Ajuste y evolución psicológica en pacientes con síndrome coronario agudo tras su participación en un programa de rehabilitación cardiaca

  1. León-Zarceño, Eva 1
  2. Boix, Salvador 2
  3. Arrarte, Vicente 3
  4. Canton Chirivella, Enrique 4
  5. Serrano-Rosa, Miguel Ángel 4
  1. 1 Universidad Miguel Hernández, (Espanya)
  2. 2 Universidad Isabel I, (Espanya)
  3. 3 Hospital General Universitario de Alicante, (Espanya)
  4. 4 Universidad de Velencia, (Espanya)
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Journal:
Revista de psicología del deporte

ISSN: 1132-239X,  1988-5636

Year of publication: 2020

Volume: 29

Issue: 2

Pages: 65-72

Type: Article

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More publications in: Revista de psicología del deporte

Abstract

The psychological variables have a special relevance in the coronary affectations. The aim of the present work was to study the evolution of different psychological variables, of quality of life and of adjustment psychosocial, in patients who have suffered an acute coronary syndrome (ACS) and attended a cardiac rehabilitation program, which included, among other, a module of physical activity. The measurements were made when the ACS debuted and 3 months after the cardiac event in a total of 146 men (57. 86 years of age (dt = 9. 45)) who had undergone a diagnostic catheterization with therapeutic intent within 3 days. The study design was of the quasi-experimental, prospective and longitudinal type. The results at 3 months after suffering the cardiac event show lower levels of anxiety (Cohen's d = . 61; p < . 01), depression (Cohen's d = . 33; p < . 05), psychological distress (Cohen's d =. 72; p < . 01) and anger (Cohen's d = . 34; p < . 01), and higher personal strength scores (Cohen's d = . 37; p < . 01) or life appreciation (Cohen's d =. 35, p < . 01). In the ACS, knowing the psychosocial evolution of the patient is considered fundamental next to the usual medical control.

