Perceived vulnerability to serious heart disease and persistent pain in patients with minimal or no coronary disease
Bibliographic Data
| ID | 19309016 |
|---|---|
| Authors | Andreas Wielgosz (0000-0002-9533-7022, Ottawa Hospital), A T Wielgosz, J A Earp, J Earp |
| Year | 1986 |
| Volume | 48 |
| Issue | 1 |
| Pages | 118-124 |
| Publication date | 1986-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Psychosomatic Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0033-3174 • E-ISSN: 1534-7796 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00006842-198601000-00010 |
| PMID | 3945713 |
| OpenAlex | W2332732583 |
| Language | EN |
| Citations received | 4 |
A hypochondriacal personality has been shown to be a major determinant of continued pain in patients with chest pain, both in the presence and absence of significant (less than 75%) coronary stenosis. We investigated preoccupation with cardiac illness among 106 patients (63 women, 43 men) within a few days after coronary angiography, carried out for evaluation of chest pain, showed no significant stenosis. Thirteen questions were used in a structured interview to assess patients' beliefs, behaviors, and expectations pertaining to their cardiac health. Information about persistence of pain was obtained 1 year later by telephone interview. A composite variable, called Self-Label of Coronary Vulnerability, was determined by factor analysis; it accounted for 65% of the variance in the responses. In a multivariable regression analysis, a high score on Self-Label showed the strongest association (p less than 0.005) with continued, unimproved chest pain 1 year later even after adjusting for other variables. As a result, perhaps of a self-labeling process a set of beliefs about vulnerability to serious heart disease helps explain persistence of pain, despite the absence of significant coronary disease
Cardiology · Chest pain · Coronary heart disease · Disease · Stenosis · Cardiac Health and Mental Health · Health, psychology, and well-being · Healthcare professionals’ stress and burnout · Internal Medicine · Medicine
| Unique citing works | 4 |
|---|---|
| Citations per year | 0.12 |
| Citation span | 1992 - 2003 (12) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 4 |