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Being hospitalized often causes psychological distress and compromises patients’ psychological well-being, thereby augmenting the burden of illness. The aim of this paper is to investigate two possible determinants of anxiety and depression among hospitalized cardiac patients, namely uncertainty in illness, and coping strategies, controlling for the perceived health-related quality of life, and distinguishing between borderline and pathological levels of anxiety and depression.
Data on anxiety, depression, coping style, uncertainty in illness and self-assessed quality of life concerning 200 cardiac inpatients from a university hospital were collected through validated questionnaires. A biprobit analysis, whose dependent variables are hospital anxiety and depression, was carried out.
Uncertainty in illness has a significant impact on the possibility of crossing the borderline level of both anxiety and depression. The coping strategy of Positive Reappraisal and Growth is inversely and significantly correlated to anxiety and depression, be it borderline or pathological; the Restraint Coping strategy is positively and significantly related to borderline anxiety.
The reduction of uncertainty in illness and the development of adequate coping strategies should be promoted in order to decrease the patients’ risk of crossing the borderline threshold of anxiety and depression.
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Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: results from the World Health Surveys. The Lancet, 370(9590), 851–858. CrossRef
Miceli, M., & Castelfranchi, C. (2005). Anxiety as an “epistemic” emotion: An uncertainty theory of anxiety. Anxiety, Stress, and Coping, 18(4), 291–319. CrossRef
de Voogd, J. N., Sanderman, R., Postema, K., van Sonderen, E., & Wempe, J. B. (2011). Relationship between anxiety and dyspnea on exertion in patients with chronic obstructive pulmonary disease. Anxiety, Stress & Coping, 24(4), 439–449. CrossRef
McInnis, O. A., Matheson, K., & Anisman, H. (2014). Living with the unexplained: coping, distress, and depression among women with chronic fatigue syndrome and/or fibromyalgia compared to an autoimmune disorder. Anxiety, Stress, & Coping, 27(6), 601–618. CrossRef
Rosengren, A., Hawken, S., Ôunpuu, S., Sliwa, K., Zubaid, M., Almahmeed, W. A., & INTERHEART investigators. (2004). Association of psychosocial risk factors with risk of acute myocardial infarction in 11,119 cases and 13,648 controls from 52 countries (the INTERHEART study): case-control study. The Lancet, 364(9438), 953–962. CrossRef
Yohannes, A. M., Willgoss, T. G., Baldwin, R. C., & Connolly, M. J. (2010). Depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease: prevalence, relevance, clinical implications and management principles. International Journal of Geriatric Psychiatry, 25(12), 1209–1221. PubMedCrossRef
Grewal, K., Gravely-Witte, S., Stewart, D. E., & Grace, S. L. (2011). A simultaneous test of the relationship between identified psychosocial risk factors and recurrent events in coronary artery disease patients. Anxiety, Stress & Coping, 24(4), 463–475. CrossRef
Nekouei, Z. K., Yousefy, A., Doost, H. T. N., Manshaee, G., & Sadeghei, M. (2014). Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences, 19(2), 90.
Ekici, B., Ercan, E. A., Cehreli, S., & Töre, H. F. (2013). The effect of emotional status and health-related quality of life on the severity of coronary artery disease. Kardiologia Polska, 72(7), 617–623.
Haworth, J. E., Moniz-Cook, E., Clark, A. L., Wang, M., Waddington, R., & Cleland, J. G. F. (2005). Prevalence and predictors of anxiety and depression in a sample of chronic heart failure patients with left ventricular systolic dysfunction. European Journal of Heart Failure, 7(5), 803–808. PubMedCrossRef
Taylor-Clift, A., Hobfoll, S. E., Gerhart, J. I., Richardson, D., Calvin, J. E., & Powell, L. H. (2015). Posttraumatic stress and depression: Potential pathways to disease burden among heart failure patients. Anxiety, Stress, & Coping, (ahead-of-print), 1–14.
Hocaoglu, C., Yeloglu, C. H., & Polat, S. (2011). Cardiac diseases and anxiety disorders, anxiety and related disorders. In Ã. Szirmai (Ed.), ISBN: 978-953-307-254-8, In Tech. http://www.intechopen.com/books/anxiety-and-related-disorders/cardiac-diseases-and-anxiety-disorders. Accessed 25 October 2015.
Winters, C. A. (1999). Heart failure: Living with uncertainty. Progress in Cardiovascular Nursing, 14(3), 85. PubMed
Lazarus, R. S., & Folkman, S. (1984). Stress appraisal and coping. New York: Springer.
Christman, N. J., McConnell, E. A., Pfeiffer, C., Webster, K. K., Schmitt, M., & Ries, J. (1988). Uncertainty, coping, and distress following myocardial infarction: Transition from hospital to home. Research in Nursing & Health, 11(2), 71–82. CrossRef
Del Rosso, A., Mikhaylova, S., Baccini, M., Lupi, I., Matucci Cerinic, M., & Maddali Bongi, S. (2013). In systemic sclerosis, anxiety and depression assessed by hospital anxiety depression scale are independently associated with disability and psychological factors. BioMed Research International. doi: 10.1155/2013/507493 PubMedPubMedCentral
Mullins, L. L., Chaney, J. M., Balderson, B., & Hommel, K. A. (2000). The relationship of illness uncertainty, illness intrusiveness, and asthma severity to depression in young adults with long-standing asthma. International Journal of Rehabilitation and Health, 5(3), 177–186. CrossRef
Jiang, X., & He, G. (2012). Effects of an uncertainty management intervention on uncertainty, anxiety, depression, and quality of life of chronic obstructive pulmonary disease outpatients. Research in Nursing & Health, 35(4), 409–418. CrossRef
Vedana, L., Baiardi, P., Sommaruga, M., Galli, M., Neri, M., Pedretti, R. F., et al. (2002). Clinical validation of an anxiety and depression screening test for intensive in-hospital rehabilitation. Monaldi Archives Chest Disease, 58(2), 101–106.
