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Perceived control moderates the relationship between anxiety and in-hospital complications after ST segment elevation myocardial infarction
Anxiety is a common psychological response after acute myocardial infarction and might be associated with higher levels of in-hospital complications. Perceived control might moderate this relationship, but the effect of this method has not been checked in developing countries. Therefore, the objecti...
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| Published in: | Journal of multidisciplinary healthcare 2018-01, Vol.11, p.359-365 |
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| description | Anxiety is a common psychological response after acute myocardial infarction and might be associated with higher levels of in-hospital complications. Perceived control might moderate this relationship, but the effect of this method has not been checked in developing countries. Therefore, the objectives of this study were as follows: 1) to check if anxiety was an independent predictor of in-hospital complications after acute myocardial infarction; and 2) to check if perceived control moderates the relationship between anxiety and in-hospital complications after acute myocardial infarction.
This was a prospective observational study among 500 patients with a confirmed diagnosis of ST segment elevation myocardial infarction recruited from three private hospitals in Amman, Jordan. Anxiety was measured by the Anxiety subscale of Hospital Anxiety and Depression Scale, and perceived control was measured by the Arabic version of the Control Attitude Scale-Revised.
One hundred and forty patients (28%) developed at least one complication during hospitalization. Two hundred and fifty-five patients had low anxiety scores (≤7), and 245 patients had high anxiety scores (≥8). Patients with high levels of perceived control had lower levels of anxiety (mean [SD]; 5.3 [3.6] vs 14.1 [6.3], |
| doi_str_mv | 10.2147/JMDH.S170326 |
| format | article |
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This was a prospective observational study among 500 patients with a confirmed diagnosis of ST segment elevation myocardial infarction recruited from three private hospitals in Amman, Jordan. Anxiety was measured by the Anxiety subscale of Hospital Anxiety and Depression Scale, and perceived control was measured by the Arabic version of the Control Attitude Scale-Revised.
One hundred and forty patients (28%) developed at least one complication during hospitalization. Two hundred and fifty-five patients had low anxiety scores (≤7), and 245 patients had high anxiety scores (≥8). Patients with high levels of perceived control had lower levels of anxiety (mean [SD]; 5.3 [3.6] vs 14.1 [6.3],
<0.001) than those with low perceived control. In logistic regression, anxiety was an independent predictor of in-hospital complications after controlling for sociodemographic and clinical variables (odds ratio: 1.24, 95% CI, 1.08-1.41,
<0.01). Moreover, the interaction of anxiety and perceived control was a significant predictor of complications.
Anxiety was associated with increased risk of in-hospital complications after acute myocardial infarction independent of sociodemographic and clinical variables. Perceived control had a moderating effect for this association since the combination of low perceived control and high anxiety scores was associated with the greatest risk for complications. Supporting patients' levels of perceived control can decrease complications, morbidities, and mortality after acute myocardial infarction.</description><identifier>ISSN: 1178-2390</identifier><identifier>EISSN: 1178-2390</identifier><identifier>DOI: 10.2147/JMDH.S170326</identifier><identifier>PMID: 30100731</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>acute myocardial infarction ; Anxiety ; Cardiovascular disease ; complications ; Depression (Mood disorder) ; Developing countries ; Health aspects ; Heart attacks ; Heart failure ; Hospitals ; Medical prognosis ; Medical research ; Mental depression ; Mortality ; Original Research ; Patients ; perceived control ; Private hospitals ; Private schools ; Quality of life ; Sociodemographics ; Validity</subject><ispartof>Journal of multidisciplinary healthcare, 2018-01, Vol.11, p.359-365</ispartof><rights>COPYRIGHT 2018 Dove Medical Press Limited</rights><rights>2018. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 AbuRuz. This work is published and licensed by Dove Medical Press Limited 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c576t-68a6621320279a0166d6d7ae79c4ecbe8420b01affb0eb544cbc44e96c0cba703</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2230836767/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2230836767?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25752,27923,27924,37011,37012,44589,53790,53792,74897</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30100731$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AbuRuz, Mohannad Eid</creatorcontrib><title>Perceived control moderates the relationship between anxiety and in-hospital complications after ST segment elevation myocardial infarction</title><title>Journal of multidisciplinary healthcare</title><addtitle>J Multidiscip Healthc</addtitle><description>Anxiety is a common psychological response after acute myocardial infarction and might be associated with higher levels of in-hospital complications. Perceived control might moderate this relationship, but the effect of this method has not been checked in developing countries. Therefore, the objectives of this study were as follows: 1) to check if anxiety was an independent predictor of in-hospital complications after acute myocardial infarction; and 2) to check if perceived control moderates the relationship between anxiety and in-hospital complications after acute myocardial infarction.
