The vicissitudes of anxiety for the cardiopathic patient. Cardiological rehabilitation as a bridge towards greater self-awareness

Journal title RICERCHE DI PSICOLOGIA
Author/s Floriana Caccamo, Cristina Marogna, Camilla Turchet, Vito Sava, Roberto Carlon, Alessandro Pinton
Publishing Year 2021 Issue 2021/3 Language Italian
Pages 14 P. 1-14 File size 0 KB
DOI 10.3280/rip2021oa11897
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Understanding the factors that influence the rehabilitation of patients after an acute coronary event is important to reduce the risk of complications or the occurrence of new episodes. The rehabilitative path following the acute event is influenced by physiological and psychological factors; Among these, anxiety isimplicated both in the onset of the disease and in the path of healing. The literature provides contrasting results compared to the role played by anxiety in heart disease. Further investigation is needed to understand whether it is a risk factor or a protective factor. The goal of this study is to determine how anxiety levels change in patients who have joined a Cardiac Rehabilitation program, in relation to their awareness of their health condition. The research aims to studying the change of physiological and psychological factors from the beginning of the rehabilitative program (pre-test) to its conclusion (post-test). The results of the statistical analysis show that patients at the post-test are more anxious andstressed compared to the pre-test but also more aware of the duration of the disease.These results suggest that the anxiety factor after the rehabilitation process can be considered generative in the light of an effective increase in awareness of the disease.

Keywords: ; ansia; consapevolezza; riabilitazione cardiologica; fattore di rischio; fattore di protezione

