Key result
Heart-related avoidance at discharge predicts reduced physical activity at six months.
Why the study?
Heart-focused anxiety increases adverse outcomes in heart disease patients, but its specific dimensions are rarely assessed and their impact on cardiac risk factors remains unclear.
Does heart-focused anxiety predict behavioral cardiac risk factors and quality of life in patients undergoing psycho-cardiological rehabilitation?
Population
238 rehabilitation inpatients with comorbid cardiac disease and psychiatric disorder
Comparison
Predictive value of heart-focused anxiety dimensions on risk factors and HRQoL
Design
Prospective observational study
Follow-up
6 months after discharge
Authors
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Heart-related avoidance may limit physical activity gains after rehab; hypothesis-generating for targeted anxiety interventions in comorbid patients.
Observational (n=238)
No
Does heart-focused anxiety predict behavioral cardiac risk factors and quality of life in patients undergoing psycho-cardiological rehabilitation?
Effect estimate: Coefficient -609.30 (95% CI -1055.96 to -166.96)
p-value: p=0.011
Heart-focused anxiety, particularly avoidance behavior, negatively impacts exercise capacity, physical activity, and physical health-related quality of life in patients with comorbid cardiac and psychiatric disorders.
Schmitz et al. (2022) conducted an observational in Comorbid cardiac disease and psychiatric disorder (n=238). Psycho-cardiological rehabilitation was evaluated on Change in physical activity at 6-month follow-up (IPAQ MET-min/week) (Coefficient -609.30, 95% CI -1055.96 to -166.96, p=0.011). Heart-related avoidance at discharge negatively predicted long-term changes in physical activity at 6-month follow-up, independently of sociodemographic factors and depression.
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