Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지
DOI QR코드

DOI QR Code

Poor Health-Related Quality of Life and Proactive Primary Control Strategy May Act as Risk Factors for Acute Coronary Syndrome

  • Seo, Jihyeon (Department of Psychology, Yonsei University) ;
  • Lee, Yoonpyo (Division of Cardiology, School of Medicine, Ewha Womans University Mokdong Hospital) ;
  • Kang, Seokhyung (Division of Cardiology, School of Medicine, Ewha Womans University Mokdong Hospital) ;
  • Chun, Hyejin (Department of Health Promotion Center, School of Medicine, Ewha Womans University Mokdong Hospital) ;
  • Pyun, Wook Bum (Division of Cardiology, School of Medicine, Ewha Womans University Mokdong Hospital) ;
  • Park, Seong-Hoon (Division of Cardiology, School of Medicine, Ewha Womans University Mokdong Hospital) ;
  • Chung, Kyong-Mee (Department of Psychology, Yonsei University) ;
  • Chung, Ick-Mo (Division of Cardiology, School of Medicine, Ewha Womans University Mokdong Hospital)
  • Received : 2014.10.13
  • Accepted : 2014.12.11
  • Published : 2015.03.30
⟨ Previous Next ⟩

Abstract

Background and Objectives: Increasing evidence supports that psychological factors may be related to development of coronary artery disease (CAD). Although psychological well-being, ill-being, and control strategy factors may play a significant role in CAD, rarely have these factors been simultaneously examined previously. We assessed comprehensive psychological factors in patients with acute coronary syndrome (ACS). Subjects and Methods: A total of 85 ACS patients (56 unstable angina, 29 acute myocardial infarction; $52.6{\pm}10.2years$; M/F=68/17) and 63 healthy controls ($48.7{\pm}6.7years$, M/F=43/20) were included. Socio-demographic information, levels of psychological maladjustment, such as anxiety, hostility, and job stress, health-related quality of life (HRQoL), and primary and secondary control strategy use were collected through self-report questionnaires. Results: There was no significant difference between the ACS group and control group in levels of anxiety, hostility, and job stress. However, ACS patients had significantly lower scores on the general health perception and bodily pain subscales of HRQoL than the control group. The ACS group, as compared with the controls, tended to use primary control strategies more, although not reaching statistical significance by univariate analysis. Multivariate logistic regression analysis after adjusting age and gender identified the physical domain of HRQoL {odds ratio (OR)=0.40}, primary control strategy (OR=1.92), and secondary control strategy (OR=0.53) as independent predictors of ACS. Conclusion: Poor HRQoL and primary control strategy, proactive behaviors in achieving ones' goal, may act as risk factors for ACS, while secondary control strategy to conform to current situation may act as a protective factor for ACS.

