ArticleHealth and quality of life outcomes2020
The associations between psychological distress and health-related quality of life in patients with non-cardiac chest pain.
Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 27 citations in OpenAlex.
- A Care Management Intervention for Noncardiac Chest Pain: Treatment Development and Feasibility Assessment.The primary care companion for CNS disorders · 2022Trial
- Effectiveness of Internet-Based Cognitive Behavioral Therapy With Telephone Support for Noncardiac Chest Pain: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Before the diagnosis: quality of life in patients presenting with chest pain undergoing Bruce protocol stress testing.BMC cardiovascular disorders · 2025Article
- A closer look into maternal psychological distress and the associated factors: the case of autism and chronic conditions.Frontiers in psychiatry · 2025Article
- A Study on the Association Between Risk Factors and Psychosocial Factors of Non-Cardiac Chest Pain (NCCP) in Adults Aged 40 and Above Based on 2013-2018 US NHANES Data.Journal of pain research · 2025Article
- Living with non-cardiac chest pain - An inductive qualitative interview study of spouses' perspectives.Nursing open · 2024Article
- Postpartum quality of life and mental health in women with heart disease: Integrated clinical communication and treatment.World journal of psychiatry · 2024Article
- Article
- Non-cardiac Chest Pain in Japan: Prevalence, Impact, and Consultation Behavior - A Population-based Study.Journal of neurogastroenterology and motility · 2023Article
- Article
- What Predict Self-rated Health: A Cross-sectional Study Among Men and Women with Non-cardiac Chest Pain.Journal of clinical psychology in medical settings · 2023Article
- Effectiveness of a training program for a patient with non-cardiac chest pain that combines intervention to improve quality of life, psychological state, and functional capacity: a case report.BioPsychoSocial medicine · 2023Article
- Comparing depression, anxiety, and quality of life in individuals with cardiac and non-cardiac chest pain.Frontiers in psychiatry · 2023Article
- Determinants of depression in non-cardiac chest pain patients: a cross sectional study.The Korean journal of pain · 2021Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundRecurrent chest pain episodes with no clear explanation may affect patients' psychological wellbeing and health-related quality of life (HRQoL) negatively. Despite the fact that a significant amount of patients with non-cardiac chest pain (NCCP) might have a history of Cardiac Disease (CD), there is today a lack of knowledge on how CD influences the association between psychological wellbeing and HRQoL in patients with NCCP. Therefore, the aim of this study is to describe HRQoL in patients with NCCP, with or without history of CD, and to explore the association between HRQoL and cardiac anxiety, depressive symptoms, fear of body sensations and somatization.
methodsFive hundred fifty-two patients discharged with NCCP from four hospitals in Southeast Sweden completed the EQ-5D, Cardiac Anxiety Questionnaire, Patient Health Questionnaire-9, Body Sensations Questionnaire, and Patient Health Questionnaire-15.
resultsFifty precent reported at least moderate problems regarding pain/discomfort and 25% reported at least moderate problems in the HRQoL dimensions mobility, usual activities, and anxiety/depression. Patients with NCCP and history of CD reported significantly lower HRQoL (p ≤ 0.05) compared to patients with NCCP without CD. In the total study population, cardiac anxiety, depressive symptoms, and somatization had weak significant negative associations (beta = 0.187-0.284, p < 0.001) with HRQoL. In patients with history of CD, the association between depressive symptoms and HRQoL was moderate (beta = - 0.339, p < 0.001), compared to weak association in patients without CD (beta = - 0.193, p < 0.001). On the other hand, the association between cardiac anxiety and HRQoL was weak in both patients with history of CD (beta = - 0.156, p = 0.05), and in those without (beta = - 0.229, p < 0.001).
conclusionsPatients with NCCP, in particular those with history of CD, reported low levels of HRQoL, which was associated with psychological distress. This should be considered when developing psychological interventions aiming to improve HRQoL in patients with NCCP.
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