title: Illness perception patterns in patients with Coronary Artery Disease.
abstract: The purpose of this study is to identify patterns of illness perception in patients with angiografically verified Coronary Artery Disease. A total of 166 patients (age: 64.4 ± 12.1, 80.7% male) were recruited after angiography. Cluster analysis on the items of the Brief Illness Perception Questionnaire was used to identify patterns of illness perception. The resulting groups were characterized with regard to Quality of Life (MacNew), anxiety and depression (GAD-7 and PHQ-9) and resilience (RS-13). The analysis revealed 4 distinct groups differing with regard to the items covering the perception of the physical and emotional impact of disease. Stronger perceptions in these domains were associated with lower Health Related Quality of Life and higher levels of emotional distress. Group 1 (33.1%) reported the strongest perceptions of the physical and emotional impact of disease and expressed low treatment control, high chronic timeline and significantly higher levels of depression than the other groups. Group 2 (27.7%) was characterized by more moderate perceptions of the emotional and physical impact of disease together with low scores on illness coherence and chronic timeline. Groups 3 (25.3%) and 4 (13.9%) reported smaller physical and emotional impact of illness but differed in chronic timeline. Our results correspond largely to recent findings in patients with other chronic diseases. Further research is needed to explore if stratification of patients according patterns of illness perception can help to inform patient-physician communication strategies.
authors.affiliation: a Karl Landsteiner Institute for Scientific Research in Clinical Cardiology , Vienna , Austria.|b Department of Cardiology , Hanusch Krankenhaus , Vienna , Austria.
authors.forename: E
authors.initials: E
authors.lastname: Kunschitz
authors.affiliation: a Karl Landsteiner Institute for Scientific Research in Clinical Cardiology , Vienna , Austria.
authors.forename: O
authors.initials: O
authors.lastname: Friedrich
authors.affiliation: b Department of Cardiology , Hanusch Krankenhaus , Vienna , Austria.
authors.forename: Ch
authors.initials: C
authors.lastname: Schöppl
authors.affiliation: c Department of Surgery, Division of Transplantation , Medical University Vienna , Vienna , Austria.
authors.forename: J
authors.initials: J
authors.lastname: Maitz
authors.affiliation: a Karl Landsteiner Institute for Scientific Research in Clinical Cardiology , Vienna , Austria.|b Department of Cardiology , Hanusch Krankenhaus , Vienna , Austria.
authors.forename: J
authors.initials: J
authors.lastname: Sipötz
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D003324:Coronary Artery Disease / Q000523:psychology*; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D055500:Resilience, Psychological; D020377:Self Efficacy; D012803:Sick Role; D011795:Surveys and Questionnaires
keywords: Coronary Artery Disease; Illness perception; cluster analysis