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Comorbidity Influences Multiple Aspects of Well-Being of Patients with Ischemic Heart Disease


avatar Shervin Assari 1 , * , avatar Maryam Moghani Lankaran 2 , avatar Khodabakhsh Ahmadi 3

1 Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, United States

2 Medicine and Health Promotion Institute, Tehran, Iran

3 Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

How to Cite: Assari S, Moghani Lankaran M, Ahmadi K . Comorbidity Influences Multiple Aspects of Well-Being of Patients with Ischemic Heart Disease. Int Cardio Res J. 2017;7(4):e12360.


International Cardiovascular Research Journal: 7 (4); e12360
Published Online: December 31, 2013
Article Type: Research Article
Received: May 01, 2017
Accepted: October 28, 2013


Background: Comorbidity is prevalent among patients with Ischemic Heart Disease (IHD) and may influence patients’ subjective and objective domains of well-being.
Objectives: We aimed to investigate the associations between comorbidity and different measures of well-being (i.e. health related quality of life, psychological distress, sleep quality, and dyadic adjustment) among patients with IHD.
Methods: In this cross-sectional study, 796 outpatients with documented IHD were enrolled from an outpatient cardiology clinic in 2006. Comorbidity (Ifudu index), quality of life (SF36), psychological distress (Hospital Anxiety Depression Scale; HADS), sleep quality (Pittsburg Sleep Quality Index; PSQI), and dyadic adjustment quality (Revised Dyadic Adjustment Scale; RDAS) were measured. Associations between comorbidity and different measures of well-being were determined.
Results: Significant correlations were found between comorbidity score and all measures of well-being. Comorbidity score was correlated with physical quality of life (r = -0.471, P < 0.001), mental quality of life (r = -0.447, P < 0.001), psychological distress (r = 0.344, P < 0.001), sleep quality (r = 0.358, P < 0.001), and dyadic adjustment (r = -0.201, P < 0.001).
Conclusions: This study showed a consistent pattern of associations between somatic comorbidities and multiple aspects of well-being among patients with IHD. Findings may increase cardiologists’ interest to identify and treat somatic conditions among IHD patients.


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© 2017, Shiraz University of Medical Sciences.