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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2008

Open Access 01-12-2008 | Research

Associations between disease severity, coping and dimensions of health-related quality of life in patients admitted for elective coronary angiography – a cross sectional study

Authors: Bjørg Ulvik, Ottar Nygård, Berit R Hanestad, Tore Wentzel-Larsen, Astrid K Wahl

Published in: Health and Quality of Life Outcomes | Issue 1/2008

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Abstract

Background

In patients with suspected coronary artery disease (CAD), the overall aim was to analyse the relationships between disease severity and both mental and physical dimensions of health related quality of life (HRQOL) using a modified version of the Wilson and Cleary model.

Methods

Using a cross-sectional design, 753 patients (74% men), mean age 62 years, referred for elective cardiac catheterisation were included. The measures included 1) physiological factors 2) symptoms (disease severity, self-reported symptoms, anxiety and depression 3) self-reported functional status, 4) coping, 5) perceived disease burden, 6) general health perception and 7) overall quality of life. To analyse relationships, we performed linear and ordinal logistic regressions.

Results

CAD and left ventricular ejection fraction (LVEF) were significantly associated with symptoms of angina pectoris and dyspnea. CAD was not related to symptoms of anxiety and depression, but less depression was found in patients with low LVEF. Angina pectoris and dyspnea were both associated with impaired physical function, and dyspnea was also negatively related to social function. Overall, less perceived burden and better overall QOL were observed in patients using more confronting coping strategy.

