Does it matter what patients think? The relationship between changes in patients' beliefs about angina and their psychological and functional status
| Autor: | David R. Thompson, Terje A. Murberg, Gill Furze, Peter Bull, Robert J. P. Lewin |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Status Disease Anxiety Angina Pectoris Developmental psychology Angina medicine Humans Prospective Studies cardiovascular diseases Depression (differential diagnoses) Aged Aged 80 and over Public health Social environment Middle Aged medicine.disease Mental health Psychiatry and Mental health Clinical Psychology Knowledge Mental Health Female Attitude change medicine.symptom Psychology Attitude to Health Clinical psychology |
| Zdroj: | Journal of Psychosomatic Research. 59:323-329 |
| ISSN: | 0022-3999 |
| Popis: | Objective The aim of this study is to examine the association between changes in misconceived or maladaptive beliefs about angina and patients' functional and psychological status. Method The method used was a prospective follow-up study over 1 year of 133 people with angina. Results Beliefs about angina were significantly associated with functional and psychological status. People with more misconceived or maladaptive beliefs were more anxious and physically limited than were people with fewer such beliefs, with differences in physical functioning that were clinically significant. Change in angina beliefs over 1 year was the most significant predictor for physical functioning at follow-up, after controlling for the effects of demographic variables and the outcome variable at baseline, whereas change in the frequency of angina did not contribute significantly to this model. Conclusion Misconceived and maladaptive beliefs about angina are associated with reductions in both functional and psychological status. These beliefs are easily and quickly identified using a simple questionnaire and should be corrected. |
| Databáze: | OpenAIRE |
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