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Objective: To examine the relationship between cardiac self-efficacy and health status, including symptom burden, physical limitation, quality of life, and overall health among outpatients with stable coronary heart disease (CHD). We hypothesized that lower self-efficacy would predict worse health status, independent of CHD severity and depression.

Methods: We performed a cross-sectional study of 1024 outpatients with CHD, who were recruited between 2000 and 2002 for the Heart and Soul Study. We administered a validated measure of cardiac self-efficacy, assessed cardiac function using exercise treadmill testing with stress echocardiography, and measured depressive symptoms using the Patient Health Questionnaire. Health status outcomes (symptom burden, physical limitation, and quality of life) were assessed using the Seattle Angina Questionnaire, and overall health was measured as fair or poor (versus good, very good, or excellent).

Results: After adjustment for CHD severity and depressive symptoms, each standard deviation (4.5-point) decrease in self-efficacy score was independently associated with greater symptom burden (adjusted odds ratio (OR) = 2.1, p = .001), greater physical limitation (OR = 1.8, p < .0001), worse quality of life (OR = 1.6, p < .0001), and worse overall health (OR = 1.9, p < .0001). Depressive symptoms and poor treadmill exercise capacity were also associated with poor health status, but left ventricular ejection fraction and ischemia were not.

Conclusions: Among patients with CHD, low cardiac self-efficacy is associated with poor health status, independent of CHD severity and depressive symptoms. Further study should examine if self-efficacy constitutes a useful target for cardiovascular disease management interventions.

