Related Experiment Videos

The cardiac anxiety questionnaire: cross-validation among cardiac inpatients

M H C T van Beek1, R C Oude Voshaar, F M van Deelen

  • 1Department of Psychiatry, Radboud University Nijmegen Medical Centre, The Netherlands. M.H.C.vanBeek@psy.umcn.nl

International Journal of Psychiatry in Medicine
|October 26, 2012
PubMed

Insights

The Cardiac Anxiety Questionnaire (CAQ) is a reliable tool for measuring heart-focused anxiety in acute coronary syndrome patients. This validated instrument aids in understanding cardiac anxiety

Area of Science:

  • Psychiatry and Psychology
  • Cardiology

Background:

  • General anxiety is common in cardiac patients and impacts prognosis.
  • The specific role of cardiac anxiety remains unclear.
  • Heart-focused anxiety assessment is needed.

Purpose of the Study:

  • To examine the factor structure, reliability, and validity of the Dutch Cardiac Anxiety Questionnaire (CAQ).
  • To assess heart-focused anxiety in patients with cardiac disease.

Main Methods:

  • 237 patients with acute coronary syndrome (ACS) and 49 rheumatoid arthritis (RA) patients completed the CAQ and other anxiety/depression inventories.
  • Factor analysis, reliability testing (internal consistency, test-retest), and correlational analyses were performed.

Main Results:

  • A four-factor model (including safety seeking behaviors) best explained the data, surpassing the original three-factor solution.
  • The CAQ demonstrated good internal consistency and test-retest reliability.
  • ACS patients scored significantly higher on the CAQ than RA patients, independent of general anxiety and depression.

Conclusions:

  • The Dutch CAQ is a reliable and valid instrument for assessing cardiac anxiety in hospitalized ACS patients.
  • This validated tool supports future longitudinal studies on cardiac anxiety's impact on prognosis.
  • The CAQ can inform the development of targeted anxiety interventions for cardiac patients.
Abstract

Related Concept Videos

Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...