Conclusion

The present study demonstrated that data from cardiac patients to a large extent support the suggested model by Wilson and Cleary.
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Literature
1.
2.
Anderson KL, Burckhardt CS: Conceptualization and measurement of quality of life as an outcome variable for health care intervention and research. J Adv Nurs 1999, 29(2):298–306. 10.1046/j.1365-2648.1999.00889.xCrossRefPubMed
3.
Ruo B, Rumsfeld JS, Hlatky MA, Liu H, Browner WS, Whooley MA: Depressive symptoms and health-related quality of life: the Heart and Soul Study. JAMA 290(2):215–221. 2003 Jul 9 10.1001/jama.290.2.215
4.
Sullivan M: The new subjective medicine: taking the patient's point of view on health care and health. Soc Sci Med 2003, 56(7):1595–1604. 10.1016/S0277-9536(02)00159-4CrossRefPubMed
5.
Wilson IB, Cleary PD: Linking Clinical Variables With Health-Related Quality of Life:A Conceptual Model of Patient Outcomes. JAMA 273(1):59–65. 1995 january 4 10.1001/jama.273.1.59
6.
Wood-Dauphine S: Assessing Quality of Life in Clinical Reasearch: From Where Have We Come and Where Are We Going? J Clin Epidemiol 1999, 52(4):355–363. 10.1016/S0895-4356(98)00179-6CrossRef
7.
Thompson DR, Yu CM: Quality of life in patients with coronary heart disease-I: Assessment tools. Health Qual Life Outcomes 1(1):42. 2003 Oct 10 10.1186/1477-7525-1-42
8.
Fayers PM, Machin D: Quality of Life: Assessment, Analysis and Interpretation. Chichester New York Weinheim Brisbane Singapore Toronto: John Wiley & Sons, LTD; 2000.CrossRef
9.
Sousa KH, Chen FF: A Theoretical Approach to Measuring Quality of Life. J Nurs Meas 2002, 10(1):47–58. 10.1891/jnum.10.1.47.52545CrossRefPubMed
10.
Höfer S, Benzer W, Alber H, Ruttmann E, Kopp M, Schüssler G, Doering S: Determinants of health-related quality of life in coronary artery disease patients: a prospective study generating a structural equation model. Psychosomatics 2005, 46(3):212–223. 10.1176/appi.psy.46.3.212CrossRefPubMed
11.
Sullivan M, LaCroix A, Baum C, Resnick A, Pabiniak C, Grothaus L, Katon W, Wagner E: Coronary disease severity and functional impairment: how strong is the relation? J Am Geriatr Soc 1996, 44(12):1461–1465.CrossRefPubMed
12.
Gehi AK, Rumsfeld JS, Liu H, Schiller NB, Whooley MA: Relation of self-reported angina pectoris to inducible myocardial ischemia in patients with known coronary artery disease: the Heart and Soul Study. Am J Cardiol 92(6):705–707. 2003 Sep 15 10.1016/S0002-9149(03)00831-2
13.
Mattera JA, Mendes de Leon C, Wackers FJT, Williams CS, Wang YX, Krumholz HM: Association of patients'perception of health status and exercise electrocardiogram, myocardial perfusion imaging, and ventricular function measures. Am Heart J 2000, 140(3):409–418. 10.1067/mhj.2000.108518CrossRefPubMed
14.
Mathisen L, Andersen MH, Veenstra M, Wahl AK, Hanestad BR, Fosse E: Quality of life can both influence and be an outcome of general health perceptions after heart surgery. Health Qual Life Outcomes 2007, 5: 27. 10.1186/1477-7525-5-27PubMedCentralCrossRefPubMed
15.
Janz NK, Janevic MR, Dodge JA, Fingerlin TE, Schork MA, Mosca LJ, Clark NM: Factors influencing quality of life in older women with heart disease. Med Care 2001, 39(6):588–598. 10.1097/00005650-200106000-00007CrossRefPubMed
16.
van Elderen T, Maes S, Dusseldorp E: Coping with Coronary Heart Disease: A Longitudinal Study. J Psychosom Res 1999, 47(2):175–183. 10.1016/S0022-3999(99)00024-0CrossRefPubMed
17.
Aldwin CM, Park CL: Coping and physical health outcomes: An overview. Psychology and health 2004, 19(3):277–281. 10.1080/0887044042000193514CrossRef
18.
Folkman S, Moskowitz JT: Coping: pitfalls and promise. Annu Rev Psychol 2004, 55: 745–774. 10.1146/annurev.psych.55.090902.141456CrossRefPubMed
19.
Lazarus RS, Folkman S: Stress, Appraisal, and Coping. New York: Springer Publishing Company, New York; 1984.
20.
Stanton AL, Revenson TA, Tennen H: Health psychology: psychological adjustment to chronic disease. Annu Rev Psychol 2007, 58: 565–592. 10.1146/annurev.psych.58.110405.085615CrossRefPubMed
21.
Spertus JA, Dawson J, Masoudi FA, Krumholz HM, Reid KJ, Peterson ED, Rumsfeld JS: Prevalence and predictors of angina pectoris one month after myocardial infarction. The American journal of cardiology 98(3):282–288. 2006 Aug 1 10.1016/j.amjcard.2006.01.099
22.
Rumsfeld JS: Health status and clinical practice: when will they meet? Circulation 106(1):5–7. 2002 Jul 2 10.1161/01.CIR.0000020805.31531.48CrossRefPubMed
23.
Ulvik B, Wentzel-Larsen T, Hanestad BR, Omenaas E, Nygard OK: Relationship between provider-based measures of physical function and self-reported health-related quality of life in patients admitted for elective coronary angiography. Heart Lung 2006, 35(2):90–100. 10.1016/j.hrtlng.2005.07.003CrossRefPubMed
24.
Campeau L: Grading of Angina Pectoris: letter. Circulation 1976, 54(3):522–523.PubMed
