DenHeart: Differences in physical and mental health across cardiac diagnoses at hospital discharge

Berg, Selina Kikkenborg; Rasmussen, Trine Bernholdt; Thrysoee, Lars; Lauberg, Astrid; Borregaard, Britt; Christensen, Anne Vinggaard; Ekholm, Ola; Juel, Knud; Svanholm, Jette

doi:10.1016/j.jpsychores.2017.01.003

Cited by 45 publications

(40 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our patients had a relatively high self-reported health with baseline scores of 51.7 and 51.8 on the Mental Component Scale of the SF-36, and 45.3 and 46.7 on the Physical Component Scale, which are higher compared with other cardiac disease populations entering a comprehensive rehabilitation intervention 24 25. The same trends are seen in regard to anxiety, where mean scores of 3.8 and 4.2, and in relation to depression with scores of 2.6 and 3.0 reflecting a relative small burden of anxiety and depression compared with other rehabilitation studies24 25 and in a large epidemiological study 26…”

Section: Discussionsupporting

confidence: 71%

Sexual rehabilitation for cardiac patients with erectile dysfunction: a randomised clinical trial

Palm

Zwisler²,

Svendsen

et al. 2018

Heart

Self Cite

View full text Add to dashboard Cite

BackgroundSexual dysfunction is common in patients with either ischaemic heart disease (IHD) or implantable cardioverter defibrillator (ICD) and has a negative impact on quality of life. Non-pharmacological treatment options are lacking. The purpose of this trial was to assess the effect of sexual rehabilitation versus usual care for males with erectile dysfunction and either IHD and/or ICD.MethodsParticipants with erectile dysfunction and IHD and/or ICD were randomised to 12 weeks of sexual rehabilitation consisting of physical exercise training, pelvic floor exercise and psychoeducation, or usual care. Primary outcome: sexual function by the International Index of Erectile Function (IIEF). Secondary outcome: sexual function by the Psychosocial Adjustment to Illness Scale. Exploratory outcomes: exercise capacity, pelvic floor strength/endurance, self-reported health and mental health.Results154 participants were included, mean age 61.6 years (SD 6.1). Sexual rehabilitation compared with usual care improved sexual function with a mean difference IIEF score of 6.7 (95% CI 3.1 to 10.4, p<0.0003) at 4 months between groups (unadjusted IIEF mean scores 36.4 vs 31.3) and a mean difference of 6.7, 95% CI 3.2 to 10.1 (p<0.0002) at 6 months between groups (unadjusted mean scores IIEF 37.1 vs 32.2). No effects were seen on the secondary outcome. Sexual rehabilitation improved exercise capacity on cycle ergometer measured by Watt max with a mean difference of 10.3, 95% CI 3.6 to 16.9 (p<0.003) and pelvic floor strength (p<0.01). No differences were seen on self-reported health and mental health.ConclusionSexual rehabilitation compared with usual care improves sexual function and exercise capacity.Trial registrationNCT01796353; Results.

show abstract

Section: Discussionsupporting

confidence: 71%

Sexual rehabilitation for cardiac patients with erectile dysfunction: a randomised clinical trial

Palm

Zwisler²,

Svendsen

et al. 2018

Heart

Self Cite

View full text Add to dashboard Cite

show abstract

“…Based on their discharge diagnosis from the Danish National Patient Register [26], patients were divided into diagnostic sub-groups [2]. Included in the current analyses are patients with ischemic heart disease, arrhythmias, heart failure and heart valve diseases.…”

Section: Data Collection and Samplementioning

confidence: 99%

“…Anxiety and depression symptoms are common among cardiac patients with prevalence rates of up to 30 and 20%, respectively, at hospital discharge and up to three months after hospitalization. This reflects the possible severity of the physical illness on other aspects of health [1,2]. Previous studies have shown that anxiety and depression symptoms can predict future morbidity and mortality among cardiac patients [3,4] underlining the importance of identifying these symptoms in order to initiate interventions to reduce them.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey

Christensen

Dixon

Juel

et al. 2020

Health Qual Life Outcomes

Self Cite

View full text Add to dashboard Cite

Background: Anxiety and depression symptoms are common among cardiac patients. The Hospital Anxiety and Depression Scale (HADS) is frequently used to measure symptoms of anxiety and depression; however, no study on the validity and reliability of the scale in Danish cardiac patients has been done. The aim, therefore, was to evaluate the psychometric properties of HADS in a large sample of Danish patients with the four most common cardiac diagnoses: ischemic heart disease, arrhythmias, heart failure and heart valve disease. Methods: The DenHeart study was designed as a national cross-sectional survey including the HADS, SF-12 and HeartQoL and combined with data from national registers. Psychometric evaluation included analyses of floor and ceiling effects, structural validity using both exploratory and confirmatory factor analysis and hypotheses testing of convergent and divergent validity by relating the HADS scores to the SF-12 and HeartQoL. Internal consistency reliability was evaluated by Cronbach's alpha, and differential item functioning by gender was examined using ordinal logistic regression. Results: A total of 12,806 patients (response rate 51%) answered the HADS. Exploratory factor analysis supported the original two-factor structure of the HADS, while confirmatory factor analysis supported a three-factor structure consisting of the original depression subscale and two anxiety subscales as suggested in a previous study. There were floor effects on all items and ceiling effect on item 8. The hypotheses regarding convergent validity were confirmed but those regarding divergent validity for HADS-D were not. Internal consistency was good with a Cronbach's alpha of 0.87 for HADS-A and 0.82 for HADS-D. There were no indications of noticeable differential item functioning by gender for any items. Conclusions: The present study supported the evidence of convergent validity and high internal consistency for both HADS outcomes in a large sample of Danish patients with cardiac disease. There are, however, conflicting results regarding the factor structure of the scale consistent with previous research. Trial registration: ClinicalTrials.gov: NCT01926145.

show abstract

“…The DenHeart study compared mental health scores for patients discharged from Danish Heart Centres against a reference population and found that depression and anxiety were particularly manifest in patients diagnosed with heart failure: a consequence of the high comorbidity, fear, functional decline and risk of death experienced by this population (Berg et al, 2017). Survivors of stroke and transient ischaemic attack have also been shown to be at risk of developing post-traumatic stress disorder (PTSD) (Kiphuth et al, 2014).…”

Section: Anxiety and The Heartmentioning

confidence: 99%

On normalising anxiety: a royal perspective and expert advice

Cowan¹

2017

British Journal of Cardiac Nursing

View full text Add to dashboard Cite

I nspired by the approach of normalising mental health and bringing it onto a par with physical health, I have written about anxiety for the British Journal of Cardiac Nursing. Cardiac patients share concerns about their heart health, but does mental health remain taboo? The Duke of Cambridge is supporting a project in which people from all walks of life recount, in a series of videos, what it feels like to open up to someone else about their mental health (Heads Together, 2017). He hopes that the videos 'will inspire people across this country, whatever their background, to talk up, and to tell another person if they feel like they can't cope. That it's perfectly okay to do that-it's a positive step, and a sign of strength, not weakness.' This article shares that same goal.

show abstract

DenHeart: Differences in physical and mental health across cardiac diagnoses at hospital discharge

Cited by 45 publications

References 54 publications

Sexual rehabilitation for cardiac patients with erectile dysfunction: a randomised clinical trial

Sexual rehabilitation for cardiac patients with erectile dysfunction: a randomised clinical trial

Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey

On normalising anxiety: a royal perspective and expert advice

Contact Info

Product

Resources

About