#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

The association between psychological distress and angina pectoris: A population-based study


Autoři: Ching-Ching Tsai aff001;  Shao-Yuan Chuang aff003;  I-Chang Hsieh aff004;  Lun-Hui Ho aff001;  Pao-Hsien Chu aff004;  Chii Jeng aff007
Působiště autorů: Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, Tao Yuan, Taiwan aff001;  Department of Cardiology, Chang Gung Memorial Hospital, Linkou, Taiwan aff002;  Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan aff003;  Department of Cardiology, Heart Failure Center, Chang Gung Memorial Hospital, Linkou, Taiwan aff004;  College of Medicine, Chang Gung University, Tao Yuan, Taiwan aff005;  Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taiwan aff006;  School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan aff007
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0224451

Souhrn

Background

Psychological distress is an undifferentiated combination of symptoms that may be related to the occurrence of angina pectoris (AP). However, few studies have investigated the relationship between psychological distress and AP, particularly in Asian populations. The purpose of this study was to examine the relationship between psychological distress and AP in Taiwanese adults.

Methods

We adopted a cross-sectional design to explore the data of the 2005–2008 Nutrition and Health Survey in Taiwan. In total, 2080 subjects (aged ≥ 19 years) responded to questionnaire interviews and underwent physical examinations. Each of the five dimensions of psychological distress (sleep disturbance, anxiety, hostility, depression, and feelings of inferiority) were scored (from 0–20) according to the Five-Item Brief Symptom Rating Scale (BSRS-5). A score ≥ 6 points indicated psychological distress. AP was evaluated using a modified Rose questionnaire.

Findings

In total, 102 subjects (3.6%) had AP, and 231 subjects (8.8%) had symptoms of psychological distress. After adjusting for the basic data, metabolism, and lifestyle covariates, the BSRS-5 total score was associated with AP (odds ratio [OR] = 1.2, 95% confidence interval [CI] = 1.13–1.26, p < 0.001). Subjects with psychological distress had a higher risk of AP (OR = 2.97, 95% CI = 1.76–4.99, p < 0.001).

Conclusions

The presence of AP is associated with psychological distress. Health care providers should therefore be aware of the impact of psychological distress on AP. Our study findings can serve as a reference for AP assessments. Large scale longitudinal studies are needed to confirm a causal relationship between psychological distress and AP.

Klíčová slova:

Angina – Cardiology – Cardiovascular diseases – Coronary heart disease – Depression – Gastroenterology and hepatology – Pain sensation – Psychometrics


Zdroje

1. Drapeau A, Marchand A, Beaulieu-Prévost D. Epidemiology of psychological distress. In: L’Abate L, editor. Mental illnesses—understanding, prediction and control. Rijeka (Croatia): InTech; 2012. pp. 105–134.

2. Suls J, Bunde J. Anger, anxiety, and depression as risk factors for cardiovascular disease: The problems and implications of overlapping affective dispositions. Psychol Bull. 2005;131:260–300. doi: 10.1037/0033-2909.131.2.260 15740422

3. Hernandez R, Bassett SM, Boughton SW, Schuette SA, Shiu EW, Moskowitz JT, et al. Psychological well-being and physical health: Associations, mechanisms, and future directions. Emot Rev. 2018;10:18–29.

4. Pedersen SS, Von Kanel R, Tully PJ, Denollet J. Psychosocial perspectives in cardiovascular disease. Eur J Prev Cardiol. 2017;24:108–115. doi: 10.1177/2047487317703827 28618908

5. Bekkouche NS, Wawrzyniak AJ, Whittaker KS, Ketterer MW, Krantz DS. Psychological and physiological predictors of angina during exercise-induced ischemia in patients with coronary artery disease. Psychosom Med. 2013;75:413–421. doi: 10.1097/PSY.0b013e31828c4cb4 23576766

6. St-Jean K, D’Antono B, Dupuis G. Psychological distress and exertional angina in men and women undergoing thallium scintigraphy. J Behav Med. 2005;26:527–536. doi: 10.1007/s10865-005-9024-5 16228694

7. Pimple P, Shah AJ, Rooks C, Bremner JD, Nye J, Ibeanu I, et al. Angina and mental stress-induced myocardial ischemia. J Psychosom Res. 2015;78:433–437. doi: 10.1016/j.jpsychores.2015.02.007 25727240

8. Hemingway H, Langenberg C, Damant J, Frost C, Pyörälä K, Barrett-Connor E. Prevalence of angina in women versus men: A systematic review and meta-analysis of international variations across 31 countries. Circulation. 2008;117:1526–1536. doi: 10.1161/CIRCULATIONAHA.107.720953 18347213

