Can influence anxiety and depression the six-minute walking test performance in post-surgical heart valve patients? A pilot study
Various functional indicators are utilized to measure outcome in cardiac rehabilitation. Little information exists regarding the role played by psychological variables during the rehabilitative period, after cardiac valve surgery. The present study aims at exploring the relationship existing between...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2004-09-01
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| Series: | Monaldi Archives for Chest Disease |
| Subjects: | |
| Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/661 |
| _version_ | 1811215926799892480 |
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| author | Ornella Bettinardi Giorgio Bertolotti Paola Baiardi Giuseppe Calsamiglia Sylvia D'Cruz Marcello Giacani Christine Herodote Filippo Manno Giuseppe Molinari Paola Villa |
| author_facet | Ornella Bettinardi Giorgio Bertolotti Paola Baiardi Giuseppe Calsamiglia Sylvia D'Cruz Marcello Giacani Christine Herodote Filippo Manno Giuseppe Molinari Paola Villa |
| author_sort | Ornella Bettinardi |
| collection | DOAJ |
| description | Various functional indicators are utilized to measure outcome in cardiac rehabilitation. Little information exists regarding the role played by psychological variables during the rehabilitative period, after cardiac valve surgery. The present study aims at exploring the relationship existing between different levels of functional capacity measured by six-minute walking test, (6MWT) and emotional aspects such as anxiety and depression. Materials and methods. 126 post-surgical heart valve patients underwent at the beginning and at the end of the rehabilitative programme: 1) 6MWT; 2) assessment of anxiety and depression (A-D Questionnaire according to the CBA-2.0 Primary Scale). Results. Cardiac rehabilitation was associated with a general and significant improvement in the 6MWT (273+98 metres versus 363+96; p<0.001) and the functional performance parameters (diastolic blood pressure; p<0.001 and fatigue p<0.001). Simultaneously there was a significant improvement of patient-reported quality of life, revealed by the A-D questionnaire in both male and female patients. The Depression Questionnaire score is predictive of functional capacity. It was demonstrated that no matter what the clinical condition of the patient, the depression score influences the patient’s performance during the 6MWT, not only regards the distance covered (p=.008), but also fatigue expressed by the Borg RPE index (p=.044). Conclusion. Depression, an emotional variable, selfevaluated by the standardized questionnaire can, even if only partially, influence the 6MWT, a functional indicator of exercise tolerance, widely utilized in cardiac rehabilitation. |
| first_indexed | 2024-04-12T06:31:33Z |
| format | Article |
| id | doaj.art-860cf7e52c234d259cde9135637954d5 |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-04-12T06:31:33Z |
| publishDate | 2004-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-860cf7e52c234d259cde9135637954d52022-12-22T03:44:00ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642004-09-0162310.4081/monaldi.2004.661Can influence anxiety and depression the six-minute walking test performance in post-surgical heart valve patients? A pilot studyOrnella Bettinardi0Giorgio Bertolotti1Paola Baiardi2Giuseppe Calsamiglia3Sylvia D'Cruz4Marcello Giacani5Christine Herodote6Filippo Manno7Giuseppe Molinari8Paola Villa9Servizio di Psicologia, Ospedale Privato Accreditato San Giacomo, Ponte dell’Olio (PC).IRCCS Fondazione Salvatore Maugeri: Servizio di Psicologia, Istituto Scientifico di Tradate (VA)IRCCS Fondazione Salvatore Maugeri: Servizio di Statistica Biomedica, Istituto Scientifico di PaviaIRCCS Fondazione Salvatore Maugeri, Divisione di Cardiologia, Istituto Scientifico di PaviaUnità di Riabilitazione Cardiologica, Ospedale Privato Accreditato San Giacomo, Ponte dell’Olio (PC)Unità di Riabilitazione Cardiologica, Ospedale Privato Accreditato San Giacomo, Ponte dell’Olio (PC)Unità di Riabilitazione Cardiologica, Ospedale Privato Accreditato San Giacomo, Ponte dell’Olio (PC)Servizio di Psicologia, Ospedale Privato Accreditato San Giacomo, Ponte dell’Olio (PC)Unità di Riabilitazione Cardiologica, Ospedale Privato Accreditato San Giacomo, Ponte dell’Olio (PC)Unità di Riabilitazione Cardiologica, Ospedale Privato Accreditato San Giacomo, Ponte dell’Olio (PC)Various functional indicators are utilized to measure outcome in cardiac rehabilitation. Little information exists regarding the role played by psychological variables during the rehabilitative period, after cardiac valve surgery. The present study aims at exploring the relationship existing between different levels of functional capacity measured by six-minute walking test, (6MWT) and emotional aspects such as anxiety and depression. Materials and methods. 126 post-surgical heart valve patients underwent at the beginning and at the end of the rehabilitative programme: 1) 6MWT; 2) assessment of anxiety and depression (A-D Questionnaire according to the CBA-2.0 Primary Scale). Results. Cardiac rehabilitation was associated with a general and significant improvement in the 6MWT (273+98 metres versus 363+96; p<0.001) and the functional performance parameters (diastolic blood pressure; p<0.001 and fatigue p<0.001). Simultaneously there was a significant improvement of patient-reported quality of life, revealed by the A-D questionnaire in both male and female patients. The Depression Questionnaire score is predictive of functional capacity. It was demonstrated that no matter what the clinical condition of the patient, the depression score influences the patient’s performance during the 6MWT, not only regards the distance covered (p=.008), but also fatigue expressed by the Borg RPE index (p=.044). Conclusion. Depression, an emotional variable, selfevaluated by the standardized questionnaire can, even if only partially, influence the 6MWT, a functional indicator of exercise tolerance, widely utilized in cardiac rehabilitation.https://www.monaldi-archives.org/index.php/macd/article/view/661Six-minute walking testdepressionrehabilitative outcome |
| spellingShingle | Ornella Bettinardi Giorgio Bertolotti Paola Baiardi Giuseppe Calsamiglia Sylvia D'Cruz Marcello Giacani Christine Herodote Filippo Manno Giuseppe Molinari Paola Villa Can influence anxiety and depression the six-minute walking test performance in post-surgical heart valve patients? A pilot study Monaldi Archives for Chest Disease Six-minute walking test depression rehabilitative outcome |
| title | Can influence anxiety and depression the six-minute walking test performance in post-surgical heart valve patients? A pilot study |
| title_full | Can influence anxiety and depression the six-minute walking test performance in post-surgical heart valve patients? A pilot study |
| title_fullStr | Can influence anxiety and depression the six-minute walking test performance in post-surgical heart valve patients? A pilot study |
| title_full_unstemmed | Can influence anxiety and depression the six-minute walking test performance in post-surgical heart valve patients? A pilot study |
| title_short | Can influence anxiety and depression the six-minute walking test performance in post-surgical heart valve patients? A pilot study |
| title_sort | can influence anxiety and depression the six minute walking test performance in post surgical heart valve patients a pilot study |
| topic | Six-minute walking test depression rehabilitative outcome |
| url | https://www.monaldi-archives.org/index.php/macd/article/view/661 |
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