Abstract
The study aimed to determine different lifestyle and clinical factors that predict self-rated health (SRH) in non-cardiac chest pain (NCCP) patients. In this cross-sectional study, 360 NCCP patients filled out questionnaires about depression, somatization, body sensation, type D personality, and pain intensity. In addition, participants’ lifestyle and socio-demographic data were obtained. Multiple regression analyses revealed that among men, pain intensity (OR 1.07; 95% CI 1.03, 1.12), depression (3.10; 1.38, 9.18), somatization (1.18; 1.08, 1.29) and sleep quality (6.23; 1.42, 27.27) were associated with self-rated health. In women NCCP patients, depression (2.44; 1.05, 6.82) pain intensity (1.05; 1.01, 1.10), and physical activity (2.21; 1.07, 5.55) were associated with SRH. The results on the predicting factors of SRH in NCCP patients provide potential insights for more advanced clinical management of NCCP. In addition, they can be applied to improve health policies and promote healthy behaviors among NCCP patients.
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The data underlying this article will be shared on reasonable request to the corresponding author.
References
Abdolmohammadi, K., Abadi, G. S., Sadat SeyedPourmand, N., & Falsafinejad, M. (2018). The validation of somatization inventory in the students of Tabriz Universities (Iran). Qom University of Medical Sciences Journal, 1, 61–67.
Adelmanesh, F., Arvantaj, A., Rashki, H., Ketabchi, S., Montazeri, A., & Raissi, G. (2011). Results from the translation and adaptation of the Iranian Short-Form McGill Pain Questionnaire (I-SF-MPQ): Preliminary evidence of its reliability, construct validity and sensitivity in an Iranian pain population. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT, 3, 27. https://doi.org/10.1186/1758-2555-3-27
Ayuso-Mateos, J. L., Nuevo, R., Verdes, E., Naidoo, N., & Chatterji, S. (2010). From depressive symptoms to depressive disorders: The relevance of thresholds. British Journal of Psychiatry, 196, 365–371. https://doi.org/10.1192/bjp.bp.109.071191
Bagherian, R., & BahramiEhsan, H. (2011). Psychometric properties of the persian version of type D personality scale (DS14). Iran Journal of Psychiatry Behaviour Science, 5, 12–17.
Barros, M. B. A., Lima, M. G., Ceolim, M. F., Zancanella, E., & Cardoso, T. (2019). Quality of sleep, health and well-being in a population-based study. Rev Saude Publica, 53, 82. https://doi.org/10.11606/s1518-8787.2019053001067
Basirimoghadam, M., Rafii, F., & Ebadi, A. (2020). Self-rated health and general procrastination in nurses: a cross-sectional study. Pan African Medical Journal. https://doi.org/10.11604/pamj.2020.36.254.23720
Chireh, B., & D’Arcy, C. (2018). Pain and self-rated health among middle-aged and older Canadians: An analysis of the Canadian community health survey-healthy aging. BMC Public Health, 18, 1006. https://doi.org/10.1186/s12889-018-5912-9
Cott, C. A., Gignac, M. A., & Badley, E. M. (1999). Determinants of self rated health for Canadians with chronic disease and disability. Journal of Epidemiology and Community Health, 53, 731–736. https://doi.org/10.1136/jech.53.11.731
Dadfar, M., Kalibatseva, Z., & Lester, D. (2018). Reliability and validity of the Farsi version of the patient health questionnaire-9 (PHQ-9) with Iranian psychiatric outpatients. Trends Psychiatry Psychother, 40, 144–151. https://doi.org/10.1590/2237-6089-2017-0116
Denollet, J. (2005). DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosomatic Medicine, 67, 89–97. https://doi.org/10.1097/01.psy.0000149256.81953.49
Eifert, G. H., Thompson, R. N., Zvolensky, M. J., Edwards, K., Frazer, N. L., Haddad, J. W., & Davig, J. (2000). The cardiac anxiety questionnaire: Development and preliminary validity. Behaviour Research and Therapy, 38, 1039–1053. https://doi.org/10.1016/s0005-7967(99)00132-1
Ellingson, L. D., Colbert, L. H., & Cook, D. B. (2012a). Physical activity is related to pain sensitivity in healthy women. Medicine and Science in Sports and Exercise, 44, 1401–1406. https://doi.org/10.1249/MSS.0b013e318248f648
Ellingson, L. D., Shields, M. R., Stegner, A. J., & Cook, D. B. (2012b). Physical activity, sustained sedentary behavior, and pain modulation in women with fibromyalgia. The Journal of Pain, 13, 195–206. https://doi.org/10.1016/j.jpain.2011.11.001
French, D. J., Browning, C., Kendig, H., Luszcz, M. A., Saito, Y., Sargent-Cox, K., & Anstey, K. J. (2012). A simple measure with complex determinants: Investigation of the correlates of self-rated health in older men and women from three continents. BMC Public Health, 12, 649. https://doi.org/10.1186/1471-2458-12-649
Frieling, T. (2018). Non-cardiac chest pain. Visceral Medicine, 34, 92–96. https://doi.org/10.1159/000486440
Goldsmith, D. R., Rapaport, M. H., & Miller, B. J. (2016). A meta-analysis of blood cytokine network alterations in psychiatric patients: Comparisons between schizophrenia, bipolar disorder and depression. Molecular Psychiatry, 21, 1696–1709. https://doi.org/10.1038/mp.2016.3
Hoeymans, N., Feskens, E., Kromhout, D., & Van Den Bos, G. (1997). Ageing and the relationship between functional status and self-rated health in elderly men. Social Science & Medicine, 45, 1527–1536.
