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A simultaneous test of the relationship between identified psychosocial risk factors and recurrent events in coronary artery disease patients.

https://arctichealth.org/en/permalink/ahliterature137552
Source
Anxiety Stress Coping. 2011 Jul;24(4):463-75
Publication Type
Article
Date
Jul-2011
Author
Keerat Grewal
Shannon Gravely-Witte
Donna E Stewart
Sherry L Grace
Author Affiliation
Faculty of Health, Kinesiology & Health Science, York University, Toronto, Ontario, Canada.
Source
Anxiety Stress Coping. 2011 Jul;24(4):463-75
Date
Jul-2011
Language
English
Publication Type
Article
Keywords
Aged
Angina Pectoris - psychology - rehabilitation
Anxiety Disorders - diagnosis - psychology
Coronary Artery Disease - psychology - rehabilitation
Depressive Disorder - diagnosis - psychology
Female
Hostility
Humans
Longitudinal Studies
Male
Middle Aged
Myocardial Infarction - psychology - rehabilitation
Myocardial Revascularization - psychology
Ontario
Patient Readmission
Personality Inventory - statistics & numerical data
Prognosis
Psychometrics - statistics & numerical data
Recurrence
Reproducibility of Results
Risk factors
Social Support
Stress, Psychological - complications
Abstract
Psychosocial factors are increasingly recognized as risk indicators for coronary artery disease (CAD) prognosis and they are likely interrelated. The objective of this study is to simultaneously test the relationship between key psychosocial constructs as independent factor scores and recurrent events in CAD patients. There were 1268 CAD outpatients of 97 cardiologists surveyed at two points. Recurrent events or hospitalization in the intervening nine months were reported. Factor analysis of items from the Hospital Anxiety and Depression Scale, Perceived Stress Scale, the ENRICHD Social Support Inventory, and Hostile Attitudes Scale was performed to generate orthogonal factor scores. With adjustment for prognostic variables, logistic regression analysis was performed to examine the relationship between these factor scores and recurrent events. Factor analysis resulted in a six-factor solution: hostility, stress, anxiety, depressive symptoms, support, and resilience. Logistic regression revealed that functional status and anxiety, with a trend for depressive symptoms, were related to experiencing a recurrent event. In this simultaneous test of psychosocial constructs hypothesized to relate to cardiac prognosis, anxiety may be a particularly hazardous psychosocial factor. While replication is warranted, efforts to investigate the potential benefits of screening and to investigate treatments are needed.
PubMed ID
21271407 View in PubMed
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