Bibliographic References

  • AbuRuz, M. E. (2018). Persistent anxiety and in-hospital complications after acute coronary syndrome. International Journal of Health Sciences, 12(2), 50-56.
  • Albus, C., Jordan, J. y Herrmann-Lingen, C. (2004). Screening for psychosocial risk factors in patients with coronary heart disease-recommendations for clinical practice. European Journal of Cardiovascular Preventive & Rehabilitation, 11(1), 75-79. doi: https://doi. org/10.1097/01.hjr.000116823.84388.6c
  • Aldana S. G., Whitmer W. R., Greenlaw R., Avins A. L., Thomas D., Salberg A., … Fellingham, G. W. (2006). Effect of intense lifestyle modification and cardiac rehabilitation on psychosocial cardiovascular disease risk factors and quality of life. Behavior Modification, 30(4), 507–525. doi: https://doi.org/10.1177/014544550 4267797
  • Braunwald, E., Antman, E. M., Beasley, J. W., Califf, R. M., Cheitlin, M. D., Hochman, J. S., … Theroux, P. (2001). ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Unstable Angina) (vol 36, pp. 970, 2000). [Correction]. Journal of the American College of Cardiology, 38(1), 294-295.
  • Carpi, A., Zurriaga, R., González-Navarro, P., Marzo, J. C. y Buunk, A. P. (2007). Incidencia de los hábitos de conducta en la prevención de la enfermedad cardiovascular [Incidence of behavioral habits in the prevention of cardiovascular disease]. International Journal of Clinical and Health Psychology, 7(1), 59-70.
  • Chien, M. Y., Tsai, M. W. y Wu, Y. T. (2006). Does cardiac rehabilitation improve quality of life for a man with coronary artery disease who received percutaneous transluminal coronary angioplasty with insertion of a sent? Physical Therapy, 86(12), 1703-1710. doi: https://doi.org/10.2522/ptj.20050375
  • De Jager, T. A. J., Dulfer, K., Radhoe, S., Bergmann, M. J., Daemen, J., van Domburg, R.T., … Utens, E. M. W. J. (2018). Predictive value of depression and anxiety for long-term mortality: differences in outcomes between acute coronary syndrome and stable angina pectoris. International Journal of Cardiology, 250, 43-48. doi: https://doi.org/ 10.1016/j.ijcard.2017.10.005
  • Derogatis, L. R. (1986). The psychosocial adjustament to illness sacale (PAIS). Journal of Psychosomatic Research, 30(1), 77-91. doi: https://doi.org/10.1016/0022-3999(86)90069-3
  • Elosua, R. (2014). Las funciones de riesgo cardiovascular: utilidades y limitaciones [Cardiovascular Risk Functions: Usefulness and Limitations]. Revista Española de Cardiología, 67(2), 77-79. doi: https://doi.org/10.1016/j.recesp.2013.09.014
  • Eshah, N. F., y Bond, A. E. (2009). Cardiac rehabilitation programme for coronary heart disease patients: An integrative literature review. International Journal of Nursing Practice, 15(3), 131-139. doi: 10.1111/j.1440-172X.2009.01738.x
  • Frasure-Smith, N., Lesperance, F. y Talajic, M. (1993). Depression Following myocardial infarction. Impact on 6-month survival. Jama, 270(15), 1819-1825. doi: https://doi.org/10.1001/jama.1993.03510150053029
  • Garcés, E., Velandrino, A., Conesa, P. y Ortega, J. (2002). Un programa de intervención psicológica en pacientes con problemas cardiovasculares tipo inestable. Cuadernos de Psicología del Deporte, 2(1), 67-89.
  • García, J. P. F., Giraldo, V. M. A., Barrado, J. J. G. y Casasola, C. D. (2013). Tennis Training Sessions as a Rehabilitation Instrument for Patients after Acute Myocardial Infarction. Journal of Sports Science and Medicine, 12(2), 316-322.
  • Kotseva, K., De Backer, G., De Bacquer, D., Ryden, L., Hoes, A., Grobbee, D., … Wood, D. (2019). Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V. European Journal of Preventive Cardiology. doi: 10.1177/2047487318825350
  • Leung-Yinko, S. S., Maheswaran, J., Pelletier, R., Bacon, S. L., Daskalopoulou, S. S., Khan, N.A., … Pilote, L. (2015). Sex differences in health behavior change after premature acute coronary syndrome. American Heart Journal, 170(2), 242-248. doi: http://doi. org/10.1016/j.ahj.2015.04.016
  • Miguel-Tobal, J. J., Casado, I., Cano-Vindel, A. y Spielberger, C. D. (2001). Inventario de expresión de ira rasgo-estadoSTAXI-II [StateTrait Anger Expression Inventory. STAXI-II]. Madrid: TEA Ediciones.
  • Mostofsky, E., Penner, E. A. y Mittleman, M. A. (2014). Outbursts of anger as a trigger of acute cardiovascular events: a systematic review and meta-analysis. European Heart Journal, 35(21), 1404-1410. doi: http://doi.org/10.1093/eurheartj/ehu033
  • Muller-Nordhorn, J., Binting, S., Roll, S. y Willich, S. N. (2008). An update on regional variation in cardiovascular mortality within Europe. European Heart Journal, 29(10), 1316-1326. doi: http://doi.org/10.1093/eurheartj/ehm604
  • Neipp, M. C., Lledó, A. y Pons, N. (2012). Ajuste y adaptación psicosocial [Adjustment and psychosocial adaptation]. En C. Terol, Y. Quiles y M. V. Pérez-Jover (Coords.), Manual de evaluación psicosocial en contextos de salud [Manual of psychosocial evaluation in health contexts] (pp.85-124). Madrid: Pirámide.
