title: The impact of screening for asymptomatic myocardial ischemia in individuals with type 2 diabetes.
abstract: Little is known about factors that contribute to either emotional or behavior outcomes following screening for coronary artery disease (CAD). The purpose of this prospective study was to explore these outcomes, along with potentially contributing factors in individuals enrolled in a screening trial for asymptomatic CAD. Included were 47 subjects with type 2 diabetes. Data were collected at study baseline and 3 and 6 months following entry by self-administered questionnaires and telephone follow-up. Emotional outcomes (quality of life and anxiety) tended to improve in those who underwent more aggressive screening with myocardial perfusion imaging, as well as in those who discussed the results of laboratory tests with their providers. Lower levels of diabetes competence and higher levels of controlled motivation for diet were associated with poorer emotional outcomes. Improvements in CAD risk factor behaviors were not observed.
authors.affiliation: Yale University School of Nursing, New Haven, Conn 06536-0740, USA. deborah.chyun@yale.edu
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Chyun
authors.forename: Deborah M
authors.initials: DM
authors.lastname: Katten
authors.forename: Gail D
authors.initials: GD
authors.lastname: Melkus
authors.forename: Sandra
authors.initials: S
authors.lastname: Talley
authors.forename: Janice A
authors.initials: JA
authors.lastname: Davey
authors.forename: Frans J Th
authors.initials: FJ
authors.lastname: Wackers
mesh_terms: D000367:Age Factors; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001007:Anxiety / Q000209:etiology; D001241:Aspirin / Q000627:therapeutic use; D003863:Depression / Q000209:etiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000523:psychology; D004644:Emotions; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009043:Motor Activity; D015999:Multivariate Analysis; D017202:Myocardial Ischemia / Q000209:etiology* / Q000517:prevention & control* / Q000523:psychology; D026684:Personal Autonomy; D011446:Prospective Studies; D011788:Quality of Life; D018570:Risk Assessment; D012959:Socioeconomic Factors
chemical_list: D000959:Antihypertensive Agents; D005343:Fibrinolytic Agents; D000960:Hypolipidemic Agents; D001241:Aspirin