Keywords

Acknowledgement

Grant : 글로벌 창의인재 양성 심리과학 사업단

References

  1. Mendis S, Puska P, Norrving B. Global atlas on cardiovascular disease prevention and control. Geneva: World Health Organization; 2011.
  2. Strike PC, Steptoe A. Psychosocial factors in the development of coronary artery disease. Prog Cardiovasc Dis 2004;46:337-47. https://doi.org/10.1016/j.pcad.2003.09.001
  3. Lehto S, Koukkunen H, Hintikka J, Viinamäki H, Laakso M, Pyorala K. Depression after coronary heart disease events. Scand Cardiovasc J 2000;34:580-3. https://doi.org/10.1080/140174300750064512
  4. Lavie CJ, Milani RV. Prevalence of anxiety in coronary patients with improvement following cardiac rehabilitation and exercise training. Am J Cardiol 2004;93:336-9. https://doi.org/10.1016/j.amjcard.2003.10.015
  5. Barth J, Schumacher M, Herrmann-Lingen C. Depression as a risk factor for mortality in patients with coronary heart disease: a meta-analysis. Psychosom Med 2004;66:802-13. https://doi.org/10.1097/01.psy.0000146332.53619.b2
  6. Roest AM, Martens EJ, de Jonge P, Denollet J. Anxiety and risk of incident coronary heart disease: a meta-analysis. J Am Coll Cardiol 2010;56:38-46. https://doi.org/10.1016/j.jacc.2010.03.034
  7. Chida Y, Steptoe A. The association of anger and hostility with future coronary heart disease: a meta-analytic review of prospective evidence. J Am Coll Cardiol 2009;53:936-46. https://doi.org/10.1016/j.jacc.2008.11.044
  8. Kivimaki M, Virtanen M, Elovainio M, Kouvonen A, Väänänen A, Vahtera J. Work stress in the etiology of coronary heart disease--a meta-analysis. Scand J Work Environ Health 2006;32:431-42. https://doi.org/10.5271/sjweh.1049
  9. Westin L, Carlsson R, Israelsson B, Willenheimer R, Cline C, McNeil TF. Quality of life in patients with ischaemic heart disease: a prospective controlled study. J Intern Med 1997;242:239-47. https://doi.org/10.1046/j.1365-2796.1997.00203.x
  10. Xie J, Wu EQ, Zheng ZJ, Sullivan PW, Zhan L, Labarthe DR. Patient-reported health status in coronary heart disease in the United States: age, sex, racial, and ethnic differences. Circulation 2008;118:491-7. https://doi.org/10.1161/CIRCULATIONAHA.107.752006
  11. Ryff CD, Dienberg Love G, Urry HL, et al. Psychological well-being and ill-being: do they have distinct or mirrored biological correlates? Psychother Psychosom 2006;75:85-95. https://doi.org/10.1159/000090892
  12. Huppert FA, Whittington JE. Evidence for the independence of positive and negative well-being: implications for quality of life assessment. Br J Health Psychol 2003;8(Pt 1):107-22. https://doi.org/10.1348/135910703762879246
  13. Chipperfield JG, Perry RP, Menec VH. Primary and secondary controlenhancing strategies: implications for health in later life. J Aging Health 1999;11:517-39. https://doi.org/10.1177/089826439901100403
  14. Chipperfield JG, Perry RP. Primary- and secondary-control strategies in later life: predicting hospital outcomes in men and women. Health Psychol 2006;25:226-36. https://doi.org/10.1037/0278-6133.25.2.226
  15. Wrosch C, Heckhausen J, Lachman ME. Primary and secondary control strategies for managing health and financial stress across adulthood. Psychol Aging 2000;15:387-99. https://doi.org/10.1037/0882-7974.15.3.387
  16. Na RH, Son C. The differences of anger experience, mode of anger expression, and depression in the patients with coronary heart disease and the normal controls. Korean J Art Ther 2000;7:87-102.
  17. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56:893-7. https://doi.org/10.1037/0022-006X.56.6.893
  18. Derogatis LR. SCL-90-R version: manual I. Baltimore, MD: Johns Hopkins University Press; 1977.
  19. Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 1998;3:322-55. https://doi.org/10.1037/1076-8998.3.4.322
  20. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-83. https://doi.org/10.1097/00005650-199206000-00002
  21. Gwak JH, Lee MK. Relationship of control strategies and subjective well-being: across young.middle.old adulthood. J Korean Gerontol Soc 2006;26:565-80.
  22. Smith TW, Ruiz JM. Psychosocial influences on the development and course of coronary heart disease: current status and implications for research and practice. J Consult Clin Psychol 2002;70:548-68. https://doi.org/10.1037/0022-006X.70.3.548
  23. Rumsfeld JS, MaWhinney S, McCarthy M Jr, et al. 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. JAMA 1999;281:1298-303. https://doi.org/10.1001/jama.281.14.1298
  24. Westin L, Nilstun T, Carlsson R, Erhardt L. Patients with ischemic heart disease: quality of life predicts long-term mortality. Scand Cardiovasc J 2005;39:50-4. https://doi.org/10.1080/14017430410003903
  25. Weisz JR, Rothbaum FM, Blackburn TC. Standing out and standing in:the psychology of control in America and Japan. Am Psychol 1984;39:955-69. https://doi.org/10.1037/0003-066X.39.9.955
  26. Siegman AW, Townsend ST, Civelek AC, Blumenthal RS. Antagonistic behavior, dominance, hostility, and coronary heart disease. Psychosom Med 2000;62:248-57. https://doi.org/10.1097/00006842-200003000-00017
  27. Kawachi I, Sparrow D, Vokonas PS, Weiss ST. Symptoms of anxiety and risk of coronary heart disease. The Normative Aging Study. Circulation 1994;90:2225-9. https://doi.org/10.1161/01.CIR.90.5.2225
  28. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 1999;99:2192-217. https://doi.org/10.1161/01.CIR.99.16.2192
  29. Backe EM, Seidler A, Latza U, Rossnagel K, Schumann B. The role of psychosocial stress at work for the development of cardiovascular diseases: a systematic review. Int Arch Occup Environ Health 2012;85:67-79. https://doi.org/10.1007/s00420-011-0643-6
  30. An K, De Jong MJ, Riegel BJ, et al. A cross-sectional examination of changes in anxiety early after acute myocardial infarction. Heart Lung 2004;33:75-82. https://doi.org/10.1016/j.hrtlng.2003.12.007

Cited by

  1. Predictors of Clinical Anxiety Aggravation at the End of a Cardiac Rehabilitation Program vol.5, pp.1, 2015, https://doi.org/10.5812/cardiovascmed.30091
  2. Health-related quality of life in coronary heart disease: a systematic review and meta-analysis mapped against the International Classification of Functioning, Disability and Health vol.27, pp.10, 2015, https://doi.org/10.1007/s11136-018-1885-5
  3. Cardiovascular reactivity to social stress is associated with health related quality of life in patients after acute coronary syndromes vol.29, pp.suppl1, 2015, https://doi.org/10.1016/j.euroneuro.2018.11.770
  4. Mediating Effect of Physical Activity in the Relationship between Depressive Symptoms and Health-related Quality of Life in Patients with Coronary Artery Disease: The 2016 Nationwide Community Health vol.31, pp.6, 2015, https://doi.org/10.7475/kjan.2019.31.6.691
  5. The association of cardiovascular reactivity during the Trier Social Stress Test with quality of life in coronary artery disease patients vol.126, pp.None, 2019, https://doi.org/10.1016/j.jpsychores.2019.109824
  6. Factors related to perceived control and health‐related quality of life of patients after acute coronary syndrome during admission and after discharge vol.18, pp.2, 2015, https://doi.org/10.1111/jjns.12404