Depression, anxiety, stress, social interaction and health-related quality of life in men and women with unexplained chest pain

Fagring, Annika Janson; Kjellgren, Karin I; Rosengren, Annika; Lissner, Lauren; Manhem, Karin; Welin, Catharina
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p165
Academic Journal
Background: Unexplained chest pain (UCP) is a common reason for emergency hospital admission and generates considerable health-care costs for society. Even though prior research indicates that psychological problems and impaired quality of life are common among UCP patients, there is lack of knowledge comparing UCP patients with a reference group from the general population. The aim of this study was to analyse differences between men and women with UCP and a reference group in terms of psychosocial factors as depression, anxiety, stress, social interaction and health-related quality of life (HRQOL). Methods: A self-administered questionnaire about psychosocial factors was completed by 127 men and 104 women with acute UCP admitted consecutively to the Emergency Department (ED) or as in-patients on a medical ward. A reference group from the general population, 490 men and 579 women, participants in the INTERGENE study and free of clinical heart disease, were selected. Results: The UCP patients were more likely to be immigrants, have a sedentary lifestyle, report stress at work and have symptoms of depression and trait-anxiety compared with the reference group. After adjustment for differences in age, smoking, hypertension and diabetes, these factors were still significantly more common among patients with UCP. In a stepwise multivariate model with mutual adjustment for psychosocial factors, being an immigrant was associated with a more than twofold risk in both sexes. Stress at work was associated with an almost fourfold increase in risk among men, whereas there was no independent impact for women. In contrast, depression only emerged as an independent risk factor in women. Trait-anxiety and a low level of social interaction were not independently associated with risk in either men or women. Patients with UCP were two to five times more likely to have low scores for HRQOL. Conclusion: Both men and women with UCP had higher depression scores than referents, but an independent association was only found in women. Among men, perceived stress at work emerged as the only psychosocial variable significantly associated with UCP.


Related Articles

  • Atypical chest pain might indicate anxiety disorder.  // Nursing Standard;3/22/2006, Vol. 20 Issue 28, p18 

    The article investigates the characteristic properties that could enhance recognition of anxiety disorder for patients with chest pain. The Hospital Anxiety and Depression Scale has been used as a screening test for anxiety disorder. Patients with high anxiety scores have been diagnosed with...

  • Early cortical processing of natural and artificial emotional faces differs between lower and higher socially anxious persons. Mühlberger, Andreas; Wieser, Matthias J.; Herrmann, Martin J.; Weyers, Peter; Tröger, Christian; Pauli, Paul // Journal of Neural Transmission;Jun2009, Vol. 116 Issue 6, p735 

    Emotional facial expressions provide critical information for social interactions. Above all, angry faces are assumed to reflect potential social threat. We investigated event-related potentials (ERPs) triggered by natural and artificial faces expressing fear, anger, happiness or no emotion in...

  • Quality of life in multiple sclerosis (MS) and role of fatigue, depression, anxiety, and stress: A bicenter study from north of Iran. Salehpoor, Ghasem; Rezaei, Sajjad; Hosseininezhad, Mozaffar // Iranian Journal of Nursing & Midwifery Research;Nov/Dec2014, Vol. 19 Issue 6, p593 

    Background: Although studies have demonstrated significant negative relationships between quality of life (QOL), fatigue, and the most common psychological symptoms (depression, anxiety, stress), the main ambiguity of previous studies on QOL is in the relative importance of these predictors....

  • Anxiety, Other Psychologic Symptoms Common in MS. Jones, Ariel // Neurology Reviews;Aug2011, Vol. 19 Issue 8, p25 

    The article reports on the results of a research regarding the prevalence of state and trait anxiety in patients with multiple sclerosis (MS). It revealed that more than 20% of patients with MS experience moderate to high trait anxiety, a psychological symptom whose role in the disease course...

  • The effects of internet use intensity on quality of life, anxiety and depression scores in pediatric migraine. Torun, Emel; Güler, Serhat; Küçükkoç, Mehmet; Ölçer, Sema; Arslan, Hüseyin // Dicle Medical Journal / Dicle Tip Dergisi;2014, Vol. 41 Issue 1, p23 

    Objective: We aim to compare the quality of life, anxiety and depression scores of schoolchildren and adolescent migraineurs with healthy subjects according to the intensity of their Internet use. Methods: The migraine and control groups consisted of 142 migraineurs and 128 healthy children (age...

  • SCREENING FOR DISTRESS IN EVERYDAY ONCOLOGY PRACTICE. MORDENTI, Patrizia; MONFREDO, Michela; Di NUNZIO, Camilla; BETTINARDI, Ornella; SPOTO, Andrea; CAVANNA, Luigi // Journal of Evidence-Based Psychotherapies;Sep2016, Vol. 16 Issue 2, p165 

    Given the high incidence of distress and its high negative impact on quality of life, routine screening for distress is today recognized as a standard of care in oncology practice. It is demonstrated that a quickly identification of distress may lead to prompt treatment and consequently to a...

  • Positive Effect of Modified Goeckerman Regimen on Quality of Life and Psychosocial Distress in Moderate and Severe Psoriasis. Chern, Erick; Yau, Diana; Ji-Chen Ho; Wei-Ming Wu; Cheng-Yu Wang; Hsueh-Wen Chang; Yu-Wen Cheng // Acta Dermato-Venereologica;2011, Vol. 91 Issue 4, p447 

    Psoriasis is a chronic inflammatory skin disease with a profound effect on quality of life and psychosocial stress. The relationship between clinical improvement and psychosocial impact after treatment is complex. The objective of this study was to compare changes in quality of life and...

  • Depression, Anxiety Disorders, Quality of Life and Stress Coping Strategies in Hemodialysis and Continuous Ambulatory Peritoneal Dialysis Patients. Baykan, Hayriye; Yargic, Ilhan // Klinik Psikofarmakoloji Bulteni;Jun2012, Vol. 22 Issue 2, p167 

    Objective: In this study, we aimed to assess patients with chronic kidney disease on hemodialysis or continuous ambulatory peritoneal dialysis (CAPD) and to compare them with matched controls for depression, anxiety disorders, quality of life, and stress coping strategies and to estimate the...

  • A mindfulness-based program for improving quality of life among hematopoietic stem cell transplantation survivors: feasibility and preliminary findings. Grossman, Paul; Zwahlen, Diana; Halter, Jorg; Passweg, Jakob; Steiner, Claudia; Kiss, Alexander // Supportive Care in Cancer;Apr2015, Vol. 23 Issue 4, p1105 

    Health-related quality of life (HRQoL) is often substantially reduced among individuals who have undergone hematopoietic stem cell transplantation (HSCT), and incidences of depression, fatigue, and anxiety are elevated. We examined effects of a mindfulness-based intervention (MBI) compared to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics