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Psychosocial profile in men and women with unexplained chest pain
The Sahlgrenska Academy, Göteborg University, Sweden.
The Sahlgrenska Academy, Göteborg University, Sweden.ORCID iD: 0000-0002-2764-3095
Johns Hopkins University, School of Nursing, Baltimore, MD, USA.
The Sahlgrenska Academy, Göteborg University, Sweden.
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2008 (English)In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 264, no 3, 265-274 p.Article in journal (Refereed) Published
Abstract [en]

Objective.  The aim of this study was to compare men and women with unexplained chest pain (UCP) to a randomly selected population sample free of clinical heart disease with regard to sleep problems, mental strain at work, stress at home, negative life events and health-related quality of life (HRQOL).

Design and subjects.  The study was conducted at a university hospital in Sweden including 231 patients aged 25–69 without any organic cause for chest pain. As a reference group, 1069 participants, were recruited from the INTERGENE population-based study.

Results.  Patients with UCP had more sleep problems (OR = 1.8, P < 0.0001), were almost three times more worried about stress at work (OR = 2.9, P < 0.0001), or had more stress at home (OR = 2.8, P < 0.0001), and were twice as likely to have negative life events (OR = 2.1, P < 0.0001). Women, but not men, with UCP, had a higher prevalence of cardiovascular risk factors (obesity, smoking, diabetes and hypertension) compared with references. With regard to HRQOL, UCP patients scored significantly lower than references in all dimensions of the SF-36.

Conclusions.  In comparison with a healthy reference group, patients with UCP reported more sleep problems, mental strain at work, stress at home and negative life events and had lower health-related quality of life. Aside from immigration the strongest independent psychosocial factors were mental strain at work and negative life events last year in men and stress at home in women.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2008. Vol. 264, no 3, 265-274 p.
Keyword [en]
health-related quality of life, life events, sleep, stress, unexplained chest pain, work
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-101541DOI: 10.1111/j.1365-2796.2008.01961.xOAI: oai:DiVA.org:liu-101541DiVA: diva2:666478
Available from: 2013-11-22 Created: 2013-11-22 Last updated: 2017-12-06Bibliographically approved

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Kjellgren, Karin

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