TY - JOUR
T1 - Psychosocial predictors of change in quality of life in patients after coronary interventions
T2 - Comparison of service profiles of Lithuanian primary care physicians in 1994 and GPs in 2004
AU - Skodova, Z.
AU - van Dijk, J.P.
AU - Nagyova, I.
AU - Rosenberger, J.
AU - Ondusova, D.
AU - Middel, B.
AU - Reijneveld, S.A.
PY - 2011
Y1 - 2011
N2 - OBJECTIVE: Health-related quality of life (HRQOL) after coronary interventions (coronary artery bypass grafting, percutaneous transluminal coronary angioplasty) usually improves in patients, but not in all patients. Some patients actually show a significant decline in HRQOL. Our aim was to explore the potential of psychologic well-being (anxiety, depression), vital exhaustion, Type D personality, and socioeconomic position as predictors of HRQOL in patients with coronary disease.METHODS: A total of 106 patients scheduled for coronary angiography were interviewed before (baseline) and 12 to 24 months after coronary angiography. Socioeconomic status was evaluated by education. The General Health Questionnaire 28 was used for measuring psychologic well-being (anxiety, depression), the Maastricht interview was used for measuring vital exhaustion, and the Type D questionnaire was used for measuring personality. HRQOL was assessed using the Short Form-36 (physical and mental components) questionnaire. Functional status was assessed with a combination of New York Heart Association and Canadian Cardiovascular Society classifications. Linear regressions were used to analyze data.RESULTS: A change in physical HRQOL was predicted by baseline psychologic well-being (beta = -.39; 95% confidence interval [CI], -1.00 to -.16) and baseline HRQOL (beta = -.61; 95% CI, -.83 to -.34). A change in mental HRQOL was predicted by (baseline) psychologic well-being (beta = -.37; 95% CI, -.99 to -.09), vital exhaustion (beta = -.21; 95% CI, -.69 to -.03), and baseline HRQOL (beta = -.76; 95% CI, -1.03 to -.44). Ejection fraction did not significantly predict HRQOL.CONCLUSION: Psychosocial factors (psychologic well-being, vital exhaustion) seem to be more important predictors of change in HRQOL compared with some objective medical indicators (ejection fraction) among patients with coronary disease. Cite this article: Skodova, Z., van Dijk, J. P., Nagyova, I., Rosenberger, J., Ondusova, D., Middel, B., & Reijneveld, S. A. (2011, JULY/AUGUST). Psychosocial predictors of change in quality of life inpatients after coronary interventions. Heart & Lung, 40(4), 331-339. doi:10.1016/j.hrtlng.2009.12.007.
AB - OBJECTIVE: Health-related quality of life (HRQOL) after coronary interventions (coronary artery bypass grafting, percutaneous transluminal coronary angioplasty) usually improves in patients, but not in all patients. Some patients actually show a significant decline in HRQOL. Our aim was to explore the potential of psychologic well-being (anxiety, depression), vital exhaustion, Type D personality, and socioeconomic position as predictors of HRQOL in patients with coronary disease.METHODS: A total of 106 patients scheduled for coronary angiography were interviewed before (baseline) and 12 to 24 months after coronary angiography. Socioeconomic status was evaluated by education. The General Health Questionnaire 28 was used for measuring psychologic well-being (anxiety, depression), the Maastricht interview was used for measuring vital exhaustion, and the Type D questionnaire was used for measuring personality. HRQOL was assessed using the Short Form-36 (physical and mental components) questionnaire. Functional status was assessed with a combination of New York Heart Association and Canadian Cardiovascular Society classifications. Linear regressions were used to analyze data.RESULTS: A change in physical HRQOL was predicted by baseline psychologic well-being (beta = -.39; 95% confidence interval [CI], -1.00 to -.16) and baseline HRQOL (beta = -.61; 95% CI, -.83 to -.34). A change in mental HRQOL was predicted by (baseline) psychologic well-being (beta = -.37; 95% CI, -.99 to -.09), vital exhaustion (beta = -.21; 95% CI, -.69 to -.03), and baseline HRQOL (beta = -.76; 95% CI, -1.03 to -.44). Ejection fraction did not significantly predict HRQOL.CONCLUSION: Psychosocial factors (psychologic well-being, vital exhaustion) seem to be more important predictors of change in HRQOL compared with some objective medical indicators (ejection fraction) among patients with coronary disease. Cite this article: Skodova, Z., van Dijk, J. P., Nagyova, I., Rosenberger, J., Ondusova, D., Middel, B., & Reijneveld, S. A. (2011, JULY/AUGUST). Psychosocial predictors of change in quality of life inpatients after coronary interventions. Heart & Lung, 40(4), 331-339. doi:10.1016/j.hrtlng.2009.12.007.
KW - Coronary heart disease
KW - Psychosocial factors
KW - Health-related quality of life
KW - Psychological well-being
KW - Vital exhaustion
KW - ARTERY-BYPASS SURGERY
KW - VITAL EXHAUSTION
KW - HEART-DISEASE
KW - MYOCARDIAL-INFARCTION
KW - SOCIOECONOMIC-STATUS
KW - GRAFT-SURGERY
KW - HEALTH-STATUS
KW - D PERSONALITY
KW - RISK-FACTOR
KW - MORTALITY
U2 - 10.1016/j.hrtlng.2009.12.007
DO - 10.1016/j.hrtlng.2009.12.007
M3 - Article
SN - 0147-9563
VL - 40
SP - 331
EP - 339
JO - HEART & LUNG
JF - HEART & LUNG
IS - 4
ER -