ArticleBioPsychoSocial medicine2012
Illness perception among patients with chest pain and palpitations before and after negative cardiac evaluation.
Article in BioPsychoSocial medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Living with non-cardiac chest pain - An inductive qualitative interview study of spouses' perspectives.Nursing open · 2024Article
- The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- Psychiatry Meets Cardiology: A Case Report on the Need for Mental Health Assessment in the Evaluation of Cardiovascular Symptoms.Case reports in psychiatry · 2022Article
- Illness Perceptions in Patients with Premature Coronary Artery Disease: A Sex-Based Analysis 8 Years After the Diagnosis.Journal of clinical psychology in medical settings · 2019Article
- Anxiety about anxiety: a survey of emergency department provider beliefs and practices regarding anxiety-associated low risk chest pain.BMC emergency medicine · 2018Article
- Relationship Between Palpitation and Mental Health.Iranian Red Crescent medical journal · 2016Article
- 'Everything's fine, so why does it happen?' A qualitative investigation of patients' perceptions of noncardiac chest pain.Journal of clinical nursing · 2015Article
- Illness perceptions, negative emotions, and pain in patients with noncardiac chest pain.Journal of clinical psychology in medical settings · 2015Article
- Illness representations, psychological distress and non-cardiac chest pain in patients attending an emergency department.Psychology & health · 2014Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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backgroundPatients with chest pain or palpitations often have poor outcomes following a negative cardiac evaluation, with symptom persistence, limitations in everyday activities, and reduced health-related quality of life. The aims of this study were to evaluate illness perceptions before and after negative cardiac evaluations and measure the ability of a self-report questionnaire to predict outcomes.
methodsPatients (N = 138) referred for chest pain or palpitations to a cardiac outpatient clinic were assessed before and six months after a negative cardiac evaluation. In addition to Brief Illness Perception Questionnaire (BIPQ), all patients completed the Beck Depression Inventory and SF-36 Health Survey.
resultsThe emotional reactions to and understanding of symptoms had not improved six months after a negative cardiac evaluation. A stronger correlation between illness perceptions and health at follow-up than before the cardiac evaluation might explain the tendency for poor outcomes among these patients. Most of the eight BIPQ item scores before the negative cardiac evaluation were predictive of the outcome six months later. A single question asking about the perceived consequences of the complaints (BIPQ Item 1) rated before the cardiac evaluation was collapsed into a dichotomous variable with a cut-off at ≥4 which yields a sensitivity of 51%, a specificity of 85%, a positive predictive value of 71%, a negative predictive value of 69%, and an odds ratio of 5.7 (r = .38, p < .001) in predicting poor outcomes.
conclusionsAssessing illness perceptions is important in patients with negative cardiac tests for understanding and predicting outcomes.
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