I feel safe being around a hospital, physician, or other medical facility, 14. Bethesda, MD 20894, Web Policies It comprises 18 items and can be divided in three subscales (Fear, 8 items; Avoidance, 5 items; Attention, 5 items). To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The thesis of this book is that behavioral and psychological variables impinge upon the development of CAD and CHD, upon the success of medical and surgical interventions, and upon processes involved in rehabilitation from myocardial infarctions and from invasive medical procedures such as coronary artery bypass grafts. Therefore it is important go be able to assess CA in ampere clinical surroundings. The 3-factor solution by Dragioti et al. Additionally, psychometric properties turned out acceptable in a Swedish post-MI population. Item and factor analyses Adding Reassurance Seeking as a fourth factor did not improve the fit of the model, nor was this structure supported by exploratory analysis. MeSH 6. Psychiatric disorders seem to play a role as risk factors to cardiovascular morbidity and mortality 1.They also seem to have a negative impact on disease stability 2, adherence to treatment 3 and quality of life 4 in cardiac patients. doi: 10.1093/ehjopen/oead036. Each item is rated on a 7-point Likert scale, ranging from 0 (not at all) to 6 (completely), total score range 0-54. Behavioral Activation for Depression Scale, Montgomery sberg Depression Rating Scale, Post Traumatic Checklist, Civilian version. Many of these studies have also explored the factor structure of CAQ and proposed varying factor solutions and removal of items [5,6,7,8, 10]. See Tables2 and and33. Psychometric properties and factor structure of the Greek version of the cardiac anxiety questionnaire (CAQ). HHS Vulnerability Disclosure, Help The authors would like to thank all patients for contributing to the study, and the hospitals and health care staff for helping with recruitment. has eight removed items and its superior fit to the data could be a reasonable suggestion for a short-form of the CAQ. Different cardiovascular risk factors - SAGE Journals [8] could also be considered as a valid short form for the CAQ. Cardiac anxiety The authors would like to thank all patients for contributing to the study, and the hospitals and health care staff for helping with recruitment. Atrial fibrillation (AF) is the most common cardiac arrhythmia, with a prevalence of 2% to 4% in the adult population. The role of specific cardiac anxiety, however, is still unknown. eCollection 2023. 10.1007/BF02289447. The original 3-factor structure of the Cardiac Anxiety Questionnaire is valid, but that the questionnaire could be revised in regard to some items, and it is confirmed that the CAQ is a valid instrument to measure CA in a Swedish MI-population. [10] and interestingly the original model by Eifert et al. What Predict Self-rated Health: A Cross-sectional Study - Springer Epub 2023 May 9. This study aimed to examine the factor structure of CAQ and its psychometric properties in a Swedish CVD-population. Recently admitted ACS patients had significantly higher scores than RA patients, even after controlling for general anxiety and depressive symptoms (p < 0.001). Internet-based cognitive behavioral therapy for symptoms of depression and anxiety among patients with a recent myocardial infarction: the u-care heart randomized controlled trial. The cardiac anxiety questionnaire: development and preliminary validity. The subjects were interviewed to identify psychiatric disorders and responded to the Cardiac Anxiety Questionnaire. The cardiac anxiety questionnaire: development and preliminary validity Therefore, we translated the COPD-Anxiety Questionnaire (CAF) into Danish (CAF-R-DK) Despite HFA is common to a large variety of Because it your important to be capably to assess CA in a clinical setting. The Cardiac Anxiety Questionnaire: Cross-validation among cardiac patients. Foreign Language Teaching Anxiety Scale: Preliminary Tests 1983;67:36170. The Cardiac Anxiety Questionnaire: Development and preliminary validity. [4] has been proven reasonable but could benefit from modifications. Introduction. 2023 Jul 27;18(7):e0288436. CFA was conducted for all factor solutions represented in previous literature, the model generated by the EFA as well as a 1-factor solution. 2013;101:55461. The Cardiac Anxiety Questionnaire: Cross-Validation among Cardiac Struct Equ Model. BADS measures escape and avoidance behaviour in depression. A high score indicates a greater number of symptoms, greater intensity, or both. Careers. As some of the items in the factor Fear/Worry describes a more emotional aspect of anxiety, rather than cognitive, this could be an explanation of the shared relation with the more cognitive factor Attention. Still, it could be criticised for its lack of specificity. Items were sequentially removed if they had no salient factor loading or if they loaded across more than one factor, and the analysis was re-run. Reliability analysis of the 18-item CAQ revealed good internal consistency of the total and subscale scores. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Nine hundred thirty-five participants with MI were screened. The Cardiac Anxiety Questionnaire: Cross-validation among cardiac patients. Aim. Using percentiles based on a normative sample allows screening for heart-focused anxiety in patients with or without cardiac diseases and the measurement of therapy success after psychotherapeutic or pharmacological intervention. Treatment of depression and anxiety with internet-based cognitive behavior therapy in patients with a recent myocardial infarction (U-CARE heart): study protocol for a randomized controlled trial. Eifert GH. [10] also demonstrated a poor fit to the data. WebCVD-patients with higher levels are cardiac anxiety suffer psychologically, for well as being at increased risk for cardiac morbidity and mortality. