Cardiovascular symptoms in coronary-artery disease patients are strongly correlated with emotional distress
Cardiovascular symptoms in coronary-artery disease patients are strongly correlated with emotional distress
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DOI：
10.1176/appi.psy.49.3.230
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发表时间：
2008-05-01
期刊：
影响因子：
3.4
通讯作者：
Deveshwar, S.
中科院分区：
文献类型：
--
作者：
Ketterer, Mark W.;Keteyian, S. J.;Deveshwar, S.
背景资料：心血管事件和心血管症状的关系尚不清楚，已知身体症状，包括大多数心血管症状，会受到情绪困扰的影响。目的：作者检查了多种情绪困扰指标和公认的心脏危险因素与五种常见心脏症状（胸痛、疲劳、心悸、晕厥先兆和呼吸困难）的相关性的相对强度。方法：作者测试了多种心血管症状与各种情绪困扰指标的相关性（即，症状自评量表-90-修订版）和疾病状态的推定危险因素在109例有记录的冠状动脉疾病患者中进行。结果：与传统的危险因素相比，情绪困扰的措施与患者因症状而产生的痛苦有更强的相关性。结论：情绪困扰的治疗可能是一个可行的策略，以控制心血管疾病。
Background: The relationship of cardiovascular events and cardiovascular symptoms is unclear, and physical symptoms, including most cardiovascular symptoms, are known to be influenced by emotional distress. Objective: Authors examined the relative strength of association of multiple measures of emotional distress and accepted cardiac risk factors with five common cardiac symptoms (chest pain, fatigue, palpitations, presyncope, and dyspnea). Method: The authors tested the association of multiple cardiovascular symptoms with various measures of emotional distress (i.e., the scales of the Symptom Checklist-90-Revised) and the putative risk factors for disease status in 109 patients with documented coronary artery disease. Results: Measures of emotional distress were stronger correlates of patient-rated distress due to the symptoms than were traditional risk factors. Conclusion: Treatment of emotional distress may be a viable strategy for symptom-control in cardiovascular disease.