ArticleInternational journal of behavioral medicine2018
Mental Distress Factors and Exercise Capacity in Patients with Coronary Artery Disease Attending Cardiac Rehabilitation Program.
Article in International journal of behavioral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Are clinical improvements in anxiety or depression associated with improvement in walking fitness following a cardiac rehabilitation programme?Open heart · 2026Observational
- Observational
- Improvement of anxious but not depressive symptoms is associated with functional outcomes of psychocardiological rehabilitation.Scientific reports · 2025Article
- The role of seasonality on evaluating health-related quality of life in patients with coronary artery disease.Scientific reports · 2025Article
- Exploratory analysis of the effectiveness of virtual reality in cardiovascular rehabilitation.Scientific reports · 2024Article
- Heartbeat tracking task performance, an indicator of interoceptive accuracy, is associated with improvement of exercise tolerance in patients undergoing home-based cardiac rehabilitation.European heart journal. Digital health · 2022Article
- Sex Differences in Cardiac Rehabilitation Outcomes.Circulation research · 2022Review
- Heart-Focused Anxiety Affects Behavioral Cardiac Risk Factors and Quality of Life: A Follow-Up Study Using a Psycho-Cardiological Rehabilitation Concept.Frontiers in psychiatry · 2022Article
- Effect of nursing intervention based on Maslow's hierarchy of needs in patients with coronary heart disease interventional surgery.World journal of clinical cases · 2021Article
- Retrospective analysis of exercise capacity in patients with coronary artery disease after percutaneous coronary intervention or coronary artery bypass graft.International journal of nursing sciences · 2021Article
- Validation and Psychometric Properties of the Minnesota Living With Heart Failure Questionnaire in Individuals With Coronary Artery Disease in Lithuania.Frontiers in psychology · 2021Article
- Validation of the Multidimensional Fatigue Inventory with Coronary Artery Disease Patients.International journal of environmental research and public health · 2020Article
- Evaluation of Depression and Anxiety in Coronary Artery Bypass Surgery Patients: A Prospective Clinical Study.Brazilian journal of cardiovascular surgery · 2019Article
- Patients' expectations of returning to work, co-morbid disorders and work capacity at discharge from cardiac rehabilitation.Vascular health and risk management · 2019Article
- Correlates of memory loss and depression among myocardial infarction patients in Al-Qassim, Saudi Arabia.Journal of the Saudi Heart Association · 2018Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is still insufficient data on mental distress factors contributing to exercise capacity (EC) improvement before and after cardiac rehabilitation (CR) in patients with coronary artery disease (CAD). The aim of our study was to evaluate the associations between various mental distress factors and EC before and after exercise-based CR (EBCR).
methodsOver 12 months, 223 CAD patients (70% men, mean age 58 ± 9 years) were evaluated for socio-demographic, clinical, and mental distress symptoms as measured by the Hospital Anxiety and Depression scale (HADS), Beck Depression Inventory-II (BDI-II), and Spielberger State-Trait Anxiety Inventory (STAI). Patients were tested for EC at baseline and after EBCR.
resultsIn a multivariate linear regression model, EC before EBCR was associated with HADS anxiety subscale (β = -.186, p = .002) and BDI-II somatic/affective subscale (β = -.249, p < .001). EC after EBCR was associated with HADS anxiety and depression subscales (β = -.198, p < .001; β = -.170, p = .002, respectively) and BDI-II (β = -.258, p < .001). The BDI-II somatic/affective subscale was the best predictor of reduced EC before and after EBCR.
conclusionsMental distress and somatic/affective symptoms of depression are strongly associated with EC both at the beginning and after EBCR. Analysis of possible mediating or moderating factors was beyond the scope of our study. Future studies should focus on comprehensive evaluation of EC risk factors including other mental distress characteristics, subjectively experienced fatigue, and post-operative CAD symptoms.
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