Heart-focused anxiety before and after cardiac surgery
Abstract
Objective We investigated the degree and course of heart-focused anxiety (HFA) in patients with cardiac diseases before and after cardiac surgery. Methods We examined 90 patients undergoing coronary bypass, valve replacement, or combined surgery before surgery, 6 weeks after surgery, and 6 months after surgery. Patients completed the Cardiac Anxiