A behavioral study of middle-aged chest pain patients: Physical symptom reporting, anxiety, and depression

Elias, Merrill F.; Robbins, Michael A.; Blow, Frederic C.; Rice, Andrew P.; Edgecomb, Jeffrey L.

doi:10.1080/03610738208258394

Cited by 48 publications

(23 citation statements)

References 27 publications

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“…It should be noted that most previous investigations of anxiety and CAD have studied only male patients or samples in which the small number of females precluded separate analyses by gender (3,4,8). Moreover, when data for male and female patients have been separately analyzed (4,8), gender differences were observed, i.e., a greater prevalence of CAD in men, and higher levels of anxiety in women.…”

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confidence: 82%

“…Assessments of significant coronary artery stenoses were based on two different criteria used in most prior studies. These criteria were 50% or greater (3,8), or 75% or greater (4, 7), luminal narrowing.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, when data for male and female patients have been separately analyzed (4,8), gender differences were observed, i.e., a greater prevalence of CAD in men, and higher levels of anxiety in women. Typically, the influence of age on the relationship between CAD and anxiety has been ignored, or investigators have attempted to control the effects of age on anxiety by analysis of covariance (5,8). The latter seems inappropriate, however, since there is little evidence that age influences anxiety (11), whereas age is strongly related to CAD prevalence and physical complaints (12).…”

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confidence: 93%

“…Elias et al (8) compared patients who had experienced an MI with patients who reported chest pains for whom angiography was used to evaluate the presence and severity of CAD. Higher anxiety was found for patients with chest discomfort and no evidence of CAD than for patients with MI and/or CAD.…”

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confidence: 99%

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Effects of age and gender on the relationship between anxiety and coronary artery disease.

Schocken¹,

Greene²,

Worden³

et al. 1987

Psychosomatic Medicine

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This study investigated the relationship between anxiety and coronary artery disease (CAD). State (S-ANX) and trait (T-ANX) anxiety were assessed with the State-Trait Personality Inventory (STPI), which was administered to 373 patients (230 males, 143 females) 12 to 18 hr prior to their undergoing coronary arteriography. Females were significantly higher than males in both T-ANX (p less than 0.05) and S-ANX (p less than 0.01). Younger patients of both sexes were significantly higher in S-ANX (p less than 0.001), but no relationship was found between T-ANX and age. Patients with CAD did not differ in S-ANX from those without CAD. T-ANX scores of female patients were unrelated to MI or CAD. Male patients with chest pain only (CPO) were higher in T-ANX than males with prior myocardial infarction or chest pain plus CAD (p less than 0.01). Although this difference was not significant for older males (p less than 0.31), younger CPO males were significantly higher in T-ANX than the other clinical groups (p less than 0.05). These results were interpreted as indicating that high T-ANX is not associated with CAD, but is a risk factor for angiography, especially for younger males.

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confidence: 82%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 93%

mentioning

confidence: 99%

See 2 more Smart Citations

Effects of age and gender on the relationship between anxiety and coronary artery disease.

Schocken¹,

Greene²,

Worden³

et al. 1987

Psychosomatic Medicine

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“…Studies designed to differentiate the chest pain patient with and without CAD have found that blue collar em ployment [4], younger age [21], female sex [22], uncon trollable negative life events [23], state and trait anxiety, panic, affective, somatization disorders and 'neuroticism' [24][25][26] were all major discriminating variables. Pearce et al [27] hypothesized that the fundamental factor underly ing noncardiac chest pain was the continued misinterpre tation of minor physical symptoms as evidence of heart disease.…”

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confidence: 99%

Cardiac Disease and Nonorganic Chest Pain: Factors Leading to Disability

Chernen¹,

Friedman²,

Goldberg

et al. 1995

Cardiology

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Research has shown that many chest pain patients, without coronary artery disease, may suffer from panic disorder, hypochondriasis, depression, and/or multiple phobias. Some patients with coronary artery disease may also suffer from these disorders and are often unable to return to previous activity. In spite of good prognosis for longevity and acceptable exercise test results, a large proportion of these patients continue to be disabled by chest pain and/or chronic cardiac fears and demand constant medical attention. This study examined the psychiatric and behavioral symptomatology that differentiated four groups of patients experiencing chest pain: the able (active/working patient) with and without coronary artery disease, as determined by exercise thallium-201 studies, and the disabled (inactive/nonworking patient) with and without coronary artery disease. The results of the study indicated that the inactive patients, both with and without heart disease, suffered from a host of debilitating psychiatric conditions.

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Multiple uses for longitudinal personality data

Costa

McCrae

1992

Eur J Pers

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Most longitudinal studies are designed to serve fairly narrow purposes, such as the prediction of life outcomes from theoretically relevant antecedent variables, or the documentation of age‐related changes in the level of personality or cognitive variables. However, the accumulation of data on a single group of people observed over a period of many years permits a variety of other types of analyses. Creative use of a longitudinal archive can amply justify the costs of maintaining the sample and should encourage investigators to initiate more longitudinal projects. Findings from the Baltimore Longitudinal Study of Aging are used to illustrate both traditional and alternative uses of personality data, including (a) development of nomological nets for the interpretation of personality measures, (b) evaluation of state effects in personality measurement, (c) validation of retrospective reports, and (d) heuristic exploratory analyses. Current knowledge on the stability of personality in adulthood, the correspondence of observer ratings and self‐reports, and the comprehensiveness of the five‐factor model can enhance the design of future longitudinal studies.

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A behavioral study of middle-aged chest pain patients: Physical symptom reporting, anxiety, and depression

Cited by 48 publications

References 27 publications

Effects of age and gender on the relationship between anxiety and coronary artery disease.

Effects of age and gender on the relationship between anxiety and coronary artery disease.

Cardiac Disease and Nonorganic Chest Pain: Factors Leading to Disability

Multiple uses for longitudinal personality data

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