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Psychological changes after coronary angiographic intervention: pre-post comparison and follow-up

Juan Valdés-Stauber1, Marcella Milani2, Magdalena Ciurus2

  • 1Zentrum für Psychiatrie Südwürttemberg, Klinik für Psychiatrie und Psychotherapie I, Universität Ulm, Ravensburg, Germany.

Psychology, Health & Medicine
|August 23, 2021
PubMed

Insights

Cardiology patients

Area of Science:

  • Cardiology
  • Psychosomatic Medicine
  • Health Psychology

Background:

  • Cardiovascular diseases (CVDs) are a major public health concern, with coronary heart disease and myocardial infarction being particularly significant.
  • A substantial number of patients undergoing coronary angiography experience significant psychological stress.
  • Understanding psychological changes post-angiography is crucial for comprehensive patient care.

Purpose of the Study:

  • To evaluate the short- and mid-term psychological changes in cardiology patients following coronary angiography.
  • To identify factors influencing psychological well-being and mental state post-procedure.
  • To inform targeted psychosomatic interventions for at-risk patient groups.

Main Methods:

  • A naturalistic, longitudinal, comparative study design.
  • Involved 68 cardiology patients undergoing coronary angiography, with data collected at four time points: pre-angiography, post-angiography, 6 weeks post-discharge, and 6 months post-discharge.
  • Statistical analyses included paired t-tests, chi-square tests, effect sizes, and random effects regression models.

Main Results:

  • No significant immediate pre- to post-angiography changes in depression, anxiety, well-being, self-efficacy, resilience, or locus of control.
  • Mid-term improvements observed in well-being and anxiety, alongside an increase in internal locus of control.
  • Higher neuroticism was negatively associated with mental state, while extraversion and openness showed positive associations.
  • Persistent subsyndromal depression was noted, with patients beginning to attribute prognosis to their own behavior by the mid-term.

Conclusions:

  • Psychological state shows limited immediate change post-coronary angiography but improves in the mid-term.
  • Personality traits like neuroticism, extraversion, and openness significantly influence mental state and coping resources.
  • Patients with subsyndromal depression, emotional instability, or normal coronary angiography despite angina symptoms require specialized psychosomatic attention.

Keywords:
Coronary heart diseaseangiographydepressivitylifestyleneuroticismresources

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