Associations of perceived stress and state anger with symptom burden and functional status in patients with heart failure

Autor:	Kristie M. Harris, Christopher C. Dimond, Andrew J. Dimond, Stephen S. Gottlieb, David S. Krantz, Romano Endrighi, Andrew J. Waters
Rok vydání:	2019
Předmět:	Male media_common.quotation_subject Anger behavioral disciplines and activities Article mental disorders Stress (linguistics) medicine State anger Humans In patient Prospective Studies Applied Psychology media_common Aged Heart Failure Public Health Environmental and Occupational Health Symptom burden General Medicine General Chemistry Middle Aged medicine.disease Heart failure Psychosocial stress behavior and behavior mechanisms Functional status Female Psychology psychological phenomena and processes Stress Psychological Clinical psychology
Zdroj:	Psychol Health
ISSN:	1476-8321
Popis:	BACKGROUND: Psychosocial stress and anger trigger cardiovascular events, but their relationship to heart failure (HF) exacerbations is unclear. We investigated perceived stress and anger associations with HF functional status and symptoms. METHODS AND RESULTS: In a prospective cohort study (BETRHEART), 144 patients with HF (77% male; 57.5 ± 11.5 years) were evaluated for perceived stress (Perceived Stress Scale; PSS) and state anger (STAXI) at baseline and every 2 weeks for 3 months. Objective functional status (6-min walk test; 6MWT) and health status (Kansas City Cardiomyopathy Questionnaire; KCCQ) were also measured biweekly. Linear mixed model analyses indicated that average PSS and greater than usual increases in PSS were associated with worsened KCCQ scores. Greater than usual increases in PSS were associated with worsened 6MWT. Average anger levels were associated with worsened KCCQ, and increases in anger were associated with worsened 6MWT. Adjusting for PSS, anger associations were no longer statistically significant. Adjusting for anger, PSS associations with KCCQ and 6MWT remained significant. CONCLUSION: In patients with HF, both perceived stress and anger are associated with poorer functional and health status, but perceived stress is a stronger predictor. Negative effects of anger on HF functional status and health status may partly operate through psychological stress.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3cce6796c1c763ef2914fb49f4de9a2f https://pubmed.ncbi.nlm.nih.gov/31111738 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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