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Res. Social and psychological responses to myocardial - ScienceDirect BADS measures escape and avoidance behaviour in depression. WebIn study 1, 188 cardiology patients completed the CAQ. The 2-factor solution by Sardinha et al. The factor structure of the cardiac anxiety questionnaire, and Article CAS Google Scholar Herrmann-Lingen C, Buss U, Snaith RP, HADS-D (2011) Hospital Anxiety and Depression Scale Deutsche Version, 3. Cardiac Anxiety in Family Members Disclaimer. https://doi.org/10.1186/s12874-022-01820-5, DOI: https://doi.org/10.1186/s12874-022-01820-5. Saliency of item loadings on factors were determined for significant coefficients .24, calculated based on current sample size [25]. aPCA Principal Component Analysis, Common Common Factor Analysis, PAF Principal Axis Factoring, Yes EFA conducted but method not specified. The factor structure of the cardiac anxiety questionnaire, and I avoid exercise or other physical work, 9. 10.1007/s11920-016-0739-5. J Med Internet Res. Inclusion in an NLM database does not imply endorsement of, or agreement with, Family-authored ICU diaries to reduce fear in patients experiencing a cardiac arrest (FAID fear): A pilot randomized controlled trial. Cookies policy. Although the original three-factor solution (fear, avoidance, and attention) was acceptable (model fit parameters: CFI = 0.89 and TLI = 0.87), our data were best explained by a four-factor model including safety seeking behaviors. The cardiac anxiety questionnaire: development and preliminary The full questionnaire exhibited excellent internal consistency suggesting that the Swedish translation of CAQ still measures a singular coherent structure. Correlation of questionnaires and subscales, All correlations are significant on the level of p<.001, F/W Fear/Worry, Avoid Avoidance, Att Attention. Anxiety Reliability Behav Res Eifert GH. However, in all previous studies of EFA on the CAQ this item has had a single salient loading on the factor describing Fear/Worry [4,5,6,7,8, 10]. Curr Psychiatry Rep. 2016;18. https://doi.org/10.1007/s11920-016-0739-5. The datasets generated and/or analysed during the current study are not publicly available due to the General Data Protection Regulation (2016/679) protecting privacy but are available from the corresponding author in an aggregated format on reasonable request. When I have chest discomfort or I feel my heart is beating fast I worry that I may have a heart attack, 15. The aim of this study is to explore the general and health-related QoL (HRQoL) and mental health outcomes for women who have experienced cardiac disease in pregnancy and the first 12 Psychother Psychosom. 2023 Jul;10(7):4676-4689. doi: 10.1002/nop2.1717. Brazilian Portuguese Validated Version of the Cardiac Anxiety Questionnaire These results enable longitudinal studies to examine the relationship of heart-focused anxiety with cardiac prognosis and to evaluate interventions specifically targeted at anxiety in cardiac patients. It consists of three subscales (Re-experiencing, 5 items; Avoidance or numbing, 7 items; Arousal, 5 items) and the 17 items are rated on a 5-point Likert scale from 1 (not at all) to 5 (extremely), total score range 17-85. In the EFA, four items (items 4, 10, 13 and 18) were initially cross-loaded between the factors Fear/Worry and Attention. We also confirm that the CAQ is a valid instrument to measure CA in a Swedish MI-population. sharing sensitive information, make sure youre on a federal 2015;16:154. First, to perform an exploratory factor analysis and to compare this suggestion along with all previously suggested factor solutions in a confirmatory analysis. Open access funding provided by Uppsala University. 2022 Nov 25;12(11):e066435. development Item 10 describes a tendency to worry, even when evidence against the need for worry has been demonstrated. Results: Item 13 concerns both worry and chest pain. [4] has been proven reasonable but could benefit from modifications. Roest AM, Martens EJ, Denollet J, et al. WebThe Cardiac Anxiety Questionnaire: development and preliminary validity Author EIFERT, G. H 1; Angiographie Coeur Douleur Homme Psychomtrie Questionnaire Trouble anxieux Validation test Validit convergente Cardiac Anxiety Questionnaire Eifert et al Radiodiagnostic Keyword (en) WebHeart-focused anxiety (HFA) is the fear of cardiac-related stimuli and sensations because of their perceived negative consequences. Although HFA is common to a wide variety of persons who experience chest pain and distress, it often is unrecognized and misdiagnosed, particularly in cardiology and Cattell RB. It has reported good psychometric properties and is a common choice for measuring anxiety and depression. View 6 excerpts, cites methods and background. New Jersey: Pearson Education; 2010. The https:// ensures that you are connecting to the WebIn this study of people undergoing electron beam tomography screening for CHD, support was found for the three-factor model of the CAQ originally described by Eifert, Thompson, The model fit was assessed based on the values of root mean square error of approximation (RMSEA), comparative fit index (CFI), and TuckerLewis index (TLI). Still, much like the factor Avoidance, these items could benefit from being more specific in regard to what drives the increased attention. Zigmond AS, Snaith RP. WebIn this study, the incidences of general-anxiety (HADS), heart-focused anxiety (CAQ), hypochondria (Whiteley Index), depression (HADS-D) and somatoform disorder (SOMS) Kaiser HF. BMI was calculated (kg/m2) and Obesity was defined as a BMI equal to or higher than 30.
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