Hadlandsmyth Katherine, White Kamila S, Krone Ronald J
Department of Psychology, University of Missouri-Saint Louis, St. Louis, MO, USA.
J Clin Psychol Med Settings. 2013 Sep;20(3):284-93. doi: 10.1007/s10880-012-9347-7.
Chest pain in the absence of identified cardiac cause, or non-cardiac chest pain (NCCP), is a common condition that may result in impaired quality of life. Theories of NCCP put forward that patients who react to cardiopulmonary sensations with fear may avoid activities that elicit cardiac sensations. Co-morbid psychiatric disorders, which are prevalent in this population, may predispose individuals to be more vigilant to physiological sensations, including cardiac-related symptoms. The daily impact of avoiding cardiopulmonary cues may limit quality of life. This study examined psychiatric disorders, fear of pain, and quality of life in 30 non-coronary artery disease (CAD) chest pain patients. Psychiatric disorder severity was independently associated with mental health related quality of life and fear of pain was independently associated with physical health related quality of life. This research adds understanding to contributory factors to impaired quality of life among patients with non-CAD chest pain.
在未发现心脏病因的情况下出现胸痛，即非心源性胸痛（NCCP），是一种常见病症，可能导致生活质量受损。NCCP的理论提出，对心肺感觉产生恐惧反应的患者可能会避免引发心脏感觉的活动。该人群中普遍存在的共病精神障碍可能使个体对包括心脏相关症状在内的生理感觉更加警觉。避免心肺信号的日常影响可能会限制生活质量。本研究调查了30名非冠状动脉疾病（CAD）胸痛患者的精神障碍、疼痛恐惧和生活质量。精神障碍严重程度与心理健康相关生活质量独立相关，疼痛恐惧与身体健康相关生活质量独立相关。这项研究增加了对非CAD胸痛患者生活质量受损的促成因素的理解。
