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Life satisfaction in patients with chest pain subsequently diagnosed as coronary heart disease – connection through depressive symptoms?

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Abstract

The aim of this study was to investigate factors associated with life dissatisfaction in symptomatic patients (n = 144) with chest pain subsequently diagnosed as coronary heart disease (CHD) by coronary angiography. Life dissatisfaction was assessed with a four-item life satisfaction scale (LS), depression with the 21-item Beck Depression Inventory (BDI) and other psychiatric symptoms with the symptom check list (SCL). DSM-III-R Axis I and Axis II psychiatric diagnoses were performed by means of the Structured Clinical Interview. All assessments took place one day before angiography. Twenty-four per cent of CHD patients were dissatisfied with their lives. Life dissatisfaction was associated with being unmarried. Dissatisfied patients had Axis I mental disorders and Axis II personality disorders more frequently than others. Psychiatric and depressive symptoms according to the SCL and BDI, respectively, were also higher among dissatisfied patients. In multiple logistic regression analyses, mental disorders were related to life dissatisfaction when age, sex, employment status, New York Heart Association class, duration of chest pain symptoms and work load were controlled in the model. Married subjects had a lower probability of being dissatisfied with their lives than other subjects (Odds Ratio, OR: 0.23). When BDI scores were included in the model, the only factor independently associated with life dissatisfaction was the severity of depressive symptoms (OR: 1.81). To conclude, life dissatisfaction is not primarily determined by the severity of CHD but by the existence of depressive symptoms.

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References

  1. Horley J. Life satisfaction, happiness, and morale: Two problems with the use of subjective well-being indicators. Gerontologist 1984; 24: 124–127.

    Google Scholar 

  2. Andrews FM, Withey SB. Social Indicators of Well-being: Americans' Perception of Life Quality. New York: Plenum, 1976.

    Google Scholar 

  3. Campbell A, Converse P, Rodgers W. The Quality of American Life. New York: Russell Stage Foundation, 1976.

    Google Scholar 

  4. Saarijärvi S, Salminen JK, Toikka T, Raitasalo R. Health related quality of life among patients with major depression. Nord J Psychiatry 2002; 56: 261–264.

    Google Scholar 

  5. Koivumaa-Honkanen H-T. Life satisfaction as a health predictor (doctoral dissertation). Kuopio University Publications D. Medical Sciences 143. Kuopio: Kuopio University Printing Office, 1998.

    Google Scholar 

  6. Hornquist JO, Hanson B, Akerlind I, Larsson J. Severity of disease and quality of life: A comparison in patients with cancer and benign disease. Qual Life Res 1992; 1: 135–141.

    Google Scholar 

  7. Koivumaa-Honkanen H-T, Viinamäki H, Honkanen R, et al. Correlates of life satisfaction among psychiatric patients. Acta Psychiatr Scand 1996; 94: 372–378.

    Google Scholar 

  8. Koivumaa-Honkanen H-T, Honkanen R, Antikainen R, Hintikka J, Viinamäki H. Self-reported life satisfaction and treatment factors in patients with schizophrenia, major depression and anxiety disorder. Acta Psychiatr Scand 1999; 99: 377–384.

    Google Scholar 

  9. Koivumaa-Honkanen H, Honkanen R, Antikainen R, et al. Self-reported life satisfaction and recovery from depression in a 1-year prospective study. Acta Psychiatr Scand 2001; 103: 38–44.

    Google Scholar 

  10. Koivumaa-Honkanen H, Honkanen R, Viinamäki H, Heikkilä K, Kaprio J, Koskenvuo M. Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. Am J Epidemiol 2000; 152: 983–991.

    Google Scholar 

  11. Koivumaa-Honkanen HT, Honkanen R, Viinamäki H, Heikkilä K, Kaprio J, Koskenvuo M. Life satisfaction and suicide, a 20-year follow-up study. Am J Psychiatry 2001; 158: 433–439.

    Google Scholar 

  12. Koivumaa-Honkanen H, Honkanen R, Koskenvuo M, Viinamäki H, Kaprio J. Life dissatisfaction as a predictor of fatal injury in a 20-year follow-up. Acta Psychiat Scand 2002; 105: 444–450.

    Google Scholar 

  13. Maruši? A, Gudjonsson GH. A typical chest pain patients: A comparison with ischaemic heart disease and control patients. Nord J Psychiatry 1999; 53: 191–195.

    Google Scholar 

  14. Marquis P, Fayol C, Joire JE, Lepl ège A. Psychometric properties of a specific quality of life questionnaire in angina pectoris patients. Qual Life Res 1995; 4: 540–546.

