Positive and Negative Affect Is Related to Experiencing Chest Pain During Exercise-Induced Myocardial Ischemia
Bibliographic Data
OBJECTIVE: Silent myocardial ischemia is thought to be associated with worse cardiovascular outcomes due to a lack of perception of pain cues that initiate treatment seeking. Negative affect (NA) has been associated with increased pain reporting and positive affect (PA) with decreased pain reporting, but these psychological factors have not been examined within the context of myocardial ischemia. This study evaluated the associations between PA, NA, and chest pain reporting in patients with and without ischemia during exercise testing. METHODS: A total of 246 patients referred for myocardial perfusion single-photon emission computed tomography exercise stress testing completed the positive and negative affect schedule-expanded version, a measure of PA and NA. Presence of chest pain and myocardial ischemia were evaluated using standardized protocols. RESULTS: Logistic regression analyses revealed that for every 1-point increase in NA, there was a 13% higher chance for ischemic patients (odds ratio [OR] = 1.13; 95% confidence interval [CI] = 1.02 to 1.26) and an 11% higher chance in nonischemic patients (OR = 1.11; 95% CI = 1.03 to 1.19) to report chest pain. A significant interaction of PA and NA on chest pain reporting (β = 0.02; 95% CI = 0.002 to 0.031) was also observed; nonischemic patients with high NA and PA reported more chest pain (57%) versus patients with low NA and low PA (13%), with high NA and low PA (17%), and with high PA and low NA (7%). CONCLUSIONS: Patients who experience higher NA are more likely to report experiencing chest pain. In patients without ischemia, high NA and PA was also associated with a higher likelihood of reporting chest pain. Results suggest that high levels of PA as well as NA may increase the experience and/or reporting of chest pain
Affect (linguistics) · Anesthesia · Cardiology · Chest pain · Confidence interval · Context (archaeology) · Ischemia · Myocardial perfusion imaging · Odds ratio · Perfusion · Physical therapy · Threshold of pain · Cardiac Health and Mental Health · Heart Rate Variability and Autonomic Control · Internal Medicine · Medicine · Music Therapy and Health · Psychology
Heart Disease and Stroke Statistics—2016 Update
The Panas-X
Anxiety and Risk of Incident Coronary Heart Disease
Multiple Imputation for Nonresponse in Surveys
Chest Pain in Patients With Cardiac and Noncardiac Disease
Self-Reported Versus Other-Reported Distress and Coronary Artery Calcification
Relationship Between Clinical Pain Complaints and Pain Sensitivity in Patients With Depression and Panic Disorder
Psychological and Physiological Predictors of Angina During Exercise-Induced Ischemia in Patients With Coronary Artery Disease
The Association Between Emotional Well-Being and the Incidence of Stroke in Older Adults
Chronic Pain, Stress, and the Dynamics of Affective Differentiation
Beyond Type D personality
Canonical Correlation Reveals Important Relations between Health Locus of Control, Coping, Affect and Values
On the bipolarity of positive and negative affect
Does positive affect influence health
| Citations per year | 0.13 |
|---|---|
| Citation span | 2018 - 2018 (1) |
| Highly cited | No |