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Poor health-related quality of life and proactive primary control strategy may act as risk factors for acute coronary syndrome

Title
Poor health-related quality of life and proactive primary control strategy may act as risk factors for acute coronary syndrome
Authors
Seo J.Lee Y.Kang S.Chun H.Pyun W.B.Park S.-H.Chung K.-M.Chung I.-M.
Ewha Authors
박성훈정익모편욱범전혜진
SCOPUS Author ID
박성훈scopus; 정익모scopus; 편욱범scopus; 전혜진scopus
Issue Date
2015
Journal Title
Korean Circulation Journal
ISSN
1738-5520JCR Link
Citation
vol. 45, no. 2, pp. 117 - 124
Keywords
Acute coronary syndromePsychological stressQuality of life
Publisher
Korean Society of Circulation
Indexed
SCIE; SCOPUS; KCI WOS scopus
Abstract
Background and Objectives: Increasing evidence supports that psychological factors may be related to development of coronary artery disease (CAD). Although psychological well-being, ill-being, and control strategy factors may play a significant role in CAD, rarely have these factors been simultaneously examined previously. We assessed comprehensive psychological factors in patients with acute coronary syndrome (ACS). Subjects and Methods: A total of 85 ACS patients (56 unstable angina, 29 acute myocardial infarction; 52.6±10.2 years; M/F=68/17) and 63 healthy controls (48.7±6.7 years, M/F=43/20) were included. Socio-demographic information, levels of psychological maladjustment, such as anxiety, hostility, and job stress, health-related quality of life (HRQoL), and primary and secondary control strategy use were collected through self-report questionnaires. Results: There was no significant difference between the ACS group and control group in levels of anxiety, hostility, and job stress. However, ACS patients had significantly lower scores on the general health perception and bodily pain subscales of HRQoL than the control group. The ACS group, as compared with the controls, tended to use primary control strategies more, although not reaching statistical significance by univariate analysis. Multivariate logistic regression analysis after adjusting age and gender identified the physical domain of HRQoL {odds ratio (OR)=0.40}, primary control strategy (OR=1.92), and secondary control strategy (OR=0.53) as independent predictors of ACS. Conclusion: Poor HRQoL and primary control strategy, proactive behaviors in achieving ones' goal, may act as risk factors for ACS, while secondary control strategy to conform to current situation may act as a protective factor for ACS. Copyright © 2015 The Korean Society of Cardiology.
DOI
10.4070/kcj.2015.45.2.117
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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