Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Heart Lung Circ. 2021 Apr;30(4):496-506. doi: 10.1016/j.hlc.2020.08.009. Epub 2020 Sep 18.
To our knowledge this was the first study aimed at examining the associations between illness perceptions and heart-focussed anxiety amongst individuals with hypertrophic cardiomyopathy. The secondary aim of this study was to examine the contribution of demographic, clinical and lifestyle factors to heart-focussed anxiety in this patient group.
This cross-sectional sample of 153 patients, recruited through social media platforms, completed the Revised Illness Perception Questionnaire (IPQ-R), Cardiac-Focussed Anxiety Questionnaire (CAQ) as well as questionnaires covering demographic, lifestyle and clinical factors.
Hierarchical regression analyses found that illness perceptions significantly accounted for variability in heart-focussed anxiety beyond the effects of clinical, demographic and lifestyle factors. Illness perceptions accounted for 22% of the variability in heart-focussed anxiety, while demographic factors accounted for 12%, and lifestyle and clinical parameters accounted for 17%.
Whilst longitudinal studies are warranted to confirm these findings, psychological interventions grounded in the Common-Sense Model may have the potential to better support patients coping with hypertrophic cardiomyopathy related anxiety.
据我们所知，这是第一项旨在研究肥厚型心肌病患者疾病观念与心脏相关焦虑之间关联的研究。本研究的次要目的是检验人口统计学、临床和生活方式因素对该患者群体中心脏相关焦虑的影响。
本横断面研究通过社交媒体平台招募了 153 名患者，他们完成了修订后的疾病感知问卷（IPQ-R）、心脏相关焦虑问卷（CAQ）以及涵盖人口统计学、生活方式和临床因素的问卷。
分层回归分析发现，疾病观念可显著解释心脏相关焦虑的变异性，其影响超过了临床、人口统计学和生活方式因素的影响。疾病观念解释了心脏相关焦虑变异性的 22%，而人口统计学因素解释了 12%，生活方式和临床参数解释了 17%。
尽管需要进行纵向研究来证实这些发现，但基于常识模型的心理干预可能有潜力更好地支持患有肥厚型心肌病相关焦虑的患者。