This was a prospective observational study among 500 patients with a confirmed diagnosis of ST segment elevation myocardial infarction recruited from three private hospitals in Amman, Jordan. Anxiety was measured by the Anxiety subscale of Hospital Anxiety and Depression Scale, and perceived control was measured by the Arabic version of the Control Attitude Scale-Revised.
One hundred and forty patients (28%) developed at least one complication during hospitalization. Two hundred and fifty-five patients had low anxiety scores (≤7), and 245 patients had high anxiety scores (≥8). Patients with high levels of perceived control had lower levels of anxiety (mean [SD]; 5.3 [3.6] vs 14.1 [6.3],
<0.001) than those with low perceived control. In logistic regression, anxiety was an independent predictor of in-hospital complications after controlling for sociodemographic and clinical variables (odds ratio: 1.24, 95% CI, 1.08-1.41,
<0.01). Moreover, the interaction of anxiety and perceived control was a significant predictor of complications.
Anxiety was associated with increased risk of in-hospital complications after acute myocardial infarction independent of sociodemographic and clinical variables. Perceived control had a moderating effect for this association since the combination of low perceived control and high anxiety scores was associated with the greatest risk for complications. Supporting patients' levels of perceived control can decrease complications, morbidities, and mortality after acute myocardial infarction.</description><subject>acute myocardial infarction</subject><subject>Anxiety</subject><subject>Cardiovascular disease</subject><subject>complications</subject><subject>Depression (Mood disorder)</subject><subject>Developing countries</subject><subject>Health aspects</subject><subject>Heart attacks</subject><subject>Heart failure</subject><subject>Hospitals</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Mental depression</subject><subject>Mortality</subject><subject>Original Research</subject><subject>Patients</subject><subject>perceived control</subject><subject>Private hospitals</subject><subject>Private schools</subject><subject>Quality of life</subject><subject>Sociodemographics</subject><subject>Validity</subject><issn>1178-2390</issn><issn>1178-2390</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUstuEzEUHSEQLYUda2QJCbEgwY8Z27NBqsqjRUUgtawtj-dOxpFnnNpOIN_AT-M8KAlCXti695xj3-NTFM8JnlJSirefv7y_nN4QgRnlD4pTQoScUFbjhwfnk-JJjHOMuaRSPC5OGCYYC0ZOi1_fIBiwK2iR8WMK3qHBtxB0gohSDyiA08n6MfZ2gRpIPwBGpMefFtI67y2y46T3cWGTdlliWDhrdgSkuwQB3dyiCLMBxoTAwWrbQ8PaGx1amzl27HQwm-rT4lGnXYRn-_2s-P7xw-3F5eT666eri_PriakETxMuNeeUMIqpqDUmnLe8FRpEbUowDciS4gYT3XUNhqYqS9OYsoSaG2wanX06K652uq3Xc7UIdtBhrby2alvwYaZ0SNY4UJrWAmTFoON1yQSXvKWCAanKVhpR1Vnr3U5rsWwGaE0eM2h3JHrcGW2vZn6lOOaiojwLvN4LBH-3hJjUYKMB5_QIfhkVxVLUtaR08-6X_0DnfhnGbJWilGHJuODiL2qm8wDZXZ_vNRtRdV5JWmFJmcyo6X9QebUw2JwE6GyuHxFeHRB60C710bvl9quPgW92QBN8jAG6ezMIVpvEqk1i1T6xGf7i0MB78J-Ist-ZsOdR</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>AbuRuz, Mohannad Eid</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20180101</creationdate><title>Perceived control moderates the relationship between anxiety and in-hospital complications after ST segment elevation myocardial infarction</title><author>AbuRuz, Mohannad Eid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c576t-68a6621320279a0166d6d7ae79c4ecbe8420b01affb0eb544cbc44e96c0cba703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>acute myocardial infarction</topic><topic>Anxiety</topic><topic>Cardiovascular disease</topic><topic>complications</topic><topic>Depression (Mood disorder)</topic><topic>Developing countries</topic><topic>Health aspects</topic><topic>Heart attacks</topic><topic>Heart failure</topic><topic>Hospitals</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Mental depression</topic><topic>Mortality</topic><topic>Original