT) and on two successive days of competition (rC1 and rC2), repeating HRV recording with CSAI-2R 20 min prior to training (aT) and competition (pre-competitive: aC1 and aC2). Repeated measures MANOVA showed significant vagal slow-down responses in aC1 and aC2 comparing not only with aT, but also comparing with rT, rC1 and rC2, coinciding with significant greater scores for the somatic and cognitive anxiety (SA and CA) in aC1 and aC2 versus aT. Pearson analysis showed a large and positive correlation between α1 and SA in C1, and close to it between SampEn and CA in aC2; both were confirmed by Bland-Altman chart analysis. Our results confirm that HRV analysis provide a complementary tool to assess competitive pressure.

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Psychological symptom clusters, psychiatric comorbidity and poor self-reported health status following myocardial infarction

Abstract: Background: Depression is a risk factor for adverse outcomes following myocardial infarction (MI). However, the importance of various other psychological factors is less well established.

Cited by 17 publications

References 45 publications

Normative data of the SF-12 health survey with validation using postmyocardial infarction patients in the Dutch population

Normative data of the SF-12 health survey with validation using postmyocardial infarction patients in the Dutch population

Depressive symptoms in persons with acute coronary syndrome: Specific symptom scales and prognosis

Heart rate variability and pre-competitive anxiety in BMX discipline

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