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The association between psychological distress and angina pectoris: A population-based study

BACKGROUND: Psychological distress is an undifferentiated combination of symptoms that may be related to the occurrence of angina pectoris (AP). However, few studies have investigated the relationship between psychological distress and AP, particularly in Asian populations. The purpose of this study...

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Autores principales: Tsai, Ching-Ching, Chuang, Shao-Yuan, Hsieh, I-Chang, Ho, Lun-Hui, Chu, Pao-Hsien, Jeng, Chii
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839898/
https://www.ncbi.nlm.nih.gov/pubmed/31703084
http://dx.doi.org/10.1371/journal.pone.0224451
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author Tsai, Ching-Ching
Chuang, Shao-Yuan
Hsieh, I-Chang
Ho, Lun-Hui
Chu, Pao-Hsien
Jeng, Chii
author_facet Tsai, Ching-Ching
Chuang, Shao-Yuan
Hsieh, I-Chang
Ho, Lun-Hui
Chu, Pao-Hsien
Jeng, Chii
author_sort Tsai, Ching-Ching
collection PubMed
description BACKGROUND: Psychological distress is an undifferentiated combination of symptoms that may be related to the occurrence of angina pectoris (AP). However, few studies have investigated the relationship between psychological distress and AP, particularly in Asian populations. The purpose of this study was to examine the relationship between psychological distress and AP in Taiwanese adults. METHODS: We adopted a cross-sectional design to explore the data of the 2005–2008 Nutrition and Health Survey in Taiwan. In total, 2080 subjects (aged ≥ 19 years) responded to questionnaire interviews and underwent physical examinations. Each of the five dimensions of psychological distress (sleep disturbance, anxiety, hostility, depression, and feelings of inferiority) were scored (from 0–20) according to the Five-Item Brief Symptom Rating Scale (BSRS-5). A score ≥ 6 points indicated psychological distress. AP was evaluated using a modified Rose questionnaire. FINDINGS: In total, 102 subjects (3.6%) had AP, and 231 subjects (8.8%) had symptoms of psychological distress. After adjusting for the basic data, metabolism, and lifestyle covariates, the BSRS-5 total score was associated with AP (odds ratio [OR] = 1.2, 95% confidence interval [CI] = 1.13–1.26, p < 0.001). Subjects with psychological distress had a higher risk of AP (OR = 2.97, 95% CI = 1.76–4.99, p < 0.001). CONCLUSIONS: The presence of AP is associated with psychological distress. Health care providers should therefore be aware of the impact of psychological distress on AP. Our study findings can serve as a reference for AP assessments. Large scale longitudinal studies are needed to confirm a causal relationship between psychological distress and AP.
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spelling pubmed-68398982019-11-15 The association between psychological distress and angina pectoris: A population-based study Tsai, Ching-Ching Chuang, Shao-Yuan Hsieh, I-Chang Ho, Lun-Hui Chu, Pao-Hsien Jeng, Chii PLoS One Research Article BACKGROUND: Psychological distress is an undifferentiated combination of symptoms that may be related to the occurrence of angina pectoris (AP). However, few studies have investigated the relationship between psychological distress and AP, particularly in Asian populations. The purpose of this study was to examine the relationship between psychological distress and AP in Taiwanese adults. METHODS: We adopted a cross-sectional design to explore the data of the 2005–2008 Nutrition and Health Survey in Taiwan. In total, 2080 subjects (aged ≥ 19 years) responded to questionnaire interviews and underwent physical examinations. Each of the five dimensions of psychological distress (sleep disturbance, anxiety, hostility, depression, and feelings of inferiority) were scored (from 0–20) according to the Five-Item Brief Symptom Rating Scale (BSRS-5). A score ≥ 6 points indicated psychological distress. AP was evaluated using a modified Rose questionnaire. FINDINGS: In total, 102 subjects (3.6%) had AP, and 231 subjects (8.8%) had symptoms of psychological distress. After adjusting for the basic data, metabolism, and lifestyle covariates, the BSRS-5 total score was associated with AP (odds ratio [OR] = 1.2, 95% confidence interval [CI] = 1.13–1.26, p < 0.001). Subjects with psychological distress had a higher risk of AP (OR = 2.97, 95% CI = 1.76–4.99, p < 0.001). CONCLUSIONS: The presence of AP is associated with psychological distress. Health care providers should therefore be aware of the impact of psychological distress on AP. Our study findings can serve as a reference for AP assessments. Large scale longitudinal studies are needed to confirm a causal relationship between psychological distress and AP. Public Library of Science 2019-11-08 /pmc/articles/PMC6839898/ /pubmed/31703084 http://dx.doi.org/10.1371/journal.pone.0224451 Text en © 2019 Tsai et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Tsai, Ching-Ching
Chuang, Shao-Yuan
Hsieh, I-Chang
Ho, Lun-Hui
Chu, Pao-Hsien
Jeng, Chii
The association between psychological distress and angina pectoris: A population-based study
title The association between psychological distress and angina pectoris: A population-based study
title_full The association between psychological distress and angina pectoris: A population-based study
title_fullStr The association between psychological distress and angina pectoris: A population-based study
title_full_unstemmed The association between psychological distress and angina pectoris: A population-based study
title_short The association between psychological distress and angina pectoris: A population-based study
title_sort association between psychological distress and angina pectoris: a population-based study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839898/
https://www.ncbi.nlm.nih.gov/pubmed/31703084
http://dx.doi.org/10.1371/journal.pone.0224451
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