Key result
Fear of recurrence was highly prevalent among elderly patients with coronary heart disease (59.5% scoring above clinical significance) and was negatively correlated with positive coping styles (r = -0.621) and social support (r = -0.413).
Why the study?
Fear of recurrence is common among patients with heart disease, but analyses in coronary heart disease, particularly in elderly patients, are relatively rare.
Cross-Sectional (n=200)
No
Effect estimate: r = -0.621 for positive coping, r = -0.413 for social support
p-value: p=<0.001
Fear of recurrence is highly prevalent among elderly patients with coronary heart disease, but can be mitigated by active coping and social support.
High fear of recurrence affects most elderly CHD outpatients; supports screening but leaves open whether targeting coping or support improves outcomes.
OBJECTIVE: Fear of recurrence is a common psychosocial sequela among patients with heart disease. Analyses of coronary heart disease, particularly in elderly patients, are relatively rare. This study aimed to investigate the current situation in this context, as well as the influencing fear factors concerning recurrence in elderly patients with coronary heart disease. METHODS: A total of 200 elderly outpatients with coronary heart disease were recruited to participate in this survey from a tertiary hospital in Baoding (China). The questionnaires included items from the Disease Progression Simplified Scale, the Simplified Coping Style Questionnaire, and the Social Support Rating Scale (SSRS). Univariate and multivariate regression analyses were adopted to investigate the influencing factors on the fear of recurrence. RESULTS: The fear of recurrence score in elderly patients with coronary heart disease was (38.46 ± 8.13), among which 119 cases (59.5%) scored higher than 34 points. The SSRS total average score was (34.89 ± 9.83) points. Positive coping style and social support were negatively correlated with the total score of recurrence fear (r = - 0.621, - 0.413, both P < 0.001). There was a positive correlation between negative coping style and the total score of recurrence fear (r = 0.232, P < 0.001). Multiple linear regression analysis showed that the course of the disease, the number of disease recurrence cases, active coping, and social support were relevant factors in fear of recurrence (all P < 0.05). CONCLUSION: The detection rate of fear of recurrence in elderly patients with coronary heart disease was relatively high but could be reduced by active interventions and enhancing social support.
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Zhen et al. (2022) conducted a cross-sectional in Coronary heart disease (n=200). Coping style and social support was evaluated on Fear of recurrence (FoP-Q-SF score) (r = -0.621 for positive coping, r = -0.413 for social support, p=<0.001). Fear of recurrence was highly prevalent among elderly patients with coronary heart disease (59.5% scoring above clinical significance) and was negatively correlated with positive coping styles (r = -0.621) and social support (r = -0.413).
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