Iani, L., Lauriola, M., & Costantini, M. (2014). A confirmatory bifactor analysis of the hospital anxiety and depression scale in an Italian community sample. Health and Quality of Life Outcomes, 12(1), 1–8. CrossRef
Bass, C., Chambers, J. B., Kiff, P. J., Cooper, D., & Gardner, W. N. (1988). Panic anxiety and hyperventilation in patients with chest pain: A controlled study. Quarterly Journal of Medicine, 69(3), 949–959. PubMed
Kuijpers, P. M., Denollet, J., Wellens, H. J., Crijns, H. M., & Honig, A. (2007). Noncardiac chest pain in the emergency department: the role of cardiac history, anxiety or depression and Type D personality. European Journal of Cardiovascular Prevention & Rehabilitation, 14(2), 273–279. CrossRef
Bauer, L. K., Caro, M. A., Beach, S. R., Mastromauro, C. A., Lenihan, E., Januzzi, J. L., & Huffman, J. C. (2012). Effects of depression and anxiety improvement on adherence to medication and health behaviors in recently hospitalized cardiac patients. The American Journal of Cardiology, 109(9), 1266–1271. PubMedCrossRef
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scand., 67(6), 361–370. CrossRef
Le Fevre, P., Devereux, J., Smith, S., Lawrie, S. M., & Cornbleet, M. (1999). Screening for psychiatric illness in the palliative care inpatient setting: A comparison between the Hospital Anxiety and Depression Scale and the General Health Questionnaire-12. Palliative Medicine, 13(5), 399–407. PubMedCrossRef
Dowson, C., Laing, R., Barraclough, R., Town, I., Mulder, R., Norris, K., & Drennan, C. (2001). The use of the Hospital Anxiety and Depression Scale (HADS) in patients with chronic obstructive pulmonary disease: A pilot study. The New Zealand Medical Journal, 114(1141), 447–449. PubMed
Scheier, M. F., Matthews, K. A., Owens, J. F., Magovern, G. J., Lefebvre, R. C., Abbott, R. A., & Carver, C. S. (1989). Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being. Journal of Personality and Social Psychology, 57(6), 1024. PubMedCrossRef
Ben-Zur, H., Rappaport, B., Ammar, R., & Uretzky, G. (2000). Coping strategies, life style changes, and pessimism after open-heart surgery. Health & Social Work, 25(3), 201–209. CrossRef
Sica, C., Novara, C., Dorz, S., & Sanavio, E. (1997). Coping strategies: Evidence for cross-cultural differences? A preliminary study with the Italian version of coping orientations to problems experienced (COPE). Personality and Individual Differences, 23(6), 1025–1029. CrossRef
Sica, C., Magni, C., Ghisi, M., Altoè, G., Sighinolfi, C., Chiri, L. R., & Franceschini, S. (2008). Coping Orientation to Problems Experienced-Nuova Versione Italiana (COPE-NVI): Uno strumento per la misura degli stili di coping. Psicoterapia Cognitiva e Comportamentale, 14(1), 27.
Mishel, M. H. (1997). Uncertainty in illness scales manual. Unpublished manual. Chapel Hill, NC: University of North Carolina.
Staples, P., & Jeffrey, J. (1996). Quality of life, hope, and uncertainty of cardiac patients and their spouses before coronary artery bypass surgery. Canadian Journal of Cardiovascular = Journal canadien en soins infirmiers cardio-vasculaires, 8(1), 7–16.
Heckman, J. (1978). Dummy endogenous variables in a simultaneous equation system. Econometrica, 46(4), 931–959. CrossRef
Maddala, G. S. (1986). Limited-dependent and qualitative variables in econometrics (No. 3). Cambridge: Cambridge University Press.
StataCorp. (2007). Stata statistical software: Release 10. College Station, TX: StataCorp LP.
Hardin, J. W. (1996). Bivariate probit models. Stata Technical Bulletin 33, 15–20. Reprinted in Stata Technical Bulletin Reprints, vol. 6, pp. 152–158. College Station, TX: Stata Press.
Tyrer, P., Cooper, S., Salkovskis, P., Tyrer, H., Crawford, M., Byford, S., et al. (2014). Clinical and cost-effectiveness of cognitive behaviour therapy for health anxiety in medical patients: a multicentre randomised controlled trial. The Lancet, 383(9913), 219–225. CrossRef
Van der Zee, K. I., Huet, R. G., Cazemier, C., & Evers, K. (2002). The influence of the premedication consult and preparatory information about anesthesia on anxiety among patients undergoing cardiac surgery. Anxiety, Stress & Coping, 15(2), 123–133. CrossRef
Ministero della Salute, Piano Sanitario Nazionale 2011–2013, Jan 21st, 2011. http://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?lingua=italiano&id=1454.
Thorne, B., & Lambers, E. (1999). Person-centred therapy. A European perspective. Thousand Oaks: Sage Publications.
- Coping, uncertainty and health-related quality of life as determinants of anxiety and depression on a sample of hospitalized cardiac patients in Southern Italy
Maria Daniela Giammanco
- Springer International Publishing