Effects of anxiety and depression on heart disease attributions.
Cardiac patients' beliefs about the causes of their illness may influence their receptivity to psychosocial interventions. The purpose of this study was to determine whether depression or anxiety influence patients' attributions about the causes of their heart disease. The primary hypothesis was that depressed or anxious patients are more likely to endorse negative emotions as among the causes of their heart disease than are patients who are not depressed or anxious. Sixty-nine patients with documented ischemic heart disease recruited from an exercise stress testing laboratory completed the Beck Depression and Anxiety Inventories and a heart disease attribution checklist. Univariate analyses confirmed that patients who are depressed or anxious are more likely than other patients to endorse negative emotions as causes of their heart disease. Anxiety but not depression was retained as an independent predictor of negative emotion attributions in a logistic regression analysis. We conclude that mood state influences cardiac patients' beliefs about the causes of their heart disease.
Day
Ryan C
RC
Department of Psychology, Washington University, St. Louis, Missouri 63108, USA.
Freedland
Kenneth E
KE
Carney
Robert M
RM
D000368:Aged; D001007:Anxiety / Q000523:psychology*; D003469:Culture; D003863:Depression / Q000523:psychology*; D005260:Female; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011584:Psychology; D011795:Surveys and Questionnaires
BMJ. 1996 May 11;312(7040):1191-4
8634561
J Abnorm Psychol. 1999 Feb;108(1):3-10
10066988
Am J Cardiol. 1990 Jul 1;66(1):59-62
2193497
Arch Gen Psychiatry. 2001 Mar;58(3):229-30
11231828
J Psychosom Res. 1997 Dec;43(6):565-73
9430070
Circulation. 2001 May 15;103(19):2318-20
11352875
J Consult Clin Psychol. 1988 Dec;56(6):893-7
3204199
Psychosom Med. 1988 Nov-Dec;50(6):627-33
2976950
Psychosom Med. 1999 Sep-Oct;61(5):666-75
10511015
Semin Clin Neuropsychiatry. 1998 Apr;3(2):87-101
10085196
J Nerv Ment Dis. 1994 Jan;182(1):45-9
8277301
Arch Gen Psychiatry. 1961 Jun;4:561-71
13688369
Circulation. 1995 Feb 15;91(4):999-1005
7531624
Am Heart J. 2000 Jan;139(1 Pt 1):1-9
10618555
J Abnorm Psychol. 2001 May;110(2):282-9
11358022
Ann Intern Med. 1992 Dec 15;117(12):1003-9
1443968
Med Care. 1979 Jan;17(1):11-29
759741
Arch Gen Psychiatry. 2001 Mar;58(3):221-7
11231827
Psychosom Med. 1995 Jan-Feb;57(1):37-47
7732157
JAMA. 1993 Oct 20;270(15):1819-25
8411525