9. Graff-Iversen S, Wilsgaard T, Mathiesen EB, Njølstad I, Løchen ML. Long-term cardiovascular consequences of Rose angina at age 20–54 years: 29-years’ follow-up of the Tromsø study. J Epidemiol Community Health. 2014;68:754–759. doi: 10.1136/jech-2013-203642 24687910

10. Gesualdo M, Scicchitano P, Carbonara S, Ricci G, Principi M, Ierardi E, et al. The association between cardiac and gastrointestinal disorders: causal or casual link? J Cardiovasc Med (Hagerstown). 2016; 17:330–338. doi: 10.2459/JCM.0000000000000351 26702598

11. Coss-Adame E, Rao SSC. A review of esophageal chest pain. Gastroenterol Hepatol. 2015;11:759–766.

12. Handberg EM, Eastwood JA, Eteiba W, Johnson BD, Krantz DS, Thompson DV, et al. Clinical implications of the Women’s Ischemia Syndrome Evaluation: Interrelationships between symptoms, psychosocial factors and cardiovascular outcomes. Womens Health (Lond). 2013;9:479–490.

13. Mommersteeg PMC, Arts L, Zijlstra W, Widdershoven JW, Aarnoudse W, Denollet J. Impaired health status, psychological distress, and personality in women and men with nonobstructive coronary artery disease: Sex and gender differences: The TWIST (Tweesteden Mild Stenosis) study. Circ Cardiovasc Qual Outcomes. 2017;10:e003387. doi: 10.1161/CIRCOUTCOMES.116.003387 28228453

14. Arnold SV, Spertus JA, Ciechanowski PS, Soine LA, Jordan-Keith K, Caldwell JH, et al. Psychosocial modulators of angina response to myocardial ischemia. Circulation. 2009;120:126–133. doi: 10.1161/CIRCULATIONAHA.108.806034 19564560

15. Shojaei M, Rahmanian K, Moayedy-Rad M. Association of Rose angina with cardiovascular risk factors among men and women: A population-based study. Jentashapir J Health Res. 2013;4:477–482. doi: 10.1007/s10654-007-9200-8

16. Zaman MJS, Loret de Mola C, Gilman RH, Smeeth L, Miranda JJ. The prevalence of angina symptoms and association with cardiovascular risk factors, among rural, urban and rural to urban migrant populations in Peru. BMC Cardiovasc Disord. 2010;10:50–57. doi: 10.1186/1471-2261-10-50 20932298

17. Lin YC, Chu FY, Fu CC, Chen JD. Prevalence and risk factors for angina in elderly Taiwanese. J Gerontol A Biol Sci Med Sci. 2004;59 M161–165. doi: 10.1093/gerona/59.2.m161 14999031

18. Alonso JJ, Muniz J, Gomez-Doblas JJ, Rodriguez-Roca G, Lobos JM, Permanyer-Miralda G, et al. Prevalence of stable angina in Spain. Results of the OFRECE study. Rev Esp Cardiol. 2015;68:691–699. doi: 10.1016/j.rec.2014.09.020 25697076

19. Nicholson A, Fuhrer R, Marmot M. Psychological distress as a predictor of CHD events in men: The effect of persistence and components of risk. Psychosom Med. 2005;67:522–530. doi: 10.1097/01.psy.0000171159.86446.9e 16046363

20. Byles JE, Robinson I, Banks E, Gibson R, Leigh L, Rodgers B, et al. Psychological distress and comorbid physical conditions: Disease or disability? Depress Anxiety. 2014;31:524–532. doi: 10.1002/da.22162 23922120

21. Pan WH, Tu SH. 2004–2008 Nutrition and Health Survey in Taiwan (NAHSIT) (D00090) [data file]. Survey Research Data Archive, Academia Sinica 2011. Available from: https://srda.sinica.edu.tw/datasearch_detail.php?id=1137.

22. Tu SH, Chen C, Hsieh YT, Chang HY, Yeh CJ, Lin YC, et al. Design and sample characteristics of the 2005–2008 Nutrition and Health Survey in Taiwan. Asia Pac J Clin Nutr. 2011;20:225–237. 21669592

23. Bastos MS, Lotufo PA, Whitaker AL, Bensenor IM. Validation of the short-version of Rose angina questionnaire in Brazil. Arq Bras Cardiol. 2012;99:1056–1059. doi: 10.1590/s0066-782x2012001400012 23184099

24. Rose GA. The diagnosis of ischaemic heart pain and intermittent claudication in field surveys. Bull WHO. 1962;27:645–658. 13974778

25. Liyanage PLGC, Sathananthan PP. Prevalence of myocardial ischaemia among diabetics determined by validated Sinhala version of the WHO Rose angina questionnaire. Galle Med J. 2013;18:12–15.

