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Anhedonia is associated with poor health status and more somatic and cognitive symptoms in patients with coronary artery disease.
Qual Life Res. 2011 Jun; 20(5):643-51.QL

Abstract

PURPOSE

The effectiveness of cardiac rehabilitation (CR) in patients with coronary artery disease (CAD) is moderated by negative emotions and clinical factors, but no studies evaluated the role of positive emotions. This study examined whether anhedonia (i.e. the lack of positive affect) moderated the effectiveness of CR on health status and somatic and cognitive symptoms.

METHODS

CAD patients (n = 368) filled out the Hospital Anxiety and Depression Scale (HADS) to assess anhedonia at the start of CR, and the Short-Form Health Survey (SF-36) and the Health Complaints Scale (HCS) at the start of CR and at 3 months to assess health status and somatic and cognitive symptoms, respectively.

RESULTS

Adjusting for clinical and demographic factors, health status improved significantly during the follow-up (F(1,357) = 10.84, P = .001). Anhedonic patients reported poorer health status compared with non-anhedonic patients, with anhedonia exerting a stable effect over time (F(1,358) = 34.80, P < .001). Somatic and cognitive symptoms decreased over time (F(1,358) = 3.85, P = .05). Anhedonics experienced more benefits in terms of somatic and cognitive symptoms over time (F(1,358) = 13.00, P < .001).

CONCLUSION

Anhedonic patients reported poorer health status and higher levels of somatic and cognitive symptoms prior to and after CR. Somatic and cognitive symptoms differed as a function of anhedonia over time, but health status did not. Anhedonia might provide a new avenue for secondary prevention in CAD.

Authors+Show Affiliations

Center of Research on Psychology in Somatic Diseases (CoRPS), Department of Medical Psychology, Tilburg University, Tilburg, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21082266

Citation

Pelle, Aline J., et al. "Anhedonia Is Associated With Poor Health Status and More Somatic and Cognitive Symptoms in Patients With Coronary Artery Disease." Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, vol. 20, no. 5, 2011, pp. 643-51.
Pelle AJ, Pedersen SS, Erdman RA, et al. Anhedonia is associated with poor health status and more somatic and cognitive symptoms in patients with coronary artery disease. Qual Life Res. 2011;20(5):643-51.
Pelle, A. J., Pedersen, S. S., Erdman, R. A., Kazemier, M., Spiering, M., van Domburg, R. T., & Denollet, J. (2011). Anhedonia is associated with poor health status and more somatic and cognitive symptoms in patients with coronary artery disease. Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 20(5), 643-51. https://doi.org/10.1007/s11136-010-9792-4
Pelle AJ, et al. Anhedonia Is Associated With Poor Health Status and More Somatic and Cognitive Symptoms in Patients With Coronary Artery Disease. Qual Life Res. 2011;20(5):643-51. PubMed PMID: 21082266.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anhedonia is associated with poor health status and more somatic and cognitive symptoms in patients with coronary artery disease. AU - Pelle,Aline J, AU - Pedersen,Susanne S, AU - Erdman,Ruud A M, AU - Kazemier,Marten, AU - Spiering,Marquita, AU - van Domburg,Ron T, AU - Denollet,Johan, Y1 - 2010/11/17/ PY - 2010/11/01/accepted PY - 2010/11/18/entrez PY - 2010/11/18/pubmed PY - 2011/10/8/medline SP - 643 EP - 51 JF - Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation JO - Qual Life Res VL - 20 IS - 5 N2 - PURPOSE: The effectiveness of cardiac rehabilitation (CR) in patients with coronary artery disease (CAD) is moderated by negative emotions and clinical factors, but no studies evaluated the role of positive emotions. This study examined whether anhedonia (i.e. the lack of positive affect) moderated the effectiveness of CR on health status and somatic and cognitive symptoms. METHODS: CAD patients (n = 368) filled out the Hospital Anxiety and Depression Scale (HADS) to assess anhedonia at the start of CR, and the Short-Form Health Survey (SF-36) and the Health Complaints Scale (HCS) at the start of CR and at 3 months to assess health status and somatic and cognitive symptoms, respectively. RESULTS: Adjusting for clinical and demographic factors, health status improved significantly during the follow-up (F(1,357) = 10.84, P = .001). Anhedonic patients reported poorer health status compared with non-anhedonic patients, with anhedonia exerting a stable effect over time (F(1,358) = 34.80, P < .001). Somatic and cognitive symptoms decreased over time (F(1,358) = 3.85, P = .05). Anhedonics experienced more benefits in terms of somatic and cognitive symptoms over time (F(1,358) = 13.00, P < .001). CONCLUSION: Anhedonic patients reported poorer health status and higher levels of somatic and cognitive symptoms prior to and after CR. Somatic and cognitive symptoms differed as a function of anhedonia over time, but health status did not. Anhedonia might provide a new avenue for secondary prevention in CAD. SN - 1573-2649 UR - https://www.unboundmedicine.com/medline/citation/21082266/Anhedonia_is_associated_with_poor_health_status_and_more_somatic_and_cognitive_symptoms_in_patients_with_coronary_artery_disease_ L2 - https://doi.org/10.1007/s11136-010-9792-4 DB - PRIME DP - Unbound Medicine ER -