Which Factors Unexpectedly Increase Depressive Symptom Severity in Patients at the End of a Cardiac Rehabilitation Program?

Komasi, Saeid; Saeidi, Mozhgan; Montazeri, Nafiseh; Masoumi, Masoumali; Soroush, Ali; Ezzati, Parvin

doi:10.5535/arm.2015.39.6.872

Cited by 14 publications

(21 citation statements)

References 20 publications

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“…It included information about demographic variables (age, gender, education level, and occupational status) and actual risk factors (diabetes, hypertension, hyperlipidemia, body mass index, history of smoking, opiate abuse, and familial history of cardiac disease). [ 1 23 ] Body mass index was measured by a nutritionist.…”

Section: Methodsmentioning

confidence: 99%

Coronary artery bypass graft patients' perception about the risk factors of illness: Educational necessities of second prevention

et al. 2017

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Background:Patients’ beliefs about the cause of cardiac disease (perceived risk factors) as part of the global psychological presentation are influenced by patients’ health knowledge. Hence, the present study aimed to assess the relationship between actual and perceived risk factors, identification of underestimated risk factors, and indication of underestimation of every risk factor.Materials and Methods:In this cross-sectional study, data of 313 coronary artery bypass graft (CABG) patients admitted to one hospital in the west of Iran were collected through a demographic interview, actual risk factors’ checklist, open single item of perceived risk factors, and a life stressful events scale. Data were analyzed by means of Spearman's correlation coefficients and one-sample Z-test for proportions.Results:Although there are significant relations between actual and perceived risk factors related to hypertension, family history, diabetes, smoking, and substance abuse (P < 0.05), there is no relation between the actual and perceived risk factors, and patients underestimate the role of actual risk factors in disease (P < 0.001). The patients underestimated the role of aging (98.8%), substance abuse (95.2%), overweight and obesity (94.9%), hyperlipidemia (93.1%), family history (90.3%), and hypertension (90%) more than diabetes (86.1%), smoking (72.5%), and stress (54.7%).Conclusion:Cardiac patients seem to underestimate the role of aging, substance abuse, obesity and overweight, hyperlipidemia, family history, and hypertension more than other actual risk factors. Therefore, these factors should be highlighted to patients to help them to (i) increase the awareness of actual risk factors and (ii) promote an appropriate lifestyle after CABG surgery.

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Section: Methodsmentioning

confidence: 99%

Coronary artery bypass graft patients' perception about the risk factors of illness: Educational necessities of second prevention

et al. 2017

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“…Despite the advancement in invasive treatments such as coronary artery bypass grafting (CABG) and angioplasty, the mortality rate of cardiovascular diseases remains high in the patients. for the secondary prevention of cardiac diseases (5). In general, CR could decrease cardiovascular mortality with targeted efforts focused on physical exercise, lipid control, hypertension control, and smoking cessation (4).…”

Section: Introductionmentioning

confidence: 99%

“…However, use of rehabilitation services is less common compared to the expected rate, and various data in the United States are indicative of the participation of only 31% of the patients undergoing CABG in CR programs. This rate has been estimated to be less than 15% in Iran, and a major cause of this issue is the lack of proper knowledge regarding the beneficial therapeutic effects of CR (5). It is also notable that heart failure caused by cardiac surgeries has been overlooked in CR programs (6,7).…”

Section: Introductionmentioning

confidence: 99%

Effects of Eight Weeks of Aerobic Exercises on the Cardiac Function and Inflammatory Markers of Male Patients with Heart Failure After Coronary Artery Bypass Grafting