Hoeymans, N., Feskens, E. J., Kromhout, D., & van den Bos, G. A. (1999). The contribution of chronic conditions and disabilities to poor self-rated health in elderly men. Journals of Gerontology. Series A Biological Sciences and Medical Sciences, 54, M501-506. https://doi.org/10.1093/gerona/54.10.m501
Hsu, B., Cumming, R. G., Blyth, F. M., Naganathan, V., Le Couteur, D. G., Seibel, M. J., Waite, L. M., & Handelsman, D. J. (2014). Longitudinal and cross-sectional relationships of circulating reproductive hormone levels to self-rated health and health-related quality of life in community-dwelling older men. Journal of Clinical Endocrinology and Metabolism, 99, 1638–1647. https://doi.org/10.1210/jc.2013-3984
Jylhä, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine, 69, 307–316. https://doi.org/10.1016/j.socscimed.2009.05.013
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Liu, S., Qiao, Y., Wu, Y., Shen, Y., & Ke, C. (2021). The longitudinal relation between depressive symptoms and change in self-rated health: A nationwide cohort study. Journal of Psychiatric Research, 136, 217–223. https://doi.org/10.1016/j.jpsychires.2021.02.039
Lundberg, O., & Manderbacka, K. (1996). Assessing reliability of a measure of self-rated health. Scandinavian Journal of Social Medicine, 24, 218–224.
Mäntyselkä, P., Turunen, J., Ahonen, R., & Kumpusalo, E. (2003). Chronic pain and poor self-rated health. JAMA, 290, 2435–2442.
Melzack, R. (1987). The short-form McGill pain questionnaire. Pain, 30, 191–197. https://doi.org/10.1016/0304-3959(87)91074-8
Mewton, L., & Andrews, G. (2013). Poor self-rated health and its associations with somatisation in two Australian national surveys. BMJ Open. https://doi.org/10.1136/bmjopen-2013-002965
Molarius, A. B., Eriksson, K., & C., & Lambe, M. N., E. Eriksson, HG. Feldman, I. (2007). Socioeconomic conditions, lifestyle factors, and self-rated health among men and women in Sweden. The European Journal of Public Health, 17, 125–133.
Moor, I., Spallek, J., & Richter, M. (2017). Explaining socioeconomic inequalities in self-rated health: A systematic review of the relative contribution of material, psychosocial and behavioural factors. Journal of Epidemiology and Community Health, 71, 565–575. https://doi.org/10.1136/jech-2016-207589
Mourad, G., Alwin, J., Jaarsma, T., Strömberg, A., & Johansson, P. (2020). The associations between psychological distress and health-related quality of life in patients with non-cardiac chest pain. Health and Quality of Life Outcomes, 18, 68. https://doi.org/10.1186/s12955-020-01297-0
Mourad, G., Strömberg, A., Johansson, P., & Jaarsma, T. (2016). Depressive symptoms, cardiac anxiety, and fear of body sensations in patients with non-cardiac chest pain, and their relation to healthcare-seeking behavior: A cross-sectional study. Patient, 9, 69–77. https://doi.org/10.1007/s40271-015-0125-0
Raiesdana, N., Kamali, E., & Soleimani, M. (2017). Assessment of situational and heart focused anxiety in patients with coronary artery disease before angiography. Koomesh, 19, 199–206.
