title: [Presentation of the Psycho-Cardiological schedule and convergence levels analyses among the psycho-cardiological screening and the psychological assessment].
abstract: In Cardiovascular Rehabilitation the increasing inpatients complexity suggests the necessity to develop screening methods which allow to identify those patients that require a psychological intervention.
  
  
  METHODS
  A Psycho-Cardiological Schedule (PCS) was developed with the aim of detecting the critical situation indicators or the presence of psychological, social and cognitive problems. The PCS, compiled by a nurse or cardiologist in collaboration with a psychologist, allows to assess the need for a deeper psychological examination, clinical and/or with tests. Aim of the present study is to identify the convergence levels among the observational and anamnestic data of the PCS collected by a nurse and the clinical and/or test data of the psychological deeper assessment.
  
  
  RESULTS
  Among the 87 patients recruited in January-February 2010, 28 (aged 53.5 +/- 12.6, M = 20, F = 8) fulfilled the criteria for a deeper psychological examination: age < or = 50, manifestation of psychological/behavioural problems, neuropsychological disorders, low adherence to prescriptions, inadequate disease knowledge/representation. From data comparisons emerged convergence levels with 100% concordance as to smoke habits and problems in social-family support. High convergence levels also resulted as to emotional and/or behavioural problems (92.8%) and inadequate adherence to prescriptions (89.3%). Lower levels of concordance (82.1%) emerged when considering disease knowledge/representation, issues specifically linked to cognition and subjective illness experience, not directly detectable from behaviour.
  
  
  CONCLUSIONS
  our data confirm the synergic efficacy of the two evaluations: the Psycho-Cardiological Schedule reliably identifies the problematic macro-categories, mainly if they are characterized by behavioural indicators, which facilitate the detection. The psychological approach appears more suitable for better specifing macro-categories characteristics and for detecting critical aspects not overt but not less important, providing therefore advice for a therapeutic psychological management.
authors.affiliation: Servizio di Psicologia, Fondazione Salvatore Maugeri, IRCCS, Istituto Scientifico di Montescano, 27040 Montescano, PV, Italy. antonia.pierobon@fsm.it
authors.forename: Antonia
authors.initials: A
authors.lastname: Pierobon
authors.forename: Simona
authors.initials: S
authors.lastname: Callegari
authors.forename: Anna
authors.initials: A
authors.lastname: Giardini
authors.forename: Marina
authors.initials: M
authors.lastname: Ferrari
authors.forename: Francesca
authors.initials: F
authors.lastname: Olmetti
authors.forename: Daniela
authors.initials: D
authors.lastname: Corbellini
authors.forename: Oreste
authors.initials: O
authors.lastname: Febo
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Majani
mesh_terms: D000072038:Cardiac Rehabilitation; D002318:Cardiovascular Diseases / Q000523:psychology*; D006801:Humans; D012046:Rehabilitation / Q000523:psychology