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Gepubliceerd in:

01-12-2005

Psychological Distress and Exertional Angina in Men and Women Undergoing Thallium Scintigraphy

Auteurs: Karine St-Jean, Bianca D'Antono, Gilles Dupuis

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2005

Abstract

The relation between psychological factors and angina has mostly been studied in male patients with confirmed CAD and few have evaluated this relation during actual provocation of ischemia. This study evaluated gender differences in the association between psychological distress and angina pain experience in 907 Caucasian patients (479 women, mean age = 60 years) undergoing exercise stress testing with thallium scintigraphy. Data were analyzed separately for patients with and without exercise related ischemia using a series of 2 (low/high distress) × 2 (gender) ANOVAs as well as binary logistic regressions. Among all patients, distress and gender were associated with greater risk and intensity of angina pain during testing (p < 0.05) and more angina following exertion (p < 0.05) or stress (p < 0.05) at home. Conclusion: angina pain was more severe in women and individuals with high levels of distress, regardless of their ischemic status. A generalized hypersensitivity to pain/symptoms may be indicated in these patients.

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Titel: Psychological Distress and Exertional Angina in Men and Women Undergoing Thallium Scintigraphy
Auteurs: Karine St-Jean
Bianca D'Antono
Gilles Dupuis
Publicatiedatum: 01-12-2005
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 6/2005
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-005-9024-5

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