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

Shervin Assari; Maryam Moghani Lankaran; Khodabakhsh  Ahmadi

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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

Author(s):

Shervin Assari^1,*,

Maryam Moghani Lankaran²,

Khodabakhsh Ahmadi³

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

2Medicine and Health Promotion Institute, Tehran, Iran

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

International Cardiovascular Research Journal:Vol. 7, issue 4; e12360

Published online:Dec 31, 2013

Article type:Research Article

Received:May 01, 2017

Accepted:Oct 28, 2013

How to Cite:Shervin Assari, Maryam Moghani Lankaran, Khodabakhsh Ahmadi, Comorbidity Influences Multiple Aspects of Well-Being of Patients with Ischemic Heart Disease.Int Cardiovasc Res J.2013;7(4):e12360.

Abstract

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.

Keywords

Coronary Artery Disease

Sleep

Sexual Behavior

Psychological Distress

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