  1. Batelaan, N. M., Ten Have, M., Van Balkom, A. J.L.M., Tuithof, M., De Graaf, R. (2014). Anxiety disorders and onset of cardiovascular disease: The differential impact of panic, phobias and worry. Journal of Anxiety Disorders 28, 252-258, DOI: 10.1016/j.janxdis.2013.12.003.
  2. Bhattacharya, R., Schen, C., Sambamoorth, U. (2014). Excess risk of chronic physical conditions associated with depression and anxiety. Bhattacharya et al. BMC Psychiatry, 14(10), DOI: 10.1186/1471-244x-14-10.
  3. Caccamo, F., Saltini, S., Carella, E., Carlon, R., Marogna, C., Sava, V. (2018). The measure of effectiveness of a short-term 2-week intensive Cardiac Rehabilitation program in decreasing levels of anxiety and depression. Monaldi Arch Chest, 88(1), 858, DOI: 10.4081/monaldi.2018.858.
  4. Costantini, M., Musso, M., Viterbori, P., et al. (1999). Detecting psychological distress in cancer patients: validity of the Italian version of the Hospital Anxiety and Depression Scale. Support Care Cancer, 7,121-127, DOI: 10.1007/s005200050241.
  5. Emdin, C. A., Odutayo, A., Wong, C. X., Tran, J., Hsiao, A. J., Hunn, B. (2016). Meta-Analysis of anxiety as a risk factor for cardiovascular disease. Am J Cardiol, 118,511e519, DOI: 10.1016/j.amjcard.2016.05.041.
  6. Freitas, P. D., Haida, A., Bousquet, M., Richard, L., Mauriège, P., & Guiraud, T. (2011). Short-term impact of a 4-week intensive cardiac rehabilitation program on quality of life and anxiety-depression. Annals of Physical and Rehabilitation Medicine, 54, 132-143, DOI: 10.1016/j.rehab.2011.02.001.
  7. Giardini, A., Majani, G., Pierobon, A. Et al. (2007).Contributo alla validazione italiana dell’IPQ-R. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 29, 64-74.
  8. Gilbody, S., Sheldon, T., & House, A. (2008). Screening and case-finding instruments
  9. for depression: a meta-analysis. Canadian Medical Association Journal, 178, 997-1003.
  10. Grace, S. L., Abbey, S. E., Irvine, J., Shnek, Z. M., Donna E. Stewart, D. E. (2004). Prospective examination of anxiety persistence and its relationship to cardiac symptoms and recurrent cardiac events. Psychother psychosom, 73, 344-352, DOI: 10.1159/000080387.
  11. Hoyer, J., (2008).Heart-focused anxiety before and after cardiac surgery. Journal of
  12. Psychosomatic Research; 64, 291-297, DOI: 10.1016/j.jpsychores.2007.09.009.
  13. Huffman, J. C., Smith, F. A., Blais, M. A., Januzzi, J. L., Fricchione, G. L. (2008). Anxiety, independent of depressive symptoms, is associated with in-hospital cardiac
  14. complications after acute myocardial infarction. Journal of Psychosomatic Research, 65, 557-563.
  15. Huffman, J. C., Celano, C. M. & Januzzi, J. L. (2010).The relationship between depression, anxiety, and cardiovascular outcomes in patients with acute coronary syndromes. Neuropsychiatric Disease and Treatment, 6, 123-136, DOI: 10.1016/j.jpsychores.2008.08.001.
  16. Kubzansky, L. D., Davidson, K. W., Rozanski, A. (2005).The clinical impact of negative psychological states: expanding the spectrum of risk for coronary artery disease. Psychosomatic Medicine 67, Supplement 1, S10-S14, DOI: 10.1097/01.psy.0000164012.88829.41.
  17. Lau-Walker, M. (2007). Importance of illness, beliefs and self-efficacy for patients with coronary heart disease. Journal of advanced nursing 60(2), 187-198, DOI: 10.1111/j.1365-2648.2007.04398.x.
  18. Lavie, C. J., Milani, R. V. (2006).Adverse psychological and coronary risk profiles in young patients with coronary artery disease and benefits of formal cardiac rehabilitation. Archives of internal medicine, 166, 1878-83, DOI: 10.1001/archinte.166.17.1878.
  19. Mckinley, S., Fien, M., Riegel, B., Meischke, H., Aburuz, E., Lennie, T. A., Moser, D. K. (2011). Complications after acute coronary syndrome are reduced by perceived control of cardiac illness. Journal od Advancedd Nursing, 68(10), 2320-2330, DOI: 10.1111/J.1365-2648.2011.05933.X.
  20. Meyer, D., Leventhal, D. & Gutmann, M. (1985).Common-sense models of illness: the example of hypertension. Health Psychology, 4, 115-135, DOI: 10.1037/0278-6133.4.2.115.
  21. Michie S., Oʼ Connor D., Bath J., Giles M., Earll L. (2005).Cardiac rehabilitation: the psychological changes that predict health outcome and healty behaviour. Psychology, Health & Medicine, 10(1), 88-95 , DOI: 10.1080/13548500512331315398.
  22. Moser, D. K., Riegel, B., Mckinley, S., Doering, L. V., Kyungeh, A., Sheahan, S. (2007). Impact of anxiety and perceived control on In-Hospital complications after acute myocardial infarction. Psychosomatic Medicine, 69, 10-16, DOI: 10.1097/01.psy.0000245868.43447.d8.
  23. Muschalla, B., Glatzc, J. And Lindena, M. (2014).Heart-related anxieties in relation to general anxiety and severity of illness in cardiology. Psychology, Health & Medicine, 19(1), 83-92, DOI: 10.1080/13548506.2013.774428.
  24. Neri, C. (2003).Gruppo. Roma: Borla.
  25. Piepoli, M. F. Et al. (2016). Linee guida europee 2016 sulla prevenzione delle malattie cardiovascolari nella pratica clinica. Sesta Task Force congiunta della Società Europea di Cardiologia e di altre Società sulla Prevenzione delle Malattie cardiovascolari nella Pratica Clinica. Gital Cardiol, 18, 547-612.
  26. Pourhabib, S., Chessex, C., Murray, J., Grace, S. L. (2016). Elements of patienthealtcare
  27. provider communication related cardiovascoular rehabilitation referral. J Health Psychol., 21(4), 468-482, DOI: 10.1177/1359105314529319.
  28. Rozanski, A., Blumenthal, J. A., Davidson, K. W., Saab, P. G., Kubzansky, L. (2005). Psychologic functioning and The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice. The emerging field of behavioral cardiology. Journal of the American College of Cardiology, 45(5), 637-651, DOI: 10.1016/j.jacc.2004.12.005.
  29. Rozanski, A. & Kubzansky, L. D. (2005). Psychologic functioning and physical health: a paradigm of flexibility. Psychosomatic Medicine 67, Supplement 1, S47-S53, DOI: 10.1097/01.psy.0000164253.69550.49.
  30. Trovato, G. M., Catalano, D., Martines, G. F. Et al. (2006).Percezione di malattia (IPQ-r): un paradigma utile in patologie croniche. Recenti progressi in medicina, 97(3), 129-133.
  31. Tully, P. J., Cosh, S. M., Baune, B. T. (2013). A review of the affects of worry and generalized anxiety disorder upon cardiovascular health and coronary heart disease. Psychology, Health & Medicine, 18(6), 627-644, DOI: 10.1080/13548506.2012.749355.

Floriana Caccamo, Cristina Marogna, Camilla Turchet, Vito Sava, Roberto Carlon, Alessandro Pinton, Le vicissitudini dell’ansia per il paziente cardiopatico. La riabilitazione cardiologica come ponte verso una maggiore consapevolezza di s& in "RICERCHE DI PSICOLOGIA" 3/2021, pp 1-14, DOI: 10.3280/rip2021oa11897