Abstract:
OBJECTIVE:Growing evidence supports the importance of psychological factors in the etiology and progression of cardiovascular disease (CVD). However, this research has been criticized due to overlap between psychological constructs. We examined whether psychological questionnaires frequently used in cardiovascular research assess distinct constructs in a mixed group of ischemic heart disease (IHD) and chronic heart failure (CHF) patients. METHODS:565 patients with CHF (n=118) or IHD (n=447) completed the Type D scale (DS14), Hospital Anxiety and Depression Scale (HADS), Beck Depression Inventory (BDI), and State Trait Anxiety Inventory (STAI). Pearson product moment correlations were computed to determine the interrelatedness between psychological constructs. Principal component analyses (PCA) were conducted on both scale scores and items to determine higher-order constructs and distinctiveness of psychological questionnaires. RESULTS:Two higher-order constructs were identified, namely negative affect and social inhibition. PCA on all 69 items showed that anxiety, depression, negative affectivity, and social inhibition were distinct constructs. The original structure of the DS14 was confirmed, whereas items of the HADS and BDI loaded more diffusely; items of the STAI reflected two different components. CONCLUSION:The use of multiple questionnaires in cardiac patients is justified, as the higher order construct negative affect comprised different facets. Social inhibition was also shown to be a distinct construct, indicating that it may timely for cardiovascular research to look at the role of inhibition in addition to negative emotions. Future studies are warranted to determine whether these findings are replicable in other cardiac samples and to specify the unique prognostic value of these psychological facets.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Pelle AJ,Denollet J,Zwisler AD,Pedersen SSdoi
10.1016/j.jad.2008.05.017subject
Has Abstractpub_date
2009-02-01 00:00:00pages
150-6issue
1-2eissn
0165-0327issn
1573-2517pii
S0165-0327(08)00231-0journal_volume
113pub_type
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
pub_type: 杂志文章
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更新日期:2010-04-01 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章
doi:10.1016/j.jad.2007.07.023
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2004-04-01 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章
doi:10.1016/j.jad.2009.10.006
更新日期:2010-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0165-0327(80)90021-x
更新日期:1980-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0165-0327(99)00148-2
更新日期:2000-09-01 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章,评审
doi:10.1016/j.jad.2011.08.024
更新日期:2012-08-01 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章
doi:10.1016/j.jad.2013.05.020
更新日期:2013-09-25 00:00:00
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pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章,meta分析
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journal_title:Journal of affective disorders
pub_type: 杂志文章
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更新日期:2015-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:1982-06-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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journal_title:Journal of affective disorders
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章
doi:10.1016/j.jad.2014.04.006
更新日期:2014-08-01 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章,评审
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更新日期:2001-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-05-15 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章,随机对照试验
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更新日期:2005-12-01 00:00:00