View in EDS HTML Full Text PDF Full Text

Mental Distress Factors and Exercise Capacity in Patients with Coronary Artery Disease Attending Cardiac Rehabilitation Program.

Saved in:
Bibliographic Details
Title: Mental Distress Factors and Exercise Capacity in Patients with Coronary Artery Disease Attending Cardiac Rehabilitation Program.
Authors: Kazukauskiene, Nijole, Burkauskas, Julius, Macijauskiene, Jurate, Duoneliene, Inga, Gelziniene, Vaidute, Jakumaite, Vilija, Brozaitiene, Julija
Source: International Journal of Behavioral Medicine. Feb2018, Vol. 25 Issue 1, p38-48. 11p. 1 Diagram, 5 Charts.
Subjects: Anxiety, Coronary disease, Demography, Mental depression, Cardiac rehabilitation, Multivariate analysis, Psychological stress, Multiple regression analysis, Exercise intensity, State-Trait Anxiety Inventory
Abstract: Purpose: There is still insufficient data on mental distress factors contributing to exercise capacity (EC) improvement before and after cardiac rehabilitation (CR) in patients with coronary artery disease (CAD). The aim of our study was to evaluate the associations between various mental distress factors and EC before and after exercise-based CR (EBCR).Methods: Over 12 months, 223 CAD patients (70% men, mean age 58 ± 9 years) were evaluated for socio-demographic, clinical, and mental distress symptoms as measured by the Hospital Anxiety and Depression scale (HADS), Beck Depression Inventory-II (BDI-II), and Spielberger State-Trait Anxiety Inventory (STAI). Patients were tested for EC at baseline and after EBCR.Results: In a multivariate linear regression model, EC before EBCR was associated with HADS anxiety subscale (β = −.186, p = .002) and BDI-II somatic/affective subscale (β = −.249, p < .001). EC after EBCR was associated with HADS anxiety and depression subscales (β = −.198, p < .001; β = −.170, p = .002, respectively) and BDI-II (β = −.258, p < .001). The BDI-II somatic/affective subscale was the best predictor of reduced EC before and after EBCR.Conclusions: Mental distress and somatic/affective symptoms of depression are strongly associated with EC both at the beginning and after EBCR. Analysis of possible mediating or moderating factors was beyond the scope of our study. Future studies should focus on comprehensive evaluation of EC risk factors including other mental distress characteristics, subjectively experienced fatigue, and post-operative CAD symptoms. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 127876992
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Mental Distress Factors and Exercise Capacity in Patients with Coronary Artery Disease Attending Cardiac Rehabilitation Program.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kazukauskiene%2C+Nijole%22&quot;&gt;Kazukauskiene, Nijole&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Burkauskas%2C+Julius%22&quot;&gt;Burkauskas, Julius&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Macijauskiene%2C+Jurate%22&quot;&gt;Macijauskiene, Jurate&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Duoneliene%2C+Inga%22&quot;&gt;Duoneliene, Inga&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gelziniene%2C+Vaidute%22&quot;&gt;Gelziniene, Vaidute&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jakumaite%2C+Vilija%22&quot;&gt;Jakumaite, Vilija&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Brozaitiene%2C+Julija%22&quot;&gt;Brozaitiene, Julija&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22International+Journal+of+Behavioral+Medicine%22&quot;&gt;International Journal of Behavioral Medicine&lt;/searchLink&gt;. Feb2018, Vol. 25 Issue 1, p38-48. 11p. 1 Diagram, 5 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Anxiety%22&quot;&gt;Anxiety&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Coronary+disease%22&quot;&gt;Coronary disease&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Demography%22&quot;&gt;Demography&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mental+depression%22&quot;&gt;Mental depression&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cardiac+rehabilitation%22&quot;&gt;Cardiac rehabilitation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Multivariate+analysis%22&quot;&gt;Multivariate analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychological+stress%22&quot;&gt;Psychological stress&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Multiple+regression+analysis%22&quot;&gt;Multiple regression analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Exercise+intensity%22&quot;&gt;Exercise intensity&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22State-Trait+Anxiety+Inventory%22&quot;&gt;State-Trait Anxiety Inventory&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: There is still insufficient data on mental distress factors contributing to exercise capacity (EC) improvement before and after cardiac rehabilitation (CR) in patients with coronary artery disease (CAD). The aim of our study was to evaluate the associations between various mental distress factors and EC before and after exercise-based CR (EBCR).Methods: Over 12&#160;months, 223 CAD patients (70% men, mean age 58&#160;&#177;&#160;9&#160;years) were evaluated for socio-demographic, clinical, and mental distress symptoms as measured by the Hospital Anxiety and Depression scale (HADS), Beck Depression Inventory-II (BDI-II), and Spielberger State-Trait Anxiety Inventory (STAI). Patients were tested for EC at baseline and after EBCR.Results: In a multivariate linear regression model, EC before EBCR was associated with HADS anxiety subscale (&lt;italic&gt;β&lt;/italic&gt;&#160;=&#160;−.186, &lt;italic&gt;p&#160;=&lt;/italic&gt;&#160;.002) and BDI-II somatic/affective subscale (&lt;italic&gt;β&lt;/italic&gt;&#160;=&#160;−.249, &lt;italic&gt;p&lt;/italic&gt;&#160;&lt;&#160;.001). EC after EBCR was associated with HADS anxiety and depression subscales (&lt;italic&gt;β&lt;/italic&gt;&#160;=&#160;−.198, &lt;italic&gt;p&lt;/italic&gt;&#160;&lt;&#160;.001; &lt;italic&gt;β&lt;/italic&gt;&#160;=&#160;−.170, &lt;italic&gt;p&#160;=&lt;/italic&gt;&#160;.002, respectively) and BDI-II (&lt;italic&gt;β&lt;/italic&gt;&#160;=&#160;−.258, &lt;italic&gt;p&lt;/italic&gt;&#160;&lt;&#160;.001). The BDI-II somatic/affective subscale was the best predictor of reduced EC before and after EBCR.Conclusions: Mental distress and somatic/affective symptoms of depression are strongly associated with EC both at the beginning and after EBCR. Analysis of possible mediating or moderating factors was beyond the scope of our study. Future studies should focus on comprehensive evaluation of EC risk factors including other mental distress characteristics, subjectively experienced fatigue, and post-operative CAD symptoms. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=127876992
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s12529-017-9675-y
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 38
    Subjects:
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Coronary disease
        Type: general
      – SubjectFull: Demography
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Cardiac rehabilitation
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Exercise intensity
        Type: general
      – SubjectFull: State-Trait Anxiety Inventory
        Type: general
    Titles:
      – TitleFull: Mental Distress Factors and Exercise Capacity in Patients with Coronary Artery Disease Attending Cardiac Rehabilitation Program.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Kazukauskiene, Nijole
      – PersonEntity:
          Name:
            NameFull: Burkauskas, Julius
      – PersonEntity:
          Name:
            NameFull: Macijauskiene, Jurate
      – PersonEntity:
          Name:
            NameFull: Duoneliene, Inga
      – PersonEntity:
          Name:
            NameFull: Gelziniene, Vaidute
      – PersonEntity:
          Name:
            NameFull: Jakumaite, Vilija
      – PersonEntity:
          Name:
            NameFull: Brozaitiene, Julija
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2018
              Type: published
              Y: 2018
          Identifiers:
            – Type: issn-print
              Value: 10705503
          Numbering:
            – Type: volume
              Value: 25
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: International Journal of Behavioral Medicine
              Type: main
ResultId 1