Psychological Symptoms in Cardiac and Pulmonary Diseases
- Conditions
- Psychological DistressAnxietyCardiovascular DiseasesDepressionRehabilitationCoping BehaviorPulmonary Disease
- Interventions
- Other: no intervention because it is an observational study
- Registration Number
- NCT06396793
- Lead Sponsor
- Istituti Clinici Scientifici Maugeri SpA
- Brief Summary
The European guidelines emphasize the importance of conducting psychological screenings to investigate the presence of stress and symptoms of anxiety and depression in patients with cardiovascular disease: depression, common among patients with CVD, is associated with increased mortality, disability, decreased adherence to healthy lifestyles and medical treatments, and together with anxiety, the risk of mortality increases by about 3 times; stress, furthermore, is associated with the development and progression of cardiovascular diseases and is correlated with low adherence and cigarette smoking.
Less studied, but not less important, are the incidence of anxiety, depression, and stress in pulmonary disease, the relationship between mental disorders and pulmonary diseases, as well as the effect of the psychological component on the rehabilitative outcome of such patients: for example, there is evidence that those suffering from chronic obstructive pulmonary disease (COPD) present symptoms of depression and anxiety much more frequently than the general population and that these two mental disorders may exacerbate COPD itself.
The literature, therefore, highlights that the risk of onset of cardiovascular disease increases with the severity of mental disorder, and some psychological variables correlate with the outcomes of cardiac rehabilitation intervention, crucial for reducing rehospitalizations, myocardial infarction, and mortality, as well as for improving the patient's quality of life and ability to perform physical exercises.
In light of this evidence and the recent recommendations of the ESC, the present study aims to conduct screening for symptoms of anxiety, depression, and stress in all patients admitted to the Cardiology and Pulmonary Rehabilitation Units of the Milan Center, Camaldoli in order to assess their incidence and to select, through validated tools, patients who require personalized psychological intervention based on their level of risk, correlating then the presence of such symptoms with the rehabilitative outcome, in order to assess how much the mental component interferes with the care pathway. The level of acceptance and feasibility of a computerized data collection procedure will also be evaluated, a procedure that, if well accepted, would make the screening process much simpler, safer, and more economical.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 421
- aged≥18
- able to fulfil questionnaires autonomously
- no Italian comprehension,
- severe visuoperceptive deficits,
- cognitive deterioration preventing self-completion of questionnaires,
- refusal to underwent to the evaluation
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Cardio-respiratory no intervention because it is an observational study Inpatients affected by cardiac or pulmonary diseases undergoing a rehabilitative program
- Primary Outcome Measures
Name Time Method Prevalence of psychological risk and protective factors 18 months To conduct a screening of anxious, depressive, stress symptoms and coping strategies in patients admitted a Cardiology and pulmonary Rehabilitation Units
- Secondary Outcome Measures
Name Time Method Correlations between psychological variables and rehabilitative outcomes 18 months To correlate risk and protective factors with rehabilitative outcomes
Acceptance of computerized screening 18 months The degree of acceptance of an online data collection procedure will be evaluated.
Trial Locations
- Locations (1)
ICS Maugeri SpA SB
🇮🇹Milan, MI, Italy