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February 24, 2022Open Access

Heart-Focused Anxiety as a Mediator Between Illness Perception and Negative Affect in Cardiac Patients

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Key result

Positive beliefs about disease controllability were associated with fewer symptoms of anxiety and depression, with heart-focused anxiety mediating this relationship.

Why the study?

The study was conducted to examine the potential mediating role of heart-focused anxiety in the relationship between illness perception and depression and general anxiety in cardiac patients.

Population

177 patients hospitalized for major cardiac events

Authors

APAlessandra Pokrajac-BulianUniversity of RijekaMKMiljana KukićUniversity of Rijeka

Discussion

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Implication

Patients' illness perceptions may contribute to depression and anxiety in CVD; leaves open whether targeting perceptions improves outcomes.

Study Design

Type

Cross-Sectional (n=177)

Structured PICO

P
Population
177 patients (mean age 63.4 years, 29.4% female) hospitalized for major cardiac events.
O
Outcome
Mediating role of heart-focused anxiety in the relationship between illness perception and depression and general anxietypatient reported

In patients hospitalized for major cardiac events, maladaptive beliefs about disease controllability lead to depression and anxiety, mediated by heart-focused anxiety.

Limitations

  • lack of patient follow-up after discharge from the hospital
  • relatively small sample size

Cite This Study

Pokrajac-Bulian et al. (2022) conducted a cross-sectional in Major cardiac events (n=177). Illness perception (beliefs about disease controllability) was evaluated on Depression and general anxiety. Positive beliefs about disease controllability were associated with fewer symptoms of anxiety and depression, with heart-focused anxiety mediating this relationship.

synapsesocial.com/papers/6a9aa4d9262e4da96990b97dhttps://doi.org/10.13129/2282-1619/mjcp-3374
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heart-Focused Anxiety Affects Behavioral Cardiac Risk Factors and Quality of Life: A Follow-Up Study Using a Psycho-Cardiological Rehabilitation Concept2022 · 34 citations
  2. 2Cardiac Anxiety in Adults with Cardiovascular Disease: Prevalence, Predictors, and Implications for Cardiac Rehabilitation - A Systematic Review2026
  3. 3Type of treatment of cardiac disorders – quality of life and heart-focused anxiety: The mediating role of illness perceptions2014 · 5 citations
  4. 4Cardiac Neurosis: The Psychological Impact of Self-Perceived Heart Disease2025 · 2 citations
  5. 5Patterns and the mediating role of avoidant coping style and illness perception on anxiety and depression in patients with chronic heart failure2016 · 40 citations