25.
Cox J, Naylor CD: The Canadian Cardiovascular Society Grading Scale for Angina Pectoris: is it time for refinements? Ann Intern Med 1992, 117(8):677–683.CrossRefPubMed
26.
Spertus JA, Winder JA, Dewhurst TA, Deyo RA, Prodzinski J, McDonell MB, Fihn SD: Development and Evaluation of the Seattle Angina Questionnaire: A New Functional Status Measur for Coronary Artery Disease. J Am Coll Cardiol 1995, 25(2):333–341. 10.1016/0735-1097(94)00397-9CrossRefPubMed
27.
Spertus JA, Jones P, McDonell M, Fan VS, Fihn SD: Health Status Predicts Long-Term Outcome in Outpatients With Coronary Disease. Circulation 2002, 106(1):43–49. 10.1161/01.CIR.0000020688.24874.90CrossRefPubMed
28.
Pettersen KI, Reikvam A, Stavem K: Reliability and validity of the Norwegian translation of the Seattle Angina Questionnaire following myocardial infarction. Qual Life Res 2005, 14(3):883–889. 10.1007/s11136-004-0802-2CrossRefPubMed
29.
Snaith RP, Zigmond AS: The Hospital Anxiety and Depression Scale manual.: The NFER-NELSON publishing Company Ltd. 1994.
30.
Zigmond AS, Snaith RP: The Hospital Anxiety and Depresssion Scale. Acta Psychiatr Scand 1983, 67: 361–370. 10.1111/j.1600-0447.1983.tb09716.xCrossRefPubMed
31.
Ware JE, Snow KK, Kosinski M, Gandek B: SF-36 Health Survey Manual & Interpretation Guide. Boston, Massachusetts: The Health Institute, New England Medical Center; 1997.
32.
Dempster M, Donelly M: Measuring the health related quality of life of people with ischaemic heart disease. Heart 2000, 83(6):641–644. 10.1136/heart.83.6.641PubMedCentralCrossRefPubMed
33.
Failde I, Ramos I: Validity and reliability of the SF-36 Health Survey Questionnaire in patients with coronary artery disease. J Clin Epidemiol 2000, 53: 359–365. 10.1016/S0895-4356(99)00175-4CrossRefPubMed
34.
Jalowiec A: The Jalowiec Coping Scale. In Measurement of nursing outcomes. Edited by: Strickland OL. New York: Springer; 2003:71–97.
35.
Wahl A, Moum T, Hanestad BR, Wiklund I, Kalfoss MH: Adapting the Jalowiec Coping Scale in Norwegian adult psoriasis patients. Qual Life Res 1999, 8(5):435–445. 10.1023/A:1008995905936CrossRefPubMed
36.
Ulvik B, Backer Johnsen T, Nygård O, Hanestad BR, Wahl AK, Wentzel-Larsen T: Factor structure of the revised Jalowiec Coping Scale in patients admitted for elective coronary angiography. Scandinavian Journal of Caring Sciences 2007, in press.
37.
Holmen J, Midthjell K: The Nord-Trøndelag Health Survey 1984–86. SIFF report 4 1990.
38.
Fayers PM, Machin D: Quality of life. The assessment, analysis and interpretation of patient-reported outcomes. Chichester: Wiley; 2007.
39.
40.
R. Development Core Team: R: A Language and Environment for Statistical Computing. Foundation for Statistical Computing. Vienna, Austria; 2006.
41.
Spertus JA, McDonell M, Woodman CL, Fihn SD: Association between depression and worse disease-specific functional status in outpatients with coronary artery disease. Am Heart J 2000, 140(1):105–110. 10.1067/mhj.2000.106600CrossRefPubMed
42.
Schuijf JD, Shaw LJ, Wijns W, Lamb HJ, Poldermans D, de Roos A, Wall EE, Bax JJ: Cardiac imaging in coronary artery disease: differing modalities. Heart 2005, 91(8):1110–1117. 10.1136/hrt.2005.061408PubMedCentralCrossRefPubMed
43.
Frasure-Smith N, Lesperance F, Gravel G, Masson A, Juneau M, Talajic M, Bourassa MG: Social support, depression, and mortality during the first year after myocardial infarction. Circulation 101(16):1919–1924. 2000 Apr 25
44.
Frasure-Smith N, Lesperance F: Reflections on depression as a cardiac risk factor. Psychosom Med 2005, 67(Suppl 1):S19–25. 10.1097/01.psy.0000162253.07959.dbCrossRefPubMed
45.
van Melle JP, de Jonge P, Ormel J, Crijns HJ, van Veldhuisen DJ, Honig A, Schene AH, Berg MP: Relationship between left ventricular dysfunction and depression following myocardial infarction: data from the MIND-IT. Eur Heart J 2005, 26(24):2650–2656. 10.1093/eurheartj/ehi480CrossRefPubMed
46.
Folkman S, Greer S: Promoting psychological well-being in the face of serious illness: when theory, research and practice inform each other. Psychooncology 2000, 9(1):11–19. 10.1002/(SICI)1099-1611(200001/02)9:1<11::AID-PON424>3.3.CO;2-QCrossRefPubMed
47.
Stanton AL, Danoff-Burg S, Cameron CL, Bishop M, Collins CA, Kirk SB, Sworowski LA, Twillman R: Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. J Consult Clin Psychol 2000, 68(5):875–882. 10.1037/0022-006X.68.5.875CrossRefPubMed
Metadata
Title
Associations between disease severity, coping and dimensions of health-related quality of life in patients admitted for elective coronary angiography – a cross sectional study
Authors
Bjørg Ulvik
Ottar Nygård
Berit R Hanestad
Tore Wentzel-Larsen
Astrid K Wahl
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2008
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-6-38

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