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Poor social network is associated with impaired self-rated health and symptoms of anxiety and depression across cardiac diagnoses.

Session Oral abstract session: PPCI , risk factors and prevention

Speaker Anne Vinggaard Christensen

Congress : EuroHeartCare 2018

  • Topic : preventive cardiology
  • Sub-topic : Stress, Psycho-Social and Cultural Aspects of Heart Disease
  • Session type : Abstract Session
  • FP Number : 241

Authors : A Vinggaard Christensen (Copenhagen,DK), KJ Juel (Copenhagen,DK), O Ekholm (Copenhagen,DK), TB Rasmussen (Gentofte,DK), RE Mols (Aarhus,DK), CB Thorup (Aalborg,DK), B Borregaard (Odense,DK), L Thrysoee (Odense,DK), SK Berg (Copenhagen,DK)

Authors:
A Vinggaard Christensen1 , KJ Juel2 , O Ekholm2 , TB Rasmussen3 , RE Mols4 , CB Thorup5 , B Borregaard6 , L Thrysoee6 , SK Berg1 , 1Rigshospitalet - Copenhagen University Hospital, Heart Centre - Copenhagen - Denmark , 2National Institute of Public Health - Copenhagen - Denmark , 3Gentofte University Hospital - Gentofte - Denmark , 4Aarhus University Hospital - Aarhus - Denmark , 5Aalborg University Hospital - Aalborg - Denmark , 6Odense University Hospital - Odense - Denmark ,

Citation:
European Journal of Cardiovascular Nursing ( 2017 ) 17 ( Supplement ), S69

Background: Marital status and social network have previously been associated with the risk of future morbidity and mortality in patients with e.g. ischemic heart disease. Little is known about the causes of this association. A contributing factor could possibly be poor mental and physical health status among patients experiencing inadequate social network.
Purpose: To explore whether poor social network is associated with worsened patient-reported outcomes at hospital discharge across sex and cardiac diagnostic groups.
Methods: In the national DenHeart survey patients with cardiac disease answered Short Form-12 (SF-12) and the Hospital Anxiety and Depression Scale (HADS). Furthermore, they answered a question regarding whether they experienced having someone to talk to when they needed it. Information on cohabitation was derived from national registers. Linear regression was used for continuous outcomes and logistic regression was used for binary outcomes. All analyses were adjusted for age, educational level, co-morbidity, BMI, smoking and alcohol intake.
Results: In total, 13.463 patients (response rate 53 %) with ischemic heart disease (IHD), arrhythmia, heart valve disease and heart failure answered the questionnaire (70 % male, mean age 65 years). Having no one to talk to was associated with poor outcomes among both men and women and in all diagnostic groups (Table 1). Women with arrhythmia who lacked someone to talk to reported mental component scores that were 12 points lower than women who had someone to talk to (p<0.001). Similarly, men with heart valve disease who lacked someone to talk to reported physical component scores that were 6 points lower than men who had someone to talk to (p<0.001). Women with heart failure who experienced having no one to talk to were almost five times as likely to have a HADS-A score>8 compared to women who had someone to talk to (p=0.0015). Men with heart failure who lived alone reported a 3 points lower score on the mental component scale compared to men who lived with someone (p=0.0053) (Table 1). Finally, men with arrhythmia who lived alone were 56 % more likely to have a HADS-D score>8 men who lived with someone (p=0.0015).
Conclusions: Poor patient-reported social network is highly associated with worse self-rated mental and physical health and increased anxiety and depression scores in all diagnostic groups and among both men and women.



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