Psychological Distress Affects Performance during Exercise-Based Cardiac Rehabilitation

被引:1
|
作者
Ricci, Marta [1 ,2 ]
Pozzi, Gino [3 ]
Caraglia, Naike [4 ,5 ]
Chieffo, Daniela P. R. [4 ]
Polese, Daniela [6 ,7 ]
Galiuto, Leonarda [1 ,2 ]
机构
[1] Sapienza Univ Rome, Dept Clin & Mol Med, I-00189 Rome, Italy
[2] St Andrea Univ Hosp, UOC Cardiol, I-00189 Rome, Italy
[3] Catholic Univ, Fdn Policlin Univ A Gemelli IRCCS, Dept Psychiat, I-00153 Rome, Italy
[4] Univ Cattolica Sacro Cuore, Fdn Policlin A Gemelli IRCCS, Clin Psychol Unit, I-00168 Rome, Italy
[5] Fdn Policlin A Gemelli IRCCS, Memory Clin, I-00168 Rome, Italy
[6] Sapienza Univ Rome, St Andrea Univ Hosp, UOD Childhood Neuropsychiat, I-00189 Rome, Italy
[7] Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, I-00185 Rome, Italy
来源
LIFE-BASEL | 2024年 / 14卷 / 02期
关键词
cardiac rehabilitation; psychological distress; depression; anxiety; CORONARY-HEART-DISEASE; RISK-FACTORS; MYOCARDIAL-INFARCTION; DEPRESSION; ANXIETY; STRESS; ASSOCIATION; HOSTILITY; HEALTH; ANGER;
D O I
10.3390/life14020236
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: It is known that psychosocial distress affects the morbidity and mortality of patients with cardiovascular disease of every age. The aim of this study was to produce novel information on how psychological distress can influence cardiovascular performance in patients after cardiac surgery undergoing multidisciplinary cardiac rehabilitation. Methods: Patients (n = 57) admitted after cardiac surgery for valvular or coronary disease underwent, within 5 days of admission, the Symptom Checklist-90-Revised (SCL-90-R) self-report questionnaire to measure psychiatric symptoms and the 12-item General Health Questionnaire (GHQ-12) to assess the level of psychological distress. The Positive Symptom Distress Index (PSDI) was measured to indicate the amplitude of symptom distress. Cardiovascular performance was assessed by a 6 min walking test (6MWT) at admission and discharge, and oxygen consumption (VO2 max) was derived. Results: Within the SCL-90-R score, somatic symptoms (47.4%), depressive and anxiety symptoms (36.8% and 33.3%, respectively), symptoms of phobic anxiety (21.1%), and psychoticism (24.6%) were over-represented. As for the GHQ-12, 75.4% of the sample reported an abnormally negative perception of their health status. An inverse correlation was shown between the variation in 6MWT and SCL depression (p = 0.048), PSDI (p = 0.022), and the GHQ-12 (p = 0.040). Similarly, an inverse correlation was shown between the variation in the VO2 max, GHQ-12 (p = 0.041), and the PSDI (p = 0.023). Conclusions: Post-cardiac surgery cardiac rehabilitation was associated with increased symptoms of psychological discomfort, as compared with the general population. The amplitude of psychological distress, depression, and hostility are associated with limited improvement in performance. These data strengthen the need for psychological support during cardiac rehabilitation programs.
引用
收藏
页数:12
相关论文
共 50 条
  • [41] Nitroglycerin Prescription and Potency in Patients Participating in Exercise-Based Cardiac Rehabilitation
    Zimmerman, Franklin H.
    Fass, Arthur E.
    Katz, Dina R.
    Low, Murray
    Franklin, Barry A.
    JOURNAL OF CARDIOPULMONARY REHABILITATION AND PREVENTION, 2009, 29 (06) : 376 - 379
  • [42] Changes of heart rate recovery after exercise-based cardiac rehabilitation
    Park, WH
    Jae, SY
    Oh, S
    Kim, SM
    Hong, KP
    MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2004, 36 (05): : S215 - S215
  • [43] A scoping review of exercise-based cardiac rehabilitation for patients with aortic dissection
    Feng, Danni
    Ke, Jian
    Huang, Sufang
    Lang, Xiaorong
    REVIEWS IN CARDIOVASCULAR MEDICINE, 2021, 22 (03) : 613 - 624
  • [44] Exercise-based cardiac rehabilitation for adults after heart valve surgery
    Abraham, Lizette N.
    Sibilitz, Kirstine L.
    Berg, Selina K.
    Tang, Lars H.
    Risom, Signe S.
    Lindschou, Jane
    Taylor, Rod S.
    Borregaard, Britt
    Zwisler, Ann-Dorthe
    COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2021, (05):
  • [45] Exercise-based Cardiac Rehabilitation in Coronary Disease: Training Impulse or Modalities?
    Lepretre, P. -M.
    Ghannem, M.
    Bulvestre, M.
    Ahmaidi, S.
    Delanaud, S.
    Weissland, T.
    Lopes, P.
    INTERNATIONAL JOURNAL OF SPORTS MEDICINE, 2016, 37 (14) : 1144 - 1149
  • [46] Exercise-based cardiac rehabilitation for adults after heart valve surgery
    Sibilitz, Kirstine L.
    Berg, Selina K.
    Tang, Lars H.
    Risom, Signe S.
    Gluud, Christian
    Lindschou, Jane
    Kober, Lars
    Hassager, Christian
    Taylor, Rod S.
    Zwisler, Ann-Dorthe
    COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2016, (03):
  • [47] Factors associated with non-attendance at exercise-based cardiac rehabilitation
    Borg, Sabina
    Oberg, Birgitta
    Leosdottir, Margret
    Lindolm, Daniel
    Nilsson, Lennart
    Back, Maria
    BMC SPORTS SCIENCE MEDICINE AND REHABILITATION, 2019, 11 (1)
  • [48] Exercise-based cardiac rehabilitation: different angles to grasp its beauty
    Falter, Maarten
    Scherrenberg, Martijn
    Kaihara, Toshiki
    Dendale, Paul
    EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 2022, 29 (16) : 2135 - 2136
  • [49] The Efficacy of Exercise-Based Cardiac Rehabilitation The Changing Face of Usual Care
    Taylor, Rod S.
    Anderson, Lindsey
    Oldridge, Neil
    Thompson, David R.
    Zwisler, Ann-Dorthe
    Dalal, Hasnain
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 69 (09) : 1207 - 1208
  • [50] Exercise-Based Approaches to Dysphagia Rehabilitation
    Steele, Catriona M.
    STEPPING STONES TO LIVING WELL WITH DYSPHAGIA, 2012, 72 : 109 - 117