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Pah AM, Buleu NF, Tudor A, et al. Evaluation of Psychological Stress Parameters in Coronary Patients by Three Different Questionnaires as Pre-Requisite for Comprehensive Rehabilitation. Brain Sci. 2020;10(5)doi: 10.3390/brainsci10050316.
Pah, A. M., Buleu, N. F., Tudor, A., Christodorescu, R., Velimirovici, D., Iurciuc, S., Rada, M., Stoichescu-Hogea, G., Badalica-Petrescu, M., Georgescu, D., Nutiu, D., Iurciuc, M., & Dragan, S. (2020). Evaluation of Psychological Stress Parameters in Coronary Patients by Three Different Questionnaires as Pre-Requisite for Comprehensive Rehabilitation. Brain sciences, 10(5), . https://doi.org/10.3390/brainsci10050316
Pah, Ana Maria, et al. "Evaluation of Psychological Stress Parameters in Coronary Patients by Three Different Questionnaires as Pre-Requisite for Comprehensive Rehabilitation." Brain sciences vol. 10,5 (2020). doi: https://doi.org/10.3390/brainsci10050316
Pah AM, Buleu NF, Tudor A, Christodorescu R, Velimirovici D, Iurciuc S, Rada M, Stoichescu-Hogea G, Badalica-Petrescu M, Georgescu D, Nutiu D, Iurciuc M, Dragan S. Evaluation of Psychological Stress Parameters in Coronary Patients by Three Different Questionnaires as Pre-Requisite for Comprehensive Rehabilitation. Brain Sci. 2020 May 22;10(5). doi: 10.3390/brainsci10050316. PMID: 32455944; PMCID: PMC7288090.
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Brain Sci. 2020 May 22;10(5). doi: 10.3390/brainsci10050316.

Evaluation of Psychological Stress Parameters in Coronary Patients by Three Different Questionnaires as Pre-Requisite for Comprehensive Rehabilitation.

Brain sciences

Ana Maria Pah, Nicoleta Florina Buleu, Anca Tudor, Ruxandra Christodorescu, Dana Velimirovici, Stela Iurciuc, Maria Rada, Gheorghe Stoichescu-Hogea, Marius Badalica-Petrescu, Doina Georgescu, Dorina Nutiu, Mircea Iurciuc, Simona Dragan

Affiliations

  1. Department of Cardiology, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  2. Institute of Cardiovascular Diseases, 300020 Timisoara, Romania.
  3. Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  4. Department of Internal Medicine, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.

PMID: 32455944 PMCID: PMC7288090 DOI: 10.3390/brainsci10050316

Abstract

BACKGROUND: Negative psychological conditions are common in patients with cardiovascular diseases. Although depression has been scrutinized over the years in these patients, only recently has anxiety emerged as another important risk factor. The purpose of this study was to compare the parameters of psychological stress in a population of coronary patients with and without myocardial revascularization procedures and to analyze lifestyle and socio-economic contributors to the state of health of these patients before inclusion in a comprehensive individualized rehabilitation program.

METHODS: This study included 500 patients with coronary artery disease (CAD) in stable condition divided in 2 groups: 200 patients who underwent coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA) (Group 1) and 300 patients without myocardial revascularization (Group 2) with stable angina or thrombolyzed myocardial infarction. The protocol included screening for anxiety/depression after procedure using three different scales: Duke Anxiety-Depression Scale, Hospital Anxiety and Depression Scale (HADS) and the Type D Personality Scale (DS-14) scale that evaluates negative affectivity (NA) and social inhibition (SI).

RESULTS: Significant differences between groups were observed for HAD-A (9.1 ± 4.18 for Group 1 vs. 7.8 ± 4.03 for Group 2,

CONCLUSIONS: The results obtained in this study provide a framework for monitoring anxiety, depression and type D personality in coronary patients before inclusion in comprehensive rehabilitation programs. Behavioral and psychological stress responses in patients with CAD significantly correlate with risk factors, and could influence the evolution of the disease. Moreover, other factors like gender, income and marital status also seem to play a decisive role. Evaluation of psychological stress parameters contributes to a better individualization at the start of these programs, because it allows adjusting of all potential factors that may influence positive outcomes.

Keywords: anxiety; comprehensive rehabilitation; coronary artery disease; depression; psychological stress parameters

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