The Evaluation of Type d Personality, Depression and Quality of Life in Patients with Acute Coronary Syndromes

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
J. Prata ◽  
S. Ramos ◽  
F. Rocha-Gonçalves ◽  
R. Coelho
Keyword(s):  
Quality Of Life ◽  
Acute Coronary Syndromes ◽  
Negative Impact ◽  
High Risk Group ◽  
Type D Personality ◽  
Industrialized Countries ◽  
Type D ◽  
Sf 36 ◽  
Coronary Syndromes

Background:Acute coronary syndromes (ACS) are a major cause of morbidity and mortality in western industrialized countries and account for disability and loss of productivity. Type D personality and depression are established psychosocial factors with a negative impact on prognosis following acute events.Methods:We evaluated 65 patients admitted to a coronary unit with ACS regarding type D personality (DS-14), depression (BDI-II, HADS), anxiety (HADS), clinical depression (clinical interview following DSM-IV-TR criteria) and quality of life (SF-36). SPSS 12.0 was used for statistical analysis and significance considered for p< 0.05.Results:We found that 38.5% of patients had type D personality and divided the sample into two groups. No significant differences were found regarding social and demographic factors but differences were found regarding diagnosis on admission: type D patients had more AMI with ST elevation (p< 0.05). Type D patients had significantly higher scores in depression and anxiety scales of the HADS (p< 0.01) and worse quality of life in most SF-36 subscales (p< 0.01). There was a negative and significant correlation between the HADS and all the SF-36 subscales, strongest in the mental health subscale (p< 0.01).Conclusions:Type D patients have higher indices of anxiety and depression and worse quality of life when compared with other patients, and constitute a high risk group of worse prognosis. Our results also suggest differences between groups regarding the type of acute event but these results require further confirmation.

scholarly journals Self-care and quality of life in comorbid patients with chronic coronary syndromes: is there any correlation?

2021 ◽  
Vol 2 (3) ◽  
pp. 40-47
Author(s):  
A. I. Kabargina ◽  
Yu. M. Lopatin
Keyword(s):  
Quality Of Life ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Treatment Adherence ◽  
Self Care ◽  
The Self ◽  
Type D ◽  
Sf 36 ◽  
Coronary Syndromes

Aim: to assess self-care skills and quality of life in patients with chronic coronary syndromes (CCS). Material and methods: the study involved 100 consecutive patients with stable coronary heart disease (CHD) admitted to cardiology departments. All patients admitted to the clinic underwent standard examination and treatment, taken in the management of patients with CCS. Besides, we assessed socio-demographic properties (marital status, education level, profession, disability for all reasons, income level), quality of life (using SF-36, SAQ questionnaires), levels of anxiety and depression (HADS scale), type D personality (DS-14 questionnaire), treatment adherence (Four-Item Morisky-Green-Levine medication adherence scale), Charlson comorbidity index, The Self Care of Coronary Heart Disease Inventory. Data processing was carried out using descriptive statistics, correlation and variance analysis. results: type D personality was identified in 60 patients (10.2 ± 5.6) on the scale of negative excitability, in 59 people (10.4 ± 3.7) — on the scale of social inhibition. An increased level of anxiety was found in 48 patients (7.6 ± 3.5), depression — in 49 people (7.1 ± 3.4). The average values of the physical component of the quality of life according to the SF-36 questionnaire were 36.9 ± 18.7 and 45.9 ± 19.6 points, respectively. The quality of life associated with exertional angina pectoris, according to the SAQ questionnaire, was 48.8 ± 19.7 points on the scale of limiting physical activity, 49.7 ± 28.2 points for seizure stability, and 70.5 ± 17.8 points for satisfaction with treatment. Treatment adherence according to the Morisky-Green scale was, on average, 2.6 ± 1.2 (Me: 2, [2.4]). Self-care skills on the scale A was 61.3 ± 12.2 points, on the scale B — 49.0 ± 16.2 points, on the scale C — 32.3 ± 14.5 points. In groups of CCS, significant (p <0.05) differences were found on the scales A and B. Significant differences in the self-care skills were obtained among the groups of patients with and without a history of postinfarction cardiosclerosis. Conclusion: the capacity for self-care skills and the quality of life of Russian comorbid patients with CCS is unsatisfactory, which requires active medical intervention and the development of tools for their effective modification.

scholarly journals Mastectomy versus conservative surgical treatment: the impact on the quality of life of women with breast cancer

2010 ◽  
Vol 10 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Daniela Francescato Veiga ◽  
Fabíola Soares Moreira Campos ◽  
Leda Marques Ribeiro ◽  
Ivanildo Archangelo Junior ◽  
Joel Veiga Filho ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Physical Functioning ◽  
Negative Impact ◽  
Young Patients ◽  
Conservative Surgery ◽  
Sf 36 ◽  
Significant Difference ◽  
The Impact

OBJECTIVES: to compare the impact of mastectomy and conservative surgery on the quality of life of patients with breast cancer. METHODS: an assessment was made of the quality of life of patients undergoing mastectomy or segmentary mastectomy, at the Pouso Alegre Clinical Hospital, in the Brazilian State of Minas Gerais, using SF-36. The patients were grouped by age (<50 years and >50 years) and years of schooling (<8 years and >8 years). The Mann-Whitney test was used to compare the groups with regard to the age and schooling domains of SF-36. RESULTS: a significant difference between the two groups was found in the domains of "physical functioning" (p=0.04) and "pain" (p=0.01): with the patients undergoing a mastectomy registering the worst scores. Young patients who had undergone a mastectomy displayed the worst quality of life in terms of "physical functioning" (p=0.03), "pain" (p=0.01) and "social functioning" (p=0.01); those undergoing conservative surgery aged over 50 years scored worst on "role emotional" (p=0.05). Patients undergoing a mastectomy with lower levels of schooling scored lower in "physical functioning" (p=0.01), "role physical" (p=0.05) and "pain" (p=0.05). Among those who had attended school for more than eight years, those having undergone a mastectomy scored less in the "pain" domain (p=0.04). CONCLUSIONS: patients who had undergone a mastectomy had worse results in the physical component of the evaluation of quality of life and this negative impact was more strongly felt among younger patients and those with lower levels of schooling.

scholarly journals Effects of Ranolazine on Disease-Specific Health Status and Quality of Life Among Patients With Acute Coronary Syndromes

2008 ◽  
Vol 1 (2) ◽  
pp. 107-115 ◽  
Author(s):  
Suzanne V. Arnold ◽  
David A. Morrow ◽  
Kaijun Wang ◽  
Yang Lei ◽  
Elizabeth M. Mahoney ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Acute Coronary Syndromes ◽  
Coronary Syndromes ◽  
Disease Specific ◽  
Specific Health
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