The influences of psychosocial aspects and anxiety symptoms on quality of life of patients with arrhythmia: Investigation in paroxysmal atrial fibrillation
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The purpose of this study was to investigate the feature of the psychosocial aspects of patients with atrial fibrillation and to explore the influences of the subjective symptoms of attack, perceived psychosocial inducers of attack, and anxiety on the quality of life (QOL). The participants were 240 patients with paroxysmal atrial fibrillation (57.89 ± 13.78 years old), who were requested to complete questionnaires on the subjective symptoms of attack, perceived psychosocial inducers of attack, anxiety symptoms, and QOL.
The results of this study showed that 29.5% patients met the criteria of agoraphobia of Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994). This percentage of prevalence was higher than the general prevalence of DSM-IV data. The subjective symptoms of attack (frequency, duration, and distress of attack) intensify their fear of attack and agoraphobic symptoms, which worsen their QOL. Psychological stress is the main perceived in-ducer in daily life, and a attack induced by psychological stress affects their anxiety symptoms and QOL.
Key wordsarrhythmia atrial fibrillation anxiety symptoms quality of life
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- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
- Clark, D. M., & Fairburn, C. G. (1997). Science and practice of cognitive behavior therapy. New York: Guilford.Google Scholar
- Coumel, P. (1994). Automatic arrhythmogenic factor in paroxysmal atrial fibrillation. In S. B. Olsson, M. A. Allessie, & R. W. F. Campbell (Eds.), Atrial fibrillation: Mechanism and therapeutic strategies. (pp. 171–185). London: Future Publishing.Google Scholar
- Erdogan, A., Carlsson, J., Neumann, T., Berkowitsch, A., Neuzner, J., Hamm, O. W., & Pitschner, H. F. (2003). Quality-of-life in patients with paroxysmal atrial fibrillation after catheter ablation results of long-term follow-up. Pacing and Clinical Electrophysiology, 26, 678–684.PubMedCrossRefGoogle Scholar
- Fujii, J. (1990). Treatment of cardiac disease and quality of life. Japanese Journal of Therapeutic Research, 11, 2433–2494.Google Scholar
- Kayaba, K., & Nagashima, N. (1990). The development of quality of life scale in treatment of heart disease: Investigation of validity and reliability. Japanese Journal of Therapeutic Research, 11, 2438–2444.Google Scholar
- Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
- Spielberger, C. D. (1970). Manual for the State-Trait Anxiety Inventory. New York: Consulting Psychology Press.Google Scholar
- Suzuki, S. (2001a). Cognitive behavior therapy for anticipatory anxiety and agoraphobic symptoms in patient with ventricular tachycardia. Japanese Journal of Behavior Therapy, 27, 25–32.Google Scholar
- Suzuki, S. (2001b, July). Psychosocial determinants of agoraphobic symptoms of patients with arrhythmia. World Congress of Behavioral & Cognitive Therapies in Vancouver, Canada.Google Scholar
- Suzuki, S., & Kasanuki, H. (2001). The effects of inducer of attack on anxiety symptoms and quality of life in patients with paroxysmal atrial fibrillation. Japanese Journal of Psychosomatic Medicine, 41, 343–349.Google Scholar
- Tanaka, S. (1999). Implantable defibrillations. In K. Hayakawa & H. Kasanuki (Eds.), Atrial fibrillation, flutter, tachycardia (p. 208). Tokyo: Igakushoin.Google Scholar