Psychologic distress among spouses of patients undergoing cardiac rehabilitation

O’Farrell, Patricia; Murray, Jean; Hotz, Stephen B.

doi:10.1067/mhl.2000.105753

Cited by 85 publications

(80 citation statements)

References 17 publications

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“…120 Marital and family concerns should be addressed in support interventions. 121 Marriage satisfaction was higher in CHD patients who participated in CR compared to non-participants. 122 Perceived employer support, more than family and physician support, predicted better work adjustment in CR patients 123 and social support has also been associated with higher exercise tolerance in CHD patients during CR.…”

Section: 116mentioning

confidence: 99%

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Pogosova

Saner²,

Pedersen

et al. 2014

Eur J Prev Cardiolog

262

107

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A large body of empirical research shows that psychosocial risk factors (PSRFs) such as low socio-economic status, social isolation, stress, Type-D personality, depression and anxiety increase the risk of incident coronary heart disease (CHD) and also contribute to poorer health-related quality of life (HRQL) and prognosis in patients with established CHD.PSRFs may also act as barriers to lifestyle changes and treatment adherence and may moderate the effects of cardiac rehabilitation (CR). Furthermore, there appears to be a bidirectional interaction between PSRFs and the cardiovascular system. Stress, anxiety and depression affect the cardiovascular system through immune, neuroendocrine and behavioural pathways. In turn, CHD and its associated treatments may lead to distress in patients, including anxiety and depression. In clinical practice, PSRFs can be assessed with single-item screening questions, standardised questionnaires, or structured clinical interviews.Psychotherapy and medication can be considered to alleviate any PSRF-related symptoms and to enhance HRQOL, but the evidence for a definite beneficial effect on cardiac endpoints is inconclusive. A multimodal behavioural intervention, integrating counseling for PSRFs and coping with illness should be included within comprehensive CR. Patients with clinically significant symptoms of distress should be referred for psychological counseling or psychologically focused interventions and/or psychopharmacological treatment. To conclude, the success of CR may critically depend on the interdependence of the body and mind and this interaction needs to be reflected through the assessment and management of PSRFs in line with robust scientific evidence, by trained staff, integrated within the core CR team. Word count of abstract: 246

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Section: 116mentioning

confidence: 99%

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Pogosova

Saner²,

Pedersen

et al. 2014

Eur J Prev Cardiolog

262

107

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show abstract

“…More generally, levels of involvement of spouses, children and extended family members during recovery are different because of differences in cultural and gendered expectations about care-giving. Studies show that this period is particularly challenging for family members as they may experience a range of negative emotions such as anxiety, depression, uncertainty, fatigue, irritability, poor concentration and insomnia [9][10][11][12]. Cardiac rehabilitation is an important adjunct to recovery and aims to improve short-term recovery and promote longterm changes in lifestyle which help to reduce coronary risk [13].…”

Section: Introductionmentioning

confidence: 99%

Family Support and Cardiac Rehabilitation: A Comparative Study of the Experiences of South Asian and White-European Patients and Their Carer's Living in the United Kingdom

Astin

Atkin

Darr

2008

European Journal of Cardiovascular Nursing

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Background: Effective lifestyle modification facilitated by cardiac rehabilitation is known to reduce the occurrence of adverse coronary events and mortality. South Asians have poorer outcomes after a myocardial infarction than the general UK population, but little is known about their experiences of family support, cardiac rehabilitation and lifestyle change. Aims: To explore the nature of family support available to a sample of South Asian and White-European cardiac patients and to highlight similarities and differences between these groups with regard to cardiac rehabilitation and lifestyle modification. Methods: Using a qualitative approach, semi-structured interviews (in 1 of 6 languages) were conducted by researchers with; 45 South Asian patients and 37 carers and 20 White-European patients and 17 carers. Interviews were conducted in a home setting, up to eighteen months after discharge from hospital following myocardial infarction, coronary artery bypass surgery or unstable angina. Results: The main themes that emerged related to the provision of advice and information, family support and burden, dietary change and exercise regimes. Conclusions: Several cultural and ethnic differences were identified between patients and their families alongside similarities, irrespective of ethnicity. These may represent generic characteristics of recovery after a cardiac event. Health professionals should develop a cultural repertoire to engage with diversity and difference. Not every difficulty a person encounters as they try to access appropriate service delivery can be attributed to ethnic background. By improving services generally, support for South Asian populations can be improved. The challenge is to know when ethnicity makes a difference and mediates a person's relationship with service support and when it does not.

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“…[71][72][73] Among partners of patients undergoing cardiac rehabilitation, sexual concerns were among the most prevalent stressors reported. Distressed spouses also reported significantly less intimacy in their marriages.…”

Section: Partner Counselingmentioning

confidence: 99%

“…Distressed spouses also reported significantly less intimacy in their marriages. 73 If a couple believes that their sex life is over because of illness, they will need help in redefining their sexual relationship. The severity of the disease often requires the patient and partner to redefine their sexual roles and to explore other sexual behaviors besides intercourse.…”

Section: Partner Counselingmentioning

confidence: 99%

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Steinke¹,

Jaarsma²,

Barnason³

et al. 2013

Circulation

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Psychologic distress among spouses of patients undergoing cardiac rehabilitation

Cited by 85 publications

References 17 publications

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Family Support and Cardiac Rehabilitation: A Comparative Study of the Experiences of South Asian and White-European Patients and Their Carer's Living in the United Kingdom

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

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