Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Relationship between psychological profile and cardiological variables in chronic heart failure - The role of patient subjectivity
Autore:
Majani, G; Pierobon, A; Giardini, A; Callegari, S; Opasich, C; Cobelli, F; Tavazzi, L;
Indirizzi:
S Maugeri Fdn, IRCCS, Rehabil Inst Montescano, Psychol Serv, Pavia, Italy S Maugeri Fdn Pavia Italy l Inst Montescano, Psychol Serv, Pavia, Italy S Maugeri Fdn, IRCCS, Rehabil Inst Montescano, Heart Failure Unit,Cardiol Dept, Pavia, Italy S Maugeri Fdn Pavia Italy Heart Failure Unit,Cardiol Dept, Pavia, Italy IRCCS, S Matteo Hosp, Dept Cardiol, Pavia, Italy IRCCS Pavia ItalyIRCCS, S Matteo Hosp, Dept Cardiol, Pavia, Italy
Titolo Testata:
EUROPEAN HEART JOURNAL
fascicolo: 21, volume: 20, anno: 1999,
pagine: 1579 - 1586
SICI:
0195-668X(199911)20:21<1579:RBPPAC>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; TRANSPLANT RECIPIENTS; HEALTH-STATUS; DEPRESSION; CANDIDATES; OUTCOMES; DISEASE;
Keywords:
chronic heart failure; quality of life; satisfaction; psychological assessment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Majani, G Fdn S Maugeri, Ctr Med Montescano, Serv Psicol, I-27040 Montescano, PV, Italy Fdn S Maugeri Montescano PV Italy I-27040 Montescano, PV, Italy
Citazione:
G. Majani et al., "Relationship between psychological profile and cardiological variables in chronic heart failure - The role of patient subjectivity", EUR HEART J, 20(21), 1999, pp. 1579-1586

Abstract

Aim To analyse the relationships between the psychological profile, the satisfaction profile and cardiological variables in patients with chronic heart failure. Material and Methods One hundred and fifty-two male patients with chronic heart failure in a stable clinical condition underwent cardiological evaluation and psychological assessment by means of two instruments: the Cognitive Behavioural Assessment 2.0 Battery and the Satisfaction Profile. Results Patients scored higher than healthy subjects in terms of psychophysiological disorders and depression. Patients in NYHA class III reported higher anxiety and depression scores and had more frequent problems in daily life than patients in NYHA classes I and II. Class III patients also reported lower satisfaction levels in many aspects of psychological and physical functioning. Pulmonary resistances >2.5 Wood units, pulmonary capillary wedge pressure >0.18 mmHg and a diagnosis of ischaemic cardiomyopathy were associated with low satisfaction levels in the Satisfaction Profile 'physical functioning' factor. To be listed for heart transplantation and a history of more than three hospitalizations were related to low satisfaction levels in many items of the Satisfaction Profile. Finally, stepwise multiple regression showed that NYHA class, depression score and pulmonary capillary resistance accounted for 32% of the variance in the Satisfaction Profile physical functioning factor score. Conclusion On the basis of chronic heart failure diagnosis only, a genericpattern of psychological distress can be predicted, common to many severe chronic diseases. Shifting from objective mental health measures towards the domain of subjective satisfaction, the only link which emerges is betweenobjective cardiological data and satisfaction with physical functioning. Satisfaction in terms of other life aspects does not seem to be related to cardiological variables. These results support the importance of subjectivity in health related quality of life, as well as objective measures. (C) 1999 The European Society of Cardiology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 06:51:45