Swipe om te navigeren naar een ander artikel
We examined the association between negative and positive affect and 12-month health status in patients treated with percutaneous coronary intervention (PCI) with drug-eluting stents.
Consecutive PCI patients (n = 562) completed the Global Mood Scale at baseline to assess affect and the EuroQoL-5D (EQ-5D) at baseline and 12-month follow-up to assess health status.
Negative affect [F(1, 522) = 17.14, P < .001] and positive affect [F(1, 522) = 5.11, P = .02] at baseline were independent associates of overall health status at 12-month follow-up, adjusting for demographic and clinical factors. Moreover, there was a significant interaction for negative by positive affect [F(1, 522) = 6.11, P = .01]. In domain-specific analyses, high negative affect was associated with problems in mobility, self-care, usual activities, pain/discomfort, and anxiety/depression with the risk being two to fivefold. Low positive affect was only associated with problems in self-care (OR: 8.14; 95% CI: 1.85–35.9; P = .006) and usual activities (OR: 1.87; 95% CI: 1.17–3.00; P = .009).
Baseline negative and positive affect contribute independently to patient-reported health status 12 months post PCI. Positive affect moderated the detrimental effects of negative affect on overall health status. Enhancing positive affect might be an important target to improve patient-centered outcomes in coronary artery disease.
Bullinger, M. (2002). Assessing health related quality of life in medicine. An overview over concepts, methods and applications in international research. Restorative Neurology and Neuroscience, 20(3–4), 93–101. PubMed
Hoffman, S. N., TenBrook, J. A., Wolf, M. P., Pauker, S. G., Salem, D. N., & Wong, J. B. (2003). A meta-analysis of randomized controlled trials comparing coronary artery bypass graft with percutaneous transluminal coronary angioplasty: One- to eight-year outcomes. Journal of the American College of Cardiology, 41(8), 1293–1304. PubMedCrossRef
Lenzen, M. J., Scholte op Reimer, W. J. M., Pedersen, S. S., Boersma, E., Maier, W., Widimsky, P., et al. (2007). The additional value of patient-reported health status in predicting 1-year mortality after invasive coronary procedures: A report from the Euro Heart Survey on coronary revascularisation. Heart, 93(3), 339–344. PubMedCrossRef
Rumsfeld, J. S., MaWhinney, S., McCarthy, M., Shroyer, A. L., VillaNueva, C. B., O’Brien, M., et al. (1999). Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the department of veterans affairs cooperative study group on processes, structures, and outcomes of care in cardiac surgery. Journal of the American Medical Association, 281(14), 1298–1303. PubMedCrossRef
Denollet, J., Pedersen, S. S., Daemen, J., de Jaegere, P., Serruys, P. W., & van Domburg, R. T. (2008). Reduced positive affect (anhedonia) predicts major clinical events following implantation of coronary-artery stents. Journal of Internal Medicine, 263(2), 203–211. PubMed
Tellegen, A., Watson, D., & Clark, L. A. (1999). On the dimensional and hierarchical structure of affect. Psychological Science, 10(4), 297–303. CrossRef
Benyamini, Y., Idler, E. L., Leventhal, H., & Leventhal, E. A. (2000). Positive affect and function as influences on self-assessments of health: Expanding our view beyond illness and disability. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55, 107–116.
Sullivan, M. D., LaCroix, A. Z., Russo, J. E., & Walker, E. A. (2001). Depression and self-reported physical health in patients with coronary disease: Mediating and moderating factors. Psychosomatic Medicine, 63(2), 248–256. PubMed
Spindler, H., Denollet, J., Kruse, C., & Pedersen, S. S. (2009). Positive affect and negative affect correlate differently with distress and health-related quality of life in patients with cardiac conditions: Validation of the Danish global mood scale. Journal of Psychosomatic Research, 67, 57–65. PubMedCrossRef
Denollet, J., & Brutsaert, D. L. (1995). Enhancing emotional well-being by comprehensive rehabilitation in patients with coronary heart disease. European Heart Journal, 16(8), 1070–1078. PubMed
Pelle, A. J., Pedersen, S. S., Szabó, B. M., & Denollet, J. (2009). Beyond Type D personality: Reduced positive affect (anhedonia) predicts impaired health status in chronic heart failure. Quality of Life Research (in press). doi: 10.1007/s11136-009-9485-z.
Lowe, R., Norman, P., & Bennett, P. (2000). Coping, emotion and perceived health following myocardial infarction: Concurrent and predictive associations. British Journal of Health Psychology, 5(4), 337–350. CrossRef
EuroQol-group. (1990). Euroqol-a new facility for the measurement of health-related quality of life. The EuroQol group. Health Policy, 16(3), 199–208. CrossRef
Kind, P., Dolan, P., Gudex, C., & Williams, A. (1998). Variations in population health status: Results from a United Kingdom National Questionnaire survey. British Medical Journal, 316(7133), 736–741. PubMed
Fredrickson, B. L., & Levenson, R. W. (1998). Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cognition and Emotion, 12(2), 191–220. CrossRef
Peterson, C. (1988). Explanatory style as a risk factor for illness. Cognitive Therapy and Research, 12(2), 119–132. CrossRef
Rozanski, A., Blumenthal, J. A., Davidson, K. W., Saab, P. G., & Kubzansky, L. (2005). The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: The emerging field of behavioral cardiology. Journal of the American College of Cardiology, 45(5), 637–651. PubMedCrossRef
Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., et al. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21. PubMedCrossRef
- Negative and positive affect are independently associated with patient-reported health status following percutaneous coronary intervention
Susanne S. Pedersen
Ruud A. M. Erdman
Josephine W. I. van Nierop
Peter de Jaegere
Ron T. van Domburg
- Springer Netherlands