Omidi

Delavar

Amiripour

et al. 2020

J Kermanshah Univ Med Sci

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Background: Cardiovascular diseases are the leading cause of mortality across the world. Coronary artery bypass grafting (CABG) is frequently performed on patients with cardiac diseases, the outcomes of which are closely associated with lifestyle modification, especially physical exercise. Objectives: The present study aimed to evaluate the impact of aerobic exercises on the cardiac function and inflammatory markers of male patients with heart failure after CABG. Methods: This clinical trial was conducted on 20 male patients with heart failure after CABG, who were randomly divided into the intervention and control groups (10 per each). In total, 24 aerobic exercise sessions were performed in the form of three 60-minutes weekly sessions with 60% -70% maximal heart rate (MaxHR). Cardiac function was evaluated, and the levels of interleukin 6 (IL-6) high-sensitivity C-reactive protein (hsCRP) were measured before and after the intervention. Data analysis was performed in the PRISM software using independent and Paired t-test. Results: After the intervention, left ventricular ejection fraction significantly increased in the intervention group, while no changes were observed in the control group (P = 0.0039). However, no significant changes were observed in the diastolic function of the groups after the intervention (P > 0.05). IL-6 had no significant changes in the control group, while it significantly reduced in the intervention group (P = 0.002). Furthermore, the hsCRP significantly decreased in the intervention group (P = 0.036), while no significant changes were observed in the control group in this regard (P < 0.05). Conclusions: According to the results, aerobic exercises could improve systolic cardiac function and decrease IL-6 and hsCRP in the patients with cardiac failure. Therefore, these exercises are recommended following CABG.

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“…For example, patients with cardiovascular problems usually experience high psychological distress because of death risk and invasive treatment procedures (9). Cardiac disease is concerned as a trigger to occur anxiety and depression or related disorders such as post-traumatic stress disorder (PTSD) (10)(11)(12). Anxiety disorders and depressed mood may be associated with negative dreams during sleep (4,8).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors and Psychosocial Correlates of Emotionally Negative Dreams in Patients Referred to a Cardiac Rehabilitation Centre

Saeidi

Soroush

Golafroozi

et al. 2020

MJMS

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Introduction: Dream, as a kind of mental activity, includes various functions such as mood regulation, adjustment and integration of new information with the available memory system. The study was done for assessing the relationship between physiological and psychological components of cardiac diseases with emotionally negative dreams in cardiac rehabilitation.Methods: At the baseline of this cross-sectional study, 156 patients from Western Iran participated during April-November 2016. People 20 years-80 years able to recall the emotional content of dreams after cardiac surgery entered the study. The Beck depression inventory (BDI), Beck anxiety inventory (BAI), Buss and Perry's aggression questionnaire (BPAQ) and Schredl's dream emotions manual were used for collecting data. A binary logistic regression analysis used for the study of the relationship between risk factors and emotionally negative dreams.Results: The mean age of participants was 59 (SD = 9) years (men: 64.1%). The results showed that 25% of patients have negative emotional content. After adjustment for demographic variables, the results showed that increased anxiety [adjusted odds ratio (adj OR) = 1.08 [1.01-1.16], P = 0.020] and anger (adj OR = 1.03 [1.00-1.06], P = 0.024) and hypertension (adj OR = 2.71 [1.10-6.68], P = 0.030) can predict the dreams with negative content significantly.Conclusion: The increasing rates of anxiety and anger and history of hypertension are related to increasing dreams with the negative emotional load. The control of risk factors of dreams with negative emotional load can be the target of future interventions.

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Which Factors Unexpectedly Increase Depressive Symptom Severity in Patients at the End of a Cardiac Rehabilitation Program?

Cited by 14 publications

References 20 publications

Coronary artery bypass graft patients' perception about the risk factors of illness: Educational necessities of second prevention

Coronary artery bypass graft patients' perception about the risk factors of illness: Educational necessities of second prevention

Effects of Eight Weeks of Aerobic Exercises on the Cardiac Function and Inflammatory Markers of Male Patients with Heart Failure After Coronary Artery Bypass Grafting

Risk Factors and Psychosocial Correlates of Emotionally Negative Dreams in Patients Referred to a Cardiac Rehabilitation Centre

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