Research</topic><topic>Patients</topic><topic>perceived control</topic><topic>Private hospitals</topic><topic>Private schools</topic><topic>Quality of life</topic><topic>Sociodemographics</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AbuRuz, Mohannad Eid</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest 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titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of multidisciplinary healthcare</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AbuRuz, Mohannad Eid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceived control moderates the relationship between anxiety and in-hospital complications after ST segment elevation myocardial infarction</atitle><jtitle>Journal of multidisciplinary healthcare</jtitle><addtitle>J Multidiscip Healthc</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>11</volume><spage>359</spage><epage>365</epage><pages>359-365</pages><issn>1178-2390</issn><eissn>1178-2390</eissn><abstract>Anxiety is a common psychological response after acute myocardial infarction and might be associated with higher levels of in-hospital complications. Perceived control might moderate this relationship, but the effect of this method has not been checked in developing countries. Therefore, the objectives of this study were as follows: 1) to check if anxiety was an independent predictor of in-hospital complications after acute myocardial infarction; and 2) to check if perceived control moderates the relationship between anxiety and in-hospital complications after acute myocardial infarction.
This was a prospective observational study among 500 patients with a confirmed diagnosis of ST segment elevation myocardial infarction recruited from three private hospitals in Amman, Jordan. Anxiety was measured by the Anxiety subscale of Hospital Anxiety and Depression Scale, and perceived control was measured by the Arabic version of the Control Attitude Scale-Revised.
One hundred and forty patients (28%) developed at least one complication during hospitalization. Two hundred and fifty-five patients had low anxiety scores (≤7), and 245 patients had high anxiety scores (≥8). Patients with high levels of perceived control had lower levels of anxiety (mean [SD]; 5.3 [3.6] vs 14.1 [6.3],
<0.001) than those with low perceived control. In logistic regression, anxiety was an independent predictor of in-hospital complications after controlling for sociodemographic and clinical variables (odds ratio: 1.24, 95% CI, 1.08-1.41,
<0.01). Moreover, the interaction of anxiety and perceived control was a significant predictor of complications.
Anxiety was associated with increased risk of in-hospital complications after acute myocardial infarction independent of sociodemographic and clinical variables. Perceived control had a moderating effect for this association since the combination of low perceived control and high anxiety scores was associated with the greatest risk for complications. Supporting patients' levels of perceived control can decrease complications, morbidities, and mortality after acute myocardial infarction.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>30100731</pmid><doi>10.2147/JMDH.S170326</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | Publicly Available Content Database (Proquest) (PQ_SDU_P3); Taylor & Francis Open Access; PubMed Central |
| subjects | acute myocardial infarction Anxiety Cardiovascular disease complications Depression (Mood disorder) Developing countries Health aspects Heart attacks Heart failure Hospitals Medical prognosis Medical research Mental depression Mortality Original Research Patients perceived control Private hospitals Private schools Quality of life Sociodemographics Validity |
| title | Perceived control moderates the relationship between anxiety and in-hospital complications after ST segment elevation myocardial infarction |
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