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Perceived stress in Chinese patients with coronary heart disease: a cross-sectional study
Yifan Gao1,2, Rong Hu1,2, Yingyue Zhang1,2
1Medical School of Chinese PLA, Beijing, China.
Insights
Higher education, mental labor, having children, and risky alcohol consumption increase perceived stress in coronary heart disease patients. Understanding these factors is crucial for managing stress in cardiovascular disease care.
Area of Science:
- Cardiology
- Psychology
- Public Health
Background:
- Chronic stress is a known risk factor for cardiovascular disease.
- Limited research exists on perceived stress levels and influencing factors in coronary heart disease (CHD) patients.
Purpose of the Study:
- To investigate perceived stress in patients diagnosed with coronary heart disease (CHD).
- To identify individual attributes associated with higher perceived stress levels in this population.
Main Methods:
- A cross-sectional study involving 2215 CHD patients.
- Perceived stress assessed using the Chinese version Perceived Stress Scale (CPSS).
- Binary logistic regression analysis to identify associated factors.
Main Results:
- Mean CPSS score was 27.16±6.35.
- Higher educational attainment (university, master's, doctoral degrees) correlated with increased perceived stress.
- Engaging in mental labor, having children, and risky alcohol consumption were significantly associated with higher perceived stress.
Conclusions:
- Patients with higher education, engaged in mental labor, with children, and risky alcohol habits report higher perceived stress.
- These findings highlight key demographic and lifestyle factors contributing to perceived stress in CHD patients, informing targeted interventions.
Objective:
Studies have shown that chronic stress is closely linked to the occurrence and development of cardiovascular disease. To date, few studies have focused on perceived stress in coronary heart diseases (CHD) patients and the possible factors influencing the stress. This study aims to investigate the perceived stress of patients with CHD and determine the individual attributes closely associated with it.
Design:
A cross-sectional study.
Participates:
A total of 2215 patients with CHD were enrolled and perceived stress was assessed with the Chinese version Perceived Stress Scale (CPSS). Participants were divided into two groups due to CPSS score and binary logistic regression was applied to analyse the factors that affected perceived stress level.
Results:
The mean CPSS score of Chinese patients with CHD was 27.16±6.35 Compared with participants who received senior middle school education or below, those with a university degree had a higher probability of high perceived stress (OR 1.453, 95% CI 1.206 to 1.750); this difference was more evident in participants with a master or doctoral degree (OR 1.928, 95% CI 1.290 to 2.882). Also engaging in mental labour (OR 1.389, 95% CI 1.144 to 1.686), having children (OR 2.226, 95% CI 1.098 to 4.515) and having a habit of risky alcohol consumption (OR 1.492, 95% CI 1.146 to 1.944) were associated with perceived stress.
Conclusion:
Patients who had higher educational attainment, engaged in mental labour, had children, and had a habit of risky alcohol consumption were much easier to perceive the stress.
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