    Google Scholar 

  15. Myrtek M. Life satisfaction, illness behaviour, and rehabilitation outcome: Results of a one year follow-up study with cardiac patients. Int J Rehab Res 1987; 10: 373–382.

    Google Scholar 

  16. Beitman BD, Mukerji V, Lamberti JW, et al. Panic disorder in patients with chest pain and angiographically normal coronary arteries. Am J Cardiol 1989; 63: 1399–1403.

    Google Scholar 

  17. Dolgin MJ. Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. Boston: The Criteria Committee of the New York Heart Association, 1994.

    Google Scholar 

  18. Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988; 8: 77–100.

    Google Scholar 

  19. Derogatis LR, Lipman RS, Covi L. SCL-90: An outpatient psychiatric rating scale-preliminary report. Psychopharmacol Bull 1973; 9: 13–28.

    Google Scholar 

  20. Holi MM, Sammallahti PR, Aalberg VA. A Finnish validation study of the SCL-90. Acta Psychiatr Scand 1998; 97: 42–46.

    Google Scholar 

  21. Allardt E. About dimensions of welfare: An explanatory analysis of the comparative Scandinavian Surveys. University of Helsinki, Research Group of Comparative Sociology. Research reports, 1973: 1.

  22. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R). 3rd revised. American Psychiatric Association, Washington DC, 1987.

    Google Scholar 

  23. Spitzer R, Williams J, Gibbon M, First M. Users Guide for the Structured Clinical Interview for DSM-III-R. Washington: American Psychiatric Press, 1990.

    Google Scholar 

  24. Spitzer R, Williams J, Gibbon M, First M. The structure of interview for DSM-III-R (SCID) I: History, rationale and description. Arch Gen Psychiatry 1992; 41: 624–629.

    Google Scholar 

  25. Honkalampi K, Hintikka J, Tanskanen A, Lehtonen J, Viinamäki H. Depression is strongly associated with alexithymia in the general population. J Psychosom Res 2000; 48: 99–104.

    Google Scholar 

  26. Hintikka J, Koskela T, Kontula O, Koskela K, Viinamäki H. Men, women, and marriages: Are there differences in relation to mental health? Family Therapy 1999; 26: 213–218.

    Google Scholar 

  27. Hintikka J, Koskela T, Kontula O, Koskela K, Viinamäki H. Men, women and friends-are there differences in relation to mental well-being? Qual Life Res 2000; 9: 841–845.

    Google Scholar 

  28. Vuorenmaa J, Nordling E, Riihikangas R, Hintikka J, Viinamäki H. Depression and partial remission after short-term treatment. Nord J Psychiatry 1999; 53: 117–120.

    Google Scholar 

  29. Veenhoven R. Conditions of Happiness. Dordrecht/Boston/Lancaster: Reidel Publishing Company, 1984, pp. 1–38.

    Google Scholar 

  30. Ford D, Mead L, Chang P, Cooper-Patrick L, Wang N-Y, Klag M. Depression is a risk factor for coronary artery disease in men. Arch Intern Med 1998; 158: 1422–1426.

    Google Scholar 

  31. Hemingway H, Marmot M. Psychosocial factors in the aetiology and prognosis of coronary heart disease: Systematic review of prospective cohort studies. Br Med J 1999; 318: 1460–1467.

    Google Scholar 

  32. Frasure-Smith N, Lespérance F, Talajic M. Depression following myocardial infarction: Impact on 6-month survival. JAMA 1993; 270: 1819–1825.

    Google Scholar 

  33. Hance M, Carney R, Freedland K, Skala J. Depression in patients with coronary heart disease. Gen Hosp Psych 1996; 18: 61–65.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, Kuopio University Hospital, Finland

    M. Valkamo, H.-T. Koivumaa-Honkanen, J. Hintikka, L. Niskanen, K. Honkalampi & H. Viinamäki

  2. South Carelia Central Hospital, Lappeenranta, Finland

    M. Valkamo

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  1. M. Valkamo
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  2. H.-T. Koivumaa-Honkanen
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  3. J. Hintikka
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  4. L. Niskanen
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  5. K. Honkalampi
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  6. H. Viinamäki
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Valkamo, M., Koivumaa-Honkanen, HT., Hintikka, J. et al. Life satisfaction in patients with chest pain subsequently diagnosed as coronary heart disease – connection through depressive symptoms?. Qual Life Res 12, 1099–1105 (2003). https://doi.org/10.1023/A:1026127232157

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