Titel:	Self-efficacy and health status in patients with coronary heart disease: findings from the heart and soul study.
Autor/in / Beteiligte Person:	Sarkar, U ; Ali, S ; Whooley, MA
Zeitschrift:	Psychosomatic medicine, Jg. 69 (2007-05-01), Heft 4, S. 306-12
Veröffentlichung:	Hagerstown, MD : Lippincott Williams & Wilkins ; <i>Original Publication</i>: Baltimore [etc.], 2007
Medientyp:	academicJournal
ISSN:	1534-7796 (electronic)
DOI:	10.1097/PSY.0b013e3180514d57
Schlagwort:	Aged Cohort Studies Cross-Sectional Studies Female Humans Male Middle Aged Odds Ratio Quality of Life Coronary Disease psychology Health Status Self Efficacy
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. Language: English [Psychosom Med] 2007 May; Vol. 69 (4), pp. 306-12. <i>Date of Electronic Publication: </i>2007 May 17. MeSH Terms: Health Status* ; Self Efficacy* ; Coronary Disease / *psychology ; Aged ; Cohort Studies ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Odds Ratio ; Quality of Life References: Am J Med. 2001 Apr 1;110(5):378-84. (PMID: 11286953) ; Psychosom Med. 2001 Mar-Apr;63(2):257-66. (PMID: 11292273) ; Med Care. 2001 Nov;39(11):1217-23. (PMID: 11606875) ; J Cardiopulm Rehabil. 2001 Nov-Dec;21(6):363-73. (PMID: 11767810) ; Eff Clin Pract. 2001 Nov-Dec;4(6):256-62. (PMID: 11769298) ; JAMA. 1999 Nov 10;282(18):1737-44. (PMID: 10568646) ; Am Heart J. 2000 Jul;140(1):105-10. (PMID: 10874270) ; Am Heart J. 2000 Sep;140(3):409-18. (PMID: 10966538) ; Am J Cardiol. 2000 Nov 15;86(10):1135-8, A6, A9. (PMID: 11074214) ; Diabetes Educ. 2000 Jul-Aug;26(4):673-80. (PMID: 11212851) ; Cancer. 2001 Jan 15;91(2):443-54. (PMID: 11180093) ; Arch Intern Med. 2002 Mar 11;162(5):553-9. (PMID: 11871923) ; Diabetes Educ. 2001 May-Jun;27(3):393-404. (PMID: 11912800) ; Circulation. 2002 Jul 2;106(1):5-7. (PMID: 12093759) ; Circulation. 2002 Jul 2;106(1):43-9. (PMID: 12093768) ; J Am Coll Cardiol. 2002 Oct 2;40(7):1366-74. (PMID: 12383588) ; Am Heart J. 2003 Mar;145(3):493-9. (PMID: 12660673) ; Bull World Health Organ. 2003;81(3):174-82. (PMID: 12764513) ; JAMA. 2003 Jul 9;290(2):215-21. (PMID: 12851276) ; Ann Behav Med. 2003 Aug;26(1):1-7. (PMID: 12867348) ; J Cardiopulm Rehabil. 2003 Jul-Aug;23(4):299-306. (PMID: 12894004) ; Am J Cardiol. 2003 Sep 15;92(6):705-7. (PMID: 12972112) ; Patient Educ Couns. 1999 Sep;38(1):21-32. (PMID: 14528568) ; Psychooncology. 2004 Mar;13(3):211-20. (PMID: 15022156) ; Diabetes Care. 2004 Jun;27(6):1306-12. (PMID: 15161780) ; Am J Cardiol. 2004 Jul 1;94(1):96-9. (PMID: 15219515) ; Psychol Rev. 1977 Mar;84(2):191-215. (PMID: 847061) ; N Engl J Med. 1983 May 12;308(19):1124-9. (PMID: 6339939) ; Am J Cardiol. 1983 Apr;51(7):1076-80. (PMID: 6837450) ; Circulation. 1983 Nov;68(5):951-60. (PMID: 6137293) ; J Health Soc Behav. 1983 Dec;24(4):385-96. (PMID: 6668417) ; Chest. 1984 Jun;85(6):751-8. (PMID: 6723384) ; J Urol. 1984 Aug;132(2):272-6. (PMID: 6204066) ; N Engl J Med. 1986 Jun 26;314(26):1657-64. (PMID: 3520318) ; Med Care. 1987 Sep;25(9):868-81. (PMID: 3320598) ; Clin Cardiol. 1991 Mar;14(3):204-8. (PMID: 1672842) ; Am J Cardiol. 1991 Oct 1;68(9):973-5. (PMID: 1927964) ; Psychol Rep. 1991 Aug;69(1):127-30. (PMID: 1961779) ; JAMA. 1992 Jan 22-29;267(4):520-4. (PMID: 1729574) ; J Card Fail. 2006 Feb;12(1):54-60. (PMID: 16500581) ; Osteoporos Int. 2006;17(4):501-6. (PMID: 16365829) ; Arch Intern Med. 2006 Oct 9;166(18):2035-43. (PMID: 17030839) ; Eur J Heart Fail. 2006 Oct;8(6):634-40. (PMID: 16504577) ; Control Clin Trials. 1991 Aug;12(4 Suppl):81S-90S. (PMID: 1663862) ; Soc Work Health Care. 1991;16(1):53-93. (PMID: 1839087) ; Med Care. 1992 May;30(5 Suppl):MS112-24. (PMID: 1583926) ; Cathet Cardiovasc Diagn. 1992 Oct;27(2):95-6. (PMID: 1446342) ; J Behav Med. 1993 Oct;16(5):509-22. (PMID: 8254654) ; Qual Life Res. 1994 Apr;3(2):111-9. (PMID: 8044157) ; Health Psychol. 1994 May;13(3):263-73. (PMID: 8055861) ; Am J Cardiol. 1994 Dec 15;74(12):1240-4. (PMID: 7977097) ; JAMA. 1995 Jan 4;273(1):59-65. (PMID: 7996652) ; J Am Coll Cardiol. 1995 Feb;25(2):333-41. (PMID: 7829785) ; JAMA. 1995 Nov 15;274(19):1511-7. (PMID: 7474219) ; J Cardiopulm Rehabil. 1995 May-Jun;15(3):209-15. (PMID: 8542526) ; Int J Cardiol. 1995 Oct;51(3):221-32. (PMID: 8586471) ; Am J Psychiatry. 1996 Oct;153(10):1350-2. (PMID: 8831449) ; N Engl J Med. 1997 Jan 9;336(2):92-9. (PMID: 8988886) ; Eur Heart J. 1997 Mar;18(3):414-9. (PMID: 9076377) ; Psychosom Med. 1998 Jul-Aug;60(4):473-8. (PMID: 9710293) ; Health Educ Behav. 1999 Feb;26(1):72-89. (PMID: 9952053) ; Am J Phys Med Rehabil. 2005 May;84(5):313-21. (PMID: 15829777) ; Diabetes Educ. 2005 May-Jun;31(3):401-9. (PMID: 15919640) ; Eur J Cardiovasc Nurs. 2005 Sep;4(3):215-9. (PMID: 15908277) ; Am J Cardiol. 2005 Oct 15;96(8):1076-81. (PMID: 16214441) ; Behav Med. 2005 Fall;31(3):107-15. (PMID: 16252622) ; Qual Life Res. 2006 Feb;15(1):83-91. (PMID: 16411033) Grant Information: R01 HL079235 United States HL NHLBI NIH HHS; R01 HL079235-01A1 United States HL NHLBI NIH HHS; 1 T32 HP19025 United States PHS HHS Entry Date(s): Date Created: 20070519 Date Completed: 20070709 Latest Revision: 20220316 Update Code: 20240513 PubMed Central ID: PMC2771191

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Self-efficacy and health status in patients with coronary heart disease: findings from the heart and soul study.