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Scientific paper - Original scientific paper
Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic
Mediterranean journal of clinical psychology, 10 (2022), 3; 1-30. https://doi.org/10.13129/2282-1619/mjcp-3415
Pokrajac-Bulian, Alessandra; Zaninović Jurjević, Teodora; Dvornik, Štefica; Vodopija-Krstanović, Irena; Ružić, Alen

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Pokrajac Bulian, A., Zaninović Jurjević, T., Dvornik, Š., Vodopija Krstanović, I. & Ružić, A. (2022). Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic. Mediterranean journal of clinical psychology, 10. (3), 1-30. doi: 10.13129/2282-1619/mjcp-3415

Pokrajac Bulian, Alessandra, et al. "Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic." Mediterranean journal of clinical psychology, vol. 10, no. 3, 2022, pp. 1-30. https://doi.org/10.13129/2282-1619/mjcp-3415

Pokrajac Bulian, Alessandra, Teodora Zaninović Jurjević, Štefica Dvornik, Irena Vodopija Krstanović and Alen Ružić. "Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic." Mediterranean journal of clinical psychology 10, no. 3 (2022): 1-30. https://doi.org/10.13129/2282-1619/mjcp-3415

Pokrajac Bulian, A., et al. (2022) 'Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic', Mediterranean journal of clinical psychology, 10(3), pp. 1-30. doi: 10.13129/2282-1619/mjcp-3415

Pokrajac Bulian A, Zaninović Jurjević T, Dvornik Š, Vodopija Krstanović I, Ružić A. Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic. Mediterranean journal of clinical psychology [Internet]. 2022 [cited 2024 June 27];10(3):1-30. doi: 10.13129/2282-1619/mjcp-3415

A. Pokrajac Bulian, T. Zaninović Jurjević, Š. Dvornik, I. Vodopija Krstanović and A. Ružić, "Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic", Mediterranean journal of clinical psychology, vol. 10, no. 3, pp. 1-30, 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:874896. [Accessed: 27 June 2024]

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Title (english)Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic
Title (english)Psychological, Medical and Laboratory Predictors of Cardiac Anxiety in Patients with Heart Failure During the COVID-19 Pandemic
AuthorAlessandra Pokrajac-Bulian
MBZ: 189603
AuthorTeodora Zaninović Jurjević
AuthorŠtefica Dvornik
AuthorIrena Vodopija-Krstanović
MBZ: 273540
AuthorAlen Ružić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Scientific / art field,
discipline and subdiscipline		SOCIAL SCIENCES
Psychology
Abstract (english)
Objective: The aim of the study was to identify predictors of heart-focused anxiety in patients with heart failure. A better understanding of such predictors may help in detecting the comorbidity underlying heart-focused anxiety and identifying patients who need psychological help. Methods: In order to account for multiple sources of heart- focused anxiety, we included psychological, lifestyle, and medical/laboratory predictors. The study involved 148 patients, of whom 74 had a leading diagnosis of worsening heart failure and were hospitalized during the COVID-19 epidemic. A second group of 74 patients suffering from cardiovascular diseases without a diagnosis of acute heart failure, were examined in various out- patient cardiology clinics. The sample consisted of 37.8% females and 62.2% males, with an average age of 63.35 years. The patients completed the Cardiac Anxiety Questionnaire, the Generalized Anxiety Disorder scale, the Patient Health Questionnaire, and the Intolerance of Uncertainty Scale. Results: Patients with heart failure with higher levels of depression and intolerance of uncertainty had higher overall levels of heart- focused anxiety, higher levels of fear about chest and heart sensations. Older patients with higher levels of depression had higher levels of activity avoidance, especially activities believed to elicit cardiac symptoms. Cardiac patients with higher level of anxiety and with anaemia as comorbidity had higher levels of heart-focused attention and monitoring of cardiac activity. Conclusion: In patients with heart failure, the presence of heart-focused anxiety significantly reduces the quality of life, leads to avoidant behaviours, and is associated with anxiety and depressive symptoms. These patients are more likely to seek medical help and specialist services, but the need for psychological help is very rarely recognized.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleMediterranean journal of clinical psychology
Numberingvol. 10, no. 3, pp. 1-30
e-ISSN2282-1619
DOIhttps://doi.org/10.13129/2282-1619/mjcp-3415
URN:NBNurn:nbn:hr:184:874896
Publication2022
Document URLhttp://bib.irb.hr/1240721
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2023-04-11 12:10:20