  • Nieuwsma, J. A., Williams, J. W. Jr, Namdari, N., Washam, J. B., Raitz, G., Blumenthal, J. A., … Sanders, G. D. (2017). Diagnostic Accuracy of Screening and Treatment of Post–Acute Coronary Syndrome Depression: A Systematic Review. Annals of Internal Medicine, 167(10), 725-737. doi: https://doi.org/10.73267M17-1811
  • Ossola, P., Paglia, F., Pelosi, A., De Panfilis, C. Conte, G., Tonna, M., … Marchesi, C. (2015). Risk factors for incident depression in patients at first acute coronary syndrome. Psychiatry Research, 228(3), 448-453. doi: http://doi.org/10.1016/ j.psychres.2015.05.063.
  • Richardson, S., Shaffer, J. A., Falzon, L., Krupka, D., Davidson, K. W. y Edmonson, D. (2012). Meta-analysis of perceived stress and its association with incident coronary heart disease. American Journal of Cardiology, 110(12), 1711-1716. http://doi.org/10.1016/j. amjcard.2012.08.004
  • Rocha, V., Guerra, M. P., Lemos, M. S., Maciel, J. y Williams, G. C. (2017). Smoking abstinence twelve months after an acute coronary syndrome. The Spanish Journal of Psychology, 20. e63. doi: http://doi.org/10.1017/sjp.2017.61
  • Rodríguez-Marín, J., Sitges, E., Tirado, S., Martín-Aragón, M., Pastor, M. A. y Navarro, F. (2004). ¿Es posible tener emociones positivas tras un acontecimiento estresante? [Is it possible to have positive emotions after a stressful event?]. En E. Barberá, L. Mayor, M. Chóliz, E. Cantón, E. J. Carbonell, C. Candela, C. Gómez (Eds.), Motivos, emociones y procesos representacionales: de la teoría a la práctica. [Motives, emotions and representational processes: from theory to practice] (pp. 217-226).Valencia: Universitat de València.
  • Soleimani, A., Nejatian, M., Hajizaynali, M. A., Abbasi, S. H., Alidoosti, M., Sheikhfathollahi, M. y Abbasi, A. (2009). Effect of gender and type 2 diabetes mellitus on heart rate recovery in patients with coronary artery disease after cardiac rehabilitation. Endokrynologia Polska, 60(6), 430-436.
  • Staniute, M., Brozaitiene, J., Burkauskas, J., Kazukauskiene, N., Mickuviene, N. y Bunevicius, R. (2015). Type D personality, mental distress, social support and health-related quality of life in coronary artery disease patients with heart failure: a longitudinal observational study. Health and Quality of Life Outcomes, 13(1), 1-11. doi: http://doi.org/10.1186/s12955-014-0204-2
  • Terol, M. C., López-Roig, S., Rodríguez-Marín, J., Martín-Aragón, M., Pastor, M. y Reig, M. T. (2007). Propiedades psicométricas de la Escala Hospitalaria de Ansiedad y Depresión (HAD) en población española [Psychometric properties of the Hospital Anxiety and Depression Scale (HAD) in Spanish population]. Ansiedad y Estrés, 13(2), 163-176.
  • Valiee, S., Razavi, N. S., Aghajani, M. y Bashiri, Z. (2017). Effectiveness of a psychoeducation program on the quality of life in patients with coronary heart disease: A clinical trial. Applied Nursing Research, 33, 36-41. doi: http://doi.org/10.1016/ j.apnr.2016.09.002.
  • Van der Vlugt, M. J., van Domburg, R. T., Pedersen, S. S., Veerhoek, R. J., Leenderse, I. M., Pop, G. A., … Erdman, R. A. (2005). Feelings of being disabled as a risk factor for mortality up to 8 years after acute myocardial infarction. Journal of Psychosomatic Research, 59(4), 247-253. doi: https://doi.org/10.1016/j.jpsychores.2005.03.003
  • Vázquez-Arce, M. I. y Marqués-Sule, E. (en prensa). Estudio descriptivo y comparativo de factores de riesgo cardiovascular y actividad física en pacientes con Síndrome Coronario Agudo [Descriptive and comparative study of cardiovascular risk factors and physical activity in patients with acute coronary syndrome]. Atención Primaria. doi: https://doi.org/ 10.1016/j.aprim.2017.06.008
  • Vilagut, G., Valderas, J. M., Ferrer, M., Garín, O., López-García, E. y Alonso, J. (2008). Interpretación de los cuestionarios de salud SF-36 y SF-12 en España: componentes físico y mental. Medicina Clínica, 130(19), 726-735. doi: https://doi.org/10.1157/13121076
  • Vučković, F. J., Davidović, G. Irić, C.V., Dukić, S. y Kovačević, Z. (2012). Takotsubo cardiomyopathy –the broken heart syndrome. Medicinski Glasnik, 9(2), 400-402.
  • Ware, J., Kosinski, M. y Keller, S. D. (1996). A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220-233. doi: https://doi.org/10.2307/3766749
  • Whelton P. K., Carey, R. M., Aronow, W. S., Casey Jr D.E., Collins K. J., Dennison-Himmelfarb C., … Wright Jr J. T. (2018). ACC/AHA/ AAPA/ABC/ACPM/AGS/ APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. Journal of the American College of Cardiology, 71(19), 127-248. doi: https://doi.org/10.1016/j. jacc.2018.03.016
  • World Health Organization (1991). WHO Expert Committee on Rehabilitation after Cardiovascular Diseases with Special Emphasis on Developing Countries: report of a WHO expert committee. Geneva: World Health Organization. Recuperado de http://www.who.int/ iris/handle/10665/41777
  • World Medical Association (1964). Declaration of HelsinkiEthical principles for medical research involving human subjects (64th WMA General Assembly, Fortaleza, Brazil, 2013). Recuperado de http://www.wma.net/es/ 30publications/10policies/b3/
  • Zigmond, A. S. y Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. doi: 10.1111/j.1600-0447.1983.tb09716.x
Data source: Dialnet