To determine the effect of psychologic distress, measured with a commonly used screening questionnaire, on 6-month morbidity and rehospitalization costs in coronary patients.
Psychologic distress was determined by screening with the Symptom Checklist-90-Revised (SCL-90-R) self-report inventory during the second week of cardiac rehabilitation.
The study cohort consisted of 381 patients (311 men and 70 women) referred for cardiac rehabilitation after an index hospitalization for unstable angina, myocardial infarction, coronary angioplasty, or coronary bypass procedure.
Patients with SCL-90-R scores above the 90th percentile for outpatient adults were considered distressed (N=41) ; patients with scores below this level were considered nondistressed (N=340)..
The 6-month follow-up was complete in all but 1 of the 381 patients.
Distressed patients had significantly higher rates of cardiovascular rehospitalization, any recurrent events, and recurrent « hard events » (cardiac death, myocardial infarction, or cardiac arrest and resuscitation) within 6 months after dismissal from their index hospitalization in comparison with nondistressed patients.
These data add support to the hypothesis that psychologic distress adversely affects the prognosis in coronary patients, confirm the added morbidity and rehospitalization.
Mots-clés Pascal : Cardiopathie coronaire, Economie santé, Exploration, Homme, Coût, Comportement détresse, Appareil circulatoire pathologie, Psychopathologie
Mots-clés Pascal anglais : Coronary heart disease, Health economy, Exploration, Human, Costs, Distress behavior, Cardiovascular disease, Psychopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0457944
Code Inist : 002B30A03B. Création : 01/03/1996.