Riediger, N. D., Bombak, A. E., & Mudryj, A. N. (2019). Health-related behaviours and their relationship with self-rated health among Canadian adults. BMC Public Health, 19, 960. https://doi.org/10.1186/s12889-019-7249-4
Roohafza, H., Feizi, A., Gharipour, M., Khani, A., Dianatkhah, M., Sarrafzadegan, N., & Sadeghi, M. (2021). Development and validation of a socioeconomic status short-form questionnaire (SES-SQ). ARYA Atherosclerosis, 17, 1–9.
Rubin, S., & Zimmer, Z. (2015). Pain and self-assessed health: Does the association vary by age? Social Science and Medicine, 130, 259–267. https://doi.org/10.1016/j.socscimed.2015.02.024
Siedlecki, S. L. (2006). Predictors of self-rated health in patients with chronic nonmalignant pain. Pain Management Nursing, 7, 109–116. https://doi.org/10.1016/j.pmn.2006.06.004
Toussaint, A., Hüsing, P., Kohlmann, S., & Löwe, B. (2020). Detecting DSM-5 somatic symptom disorder: Criterion validity of the patient health questionnaire-15 (PHQ-15) and the somatic symptom scale-8 (SSS-8) in combination with the somatic symptom disorder—B criteria scale (SSD-12). Psychological Medicine, 50, 324–333. https://doi.org/10.1017/s003329171900014x
Uchino, B. N., Landvatter, J., Cronan, S., Scott, E., Papadakis, M., Smith, T. W., Bosch, J. A., & Joel, S. (2019). Self-rated health and inflammation: A Test of depression and sleep quality as mediators. Psychosomatic Medicine, 81, 328–332. https://doi.org/10.1097/psy.0000000000000683
Undén, A. L., & Elofsson, S. (2006). Do different factors explain self-rated health in men and women? Gender Medicine, 3, 295–308. https://doi.org/10.1016/s1550-8579(06)80218-4
Wittert, G. (2014). The relationship between sleep disorders and testosterone in men. Asian Journal of Andrology, 16, 262–265. https://doi.org/10.4103/1008-682x.122586
Wool, C. A., & Barsky, A. J. (1994). Do women somatize more than men? Gender Differences in Somatization. Psychosomatics, 35, 445–452. https://doi.org/10.1016/s0033-3182(94)71738-2
Zajacova, A., & Dowd, J. B. (2011). Reliability of self-rated health in US adults. American Journal of Epidemiology, 174, 977–983.
Acknowledgements
The authors would like to thank all patients who participated to the study and Mr. Ali Karami for his contribution to collect data. Also, we thank the Students’ Research Committee of Isfahan University of Medical Sciences for its kind cooperation. The author(s) received no financial support for the research, authorship, and/or publication of this article.
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HR: Conceptualization, Methodology, and Drafting and critical revising. PS: Data curation, Writing and editing the original draft and Investigation. AF: Formal analysis and Data Curation. AK: Investigation, Software and Editing draft. NY: Reviewing & Editing the original draft and Investigation. SB: Reviewing & Editing the original draft and Investigation. MS: Investigation. GM: Investigation. MS: Conceptualization and Methodology. The final version of manuscript has been read and approved by all authors.
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Hamidreza Roohafza, Parsa Saneian, Awat Feizi, Azam Khani, Niloufar Yavari, Sara Bagherieh, Mohammadreza Shafiei, Gholamreza Masoumi, Masoumeh Sadeghi declare that there is no conflict of interest.
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The study has ethical approval from the Isfahan University of Medical Sciences (IUMS) ethical committee with the following ethical code: IR.MUI.MED.REC1398.624.
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We obtained informed consent from patients in the study after the nature of the procedure had been fully explained to them. Also, the Isfahan University of Medical Sciences (IUMS) ethical committee reviewed and approved all the study steps.
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Roohafza, H., Saneian, P., Feizi, A. et al. What Predict Self-rated Health: A Cross-sectional Study Among Men and Women with Non-cardiac Chest Pain. J Clin Psychol Med Settings 30, 618–627 (2023). https://doi.org/10.1007/s10880-022-09916-2
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DOI: https://doi.org/10.1007/s10880-022-09916-2