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Attentional bias and anxiety in individuals with coronary heart disease
Henndy Ginting1, Gérard Näring, Eni S Becker
1a Behavioural Science Institute, Radboud University , Nijmegen , The Netherlands .
Insights
Individuals with coronary heart disease (CHD) show heightened attention to disease-related threats, linked to anxiety. This attentional bias may impact quality of life and disease progression.
Area of Science:
- Psychology
- Cardiology
- Cognitive Neuroscience
Background:
- Coronary heart disease (CHD) is a significant health concern.
- Understanding cognitive biases in CHD patients is crucial for managing psychological well-being.
- Anxiety is often comorbid with CHD and may influence cognitive processes.
Purpose of the Study:
- To investigate attentional bias towards CHD-related threat words in individuals with CHD compared to healthy controls.
- To examine the association between attentional bias and anxiety levels in CHD patients.
- To explore potential executive functioning deficits in individuals with CHD.
Main Methods:
- Emotional Stroop task with CHD-related, positive, negative, and neutral words.
- Administration of the original Stroop task, Beck Anxiety Inventory, and State-Trait Anxiety Inventory.
- Comparison of attentional bias and anxiety measures between 35 CHD patients and 35 healthy controls.
Main Results:
- Individuals with CHD exhibited a significant attentional bias towards CHD-related threatening words.
- Higher interference from threat words was observed in CHD patients, correlating with anxiety levels.
- Evidence suggests potential executive functioning deficits in the CHD group.
Conclusions:
- Attentional bias towards disease-related threats is present in CHD patients and linked to anxiety.
- This bias, along with anxiety and executive dysfunction, may pose risks to quality of life and disease progression.
- Findings highlight the importance of addressing cognitive and emotional factors in CHD management.
Abstract:
This study examined whether in an emotional Stroop task, individuals with coronary heart disease (CHD) would show greater attention towards the threatening words related to their disease than healthy persons, and if such an attentional bias is associated with anxiety. An emotional Stroop task with threatening words related to CHD as well as positive, negative and neutral words was administered to 35 individuals with CHD and 35 healthy controls. Additionally, the original Stroop task, the Beck anxiety inventory and the state-trait anxiety inventory were administered. The results indicated an attentional bias towards threatening words related to CHD in the individuals with CHD. They experienced higher interference than healthy participants from threatening words related to CHD but not from positive or negative words. Moreover, the level of interference was associated with their level of anxiety, and a vicious circle may exist in this association. In addition, results indicated a possible deficit of executive functioning among individuals with CHD. Attentional bias, as well as its association with anxiety, and an indication of deficit in executive functioning among individuals with CHD might be the risk factors for these individuals' quality of life and for further development of their disease.
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