26. Rahman MA, Spurrier N, Mahmood MA, Rahman M, Choudhury SR, Leeder S. Rose angina questionnaire: Validation with cardiologists’ diagnoses to detect coronary heart disease in Bangladesh. Indian Heart J. 2013;65:30–39. doi: 10.1016/j.ihj.2012.09.008 23438610

27. Lee MB, Liao SC, Lee YJ, Wu CH, Rau CL. Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. J Formos Med Assoc. 2003;102:687–694. 14691593

28. Wu CY, Lee JI, Lee MB, Liao SC, Chang CM, Chen HC, et al. Predictive validity of a five-item symptom checklist to screen psychiatric morbidity and suicide ideation in general population and psychiatric settings. J Formos Med Assoc. 2016;115:395–403. doi: 10.1016/j.jfma.2015.05.004 26141706

29. Chen HC, Wu CH, Lee YJ, Liao SC, Lee MB. Validity of the five-item Brief Symptom Rating Scale among subjects admitted for general health screening. J Formos Med Assoc. 2005;104:824–829. 16496062

30. Health Promotion Administration of the Ministry of Health and Welfare. Judgment criteria for metabolic syndrome in adult (over 20 years old) (2007 Taiwan). 2018. Available from: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=639&pid=1219

31. Yei NH. Development of a food frequency questionnaire and its validity. Master’s Thesis, National Taiwan University, Taipei (Taiwan). 2003. (In Chinese).

32. Huaug SY. Validity studies in household twenty-four hour recall and food models. Master’s Thesis, Chinese Culture University, Taipei (Taiwan). 1995. (In Chinese).

33. Choi DH, Kobayashi Y, Nishi T, Luikart H, Dimbil S, Kobashiqawa J, et al. Change in lymphocyte to neutrophil ratio predicts acute rejection after heart transplantation. Int J Cardiol. 2018;251:58–64. doi: 10.1016/j.ijcard.2017.10.060 29074043

34. Fiedorowicz JG. Depression and cardiovascular disease: An update on how course of illness may influence risk. Curr Psychiatry Rep. 2014;16:492. doi: 10.1007/s11920-014-0492-6 25163592

35. Cohen BE, Edmondson D, Kronish IM. State of the art review: Depression, stress, anxiety, and cardiovascular disease. Am J Hypertens. 2015;28:1295–1302. doi: 10.1093/ajh/hpv047 25911639

36. Carney RM, Freedland KE. Is there a high-risk subtype of depression in patients with coronary heart disease? Curr Psychiatry Rep. 2012;14:1–7. doi: 10.1007/s11920-011-0247-6 22076689

37. Miller TQ, Smith TW, Turner CW, Guijarro ML, Hallet AJ. Meta-analytic review of research on hostility and physical health. Psychol Bull. 1996;119:322–348. doi: 10.1037/0033-2909.119.2.322 8851276

38. Bridewell WB, Chang EC. Distinguishing between anxiety, depression, and hostility: Relations to anger-in, anger-out, and anger control. Pers Indiv Differ. 1997;22:587–590.

39. Baglioni C, Spiegelhalder K, Lombardo C, Riemann D. Sleep and emotions: A focus on insomnia. Sleep Med Rev. 2010;14:227–238. doi: 10.1016/j.smrv.2009.10.007 20137989

40. Koyanagi A, Garin N, Olaya B, Ayuso-Mateos JL, Chatterji S, Leonardi M, et al. Chronic conditions and sleep problems among adults aged 50 years or over in nine countries: A multi-country study. PLoS One. 2015;10: e0138261. doi: 10.1371/journal.pone.0138261 26379283

41. Willerson JT, Meseri A, Armstrong PW. Coronary heart disease syndromes: Pathophysiology and clinical recognition. In: Willerson JT, Holmes DA Jr., editors. Coronary Artery Disease. London: Springer 2015, pp. 365–407.

42. Vaccarino V, Badimon L, Bremner JD, Cenko E, Cubedo J, Dorobantu M, et al. Depression and coronary heart disease: 2018 ESC position paper of the working group of coronary pathophysiology and microcirculation developed under the auspices of the ESC Committee for Practice Guidelines. Eur Heart J. 2019; 0: 1–15. doi: 10.1093/eurheartj/ehy913 30698764


Článek vyšel v časopise

PLOS One


2019 Číslo 11
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Svět praktické medicíny 3/2024 (znalostní test z časopisu)
nový kurz

Kardiologické projevy hypereozinofilií
Autoři: prof. MUDr. Petr Němec, Ph.D.

Střevní příprava před kolonoskopií
Autoři: MUDr. Klára Kmochová, Ph.D.

Aktuální možnosti diagnostiky a léčby litiáz
Autoři: MUDr. Tomáš Ürge, PhD.

Závislosti moderní doby – digitální závislosti a hypnotika
Autoři: MUDr. Vladimír Kmoch

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#