tailieunhanh - báo cáo khoa học:" General anxiety, depression, and physical health in relation to symptoms of heart-focused anxietya cross sectional study among patients living with the risk of serious arrhythmias and sudden cardiac death"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: General anxiety, depression, and physical health in relation to symptoms of heart-focused anxietya cross sectional study among patients living with the risk of serious arrhythmias and sudden cardiac death | Hamang et al. Health and Quality of Life Outcomes 2011 9 100 http content 9 1 100 HEALTH AND QUALITY OF LIFE OUTCOMES RESEARCH Open Access General anxiety depression and physical health in relation to symptoms of heart-focused anxiety-a cross sectional study among patients living with the risk of serious arrhythmias and sudden cardiac death Anniken Hamang1 2 Geir E Eide3 4 Berit Rokne5 Karin Nordin5 6 and Nina 0yen1 2 Abstract Objective To investigate the role of three distinct symptoms of heart-focused anxiety cardio-protective avoidance heart-focused attention and fear about heart sensations in relation to general anxiety depression and physical health in patients referred to specialized cardio-genetics outpatient clinics in Norway for genetic investigation and counseling. Methods Participants were 126 patients mean age 45 years women . All patients were at higher risk than the average person for serious arrhythmias and sudden cardiac death SCD because of a personal or a family history of an inherited cardiac disorder familial long QT syndrome or hypertrophic cardiomyopathy . Patients filled in Hospital Anxiety and Depression Scale Short-Form 36 Health Survey and Cardiac Anxiety Questionnaire two weeks before the scheduled counseling session. Results The patients experienced higher levels of general anxiety than expected in the general population mean difference p . Hierarchical regression analyses showed that avoidance and fear was independently related to general anxiety depression and physical health beyond relevant demographic covariates age gender having children and clinical variables clinical diagnosis and a recent SCD in the family . In addition to heart-focused anxiety having a clinical diagnosis was of importance for physical health whereas a recent SCD in the family was independently related to general anxiety and depression regardless of disease status. Conclusion Avoidance and fear may be potentially modifiable symptoms. .