Using a patient-generated mental-health measure 'PSYCHLOPS' to explore problems in patients with coronary heart disease.
نویسندگان
چکیده
BACKGROUND Patients with coronary heart disease (CHD) who are depressed have an increased risk of further cardiac events and higher mortality. AIM To use a patient generated instrument (PSYCHLOPS) to define categories of concerns in patients with CHD. To define the psychometric characteristics of patients in each category. DESIGN AND SETTING Cross-sectional study set in general practices in south London. METHOD Of 3325 patients on the CHD registers in 15 general practices, 655 completed six baseline psychometric and functional instruments: PSYCHLOPS, HADS-Depression, HADS-Anxiety, Clinical Interview Schedule-Revised, SF12-Mental and SF12-Physical. Content analysis was used to categorise patients based on their main problem, as elicited by PSYCHLOPS. Mean psychometric scores were adjusted for confounding by age, sex, deprivation and ethnicity and calculated for each response category. RESULTS Response categories were: physical problems, both non-cardiac (23.2%) and cardiac (6.0%); social problems: relationship/family (18.2%), money (7.5%), work (3.1%); functional (9.8%); psychological (6.9%); miscellaneous (7.3%); 'no problem' (18.2%). The highest psychological distress scores were found in 'physical, cardiac' and 'psychological' categories. The 'no problem' category had significantly lower psychological distress and higher functional capacity than other categories. CONCLUSIONS PSYCHLOPS enabled the identification of subtypes of CHD patients, based on a classification of self-reported problems. A high proportion of CHD patients report social problems. Psychological distress was highest in those reporting cardiac or psychological symptoms. Services should be aligned to the reported needs of patients.
منابع مشابه
Safa M1, Saki M2, Matin-rohani Sh3 1. Assistant Professor, Department of psychiatry, Faculty of Medicine, Lorestan University of Medical Sciences 2. Instructor, Department of Nursing, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences 3. GP Abstract Background: Coronary heart disease as a reason for mortality is occurring with psychiatric disorders. This descriptive- an...
متن کاملAssociation between Mental Health and Coronary Heart Disease: A Prospective Cohort Study
Background and purpose: According to some evidence, psychological factors play an important role in the development and progression of cardiac diseases. But there are contradictions about the independent relationship between psychological distress and coronary heart disease. The purpose of this study was to examine the association between mental health and non-fatal coronary heart disease (CH...
متن کاملStudy of mental health of the patients who need coronary angiography and its relationship with drug abuse
Safa M1, Saki M2, Matin-rohani Sh3 1. Assistant Professor, Department of psychiatry, Faculty of Medicine, Lorestan University of Medical Sciences 2. Instructor, Department of Nursing, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences 3. GP Abstract Background: Coronary heart disease as a reason for mortality is occurring with psychiatric disorders. This descriptive- an...
متن کاملThe Role of Emotions Regulation, Perceived Stress, Rumination and Anxiety in Patients with Ischemic Heart Disease and Healthy Control
Background & aim: Different psychological factors may have a negative effect on our physical health and may also cause or exacerbate various diseases such as heart disease. The purpose of the present study was to compare stress, emotional suppression, rumination and anxiety in two groups of patients with coronary artery disease and healthy subjects. Methods: This descriptive cross-sectional...
متن کاملTHE RELATIONSHIP BETWEEN HEALTH ANXIETY, SOCIAL SUPPORT, AND COGNITIVE EMOTION REGULATION WITH THE MOTIVATION TO CHANGE THE BEHAVIOR OF PATIENTS WITH CORONARY HEART DISEASE IN URMIA CITY, IRAN
Background & Aims: This study aimed to investigate the relationship between health anxiety, social support, cognitive emotion regulation strategies (or cognitive adaptive strategies), and the health behavior motivation of coronary heart patients in Urmia City. Materials & Methods: This research was a descriptive correlational study. The study population included all coronary heart patients in ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The British journal of general practice : the journal of the Royal College of General Practitioners
دوره 64 623 شماره
صفحات -
تاریخ انتشار 2014