[Anxiety, depression, health-related control beliefs, and their association with health behavior in patients with ischemic heart disease]

Orv Hetil. 2015 May 17;156(20):813-22. doi: 10.1556/650.2015.30158.
[Article in Hungarian]

Abstract

Introduction: Psychological and lifestyle factors affect the development and outcome of heart disease considerably.

Aim: The aims of the authors were to examine health control, level of anxiety and depression and to analyse their relationship with health behaviour in patients with ischemic heart disease.

Method: The present cross-sectional study involved 116 patients who took part in residential cardiac rehabilitation (56.9% men, mean age: 57.65±8.22 years).

Results: 30.9% of the patients reported elevated anxiety and 21.9% increased depressive symptomatology. Social-external control belief was the strongest among respondents. Further, anxiety and depression were negatively associated with healthy diet and the frequency of exercise. Patients with stronger social-external control beliefs were more likely to seek medical attention if they suspected a disease.

Conclusions: It is important to assess psychological risk factors linked to cardiovascular diseases in cardiac rehabilitation departments and to initiate psychological interventions if indicated.

Keywords: anxiety; depression; depresszió; egészség-magatartás; egészségkontrollhit; health behaviour; health-related control beliefs; ischaemiás szívbetegség; ischemic heart disease; szorongás.

MeSH terms

  • Anxiety / epidemiology
  • Anxiety / etiology*
  • Cross-Sectional Studies
  • Cultural Characteristics*
  • Depression / epidemiology
  • Depression / etiology*
  • Exercise
  • Feeding Behavior
  • Female
  • Health Behavior*
  • Health Status*
  • Humans
  • Hungary / epidemiology
  • Internal-External Control
  • Life Style
  • Male
  • Middle Aged
  • Myocardial Ischemia / psychology*
  • Myocardial Ischemia / rehabilitation*
  • Risk Assessment
  • Risk Factors
  • Surveys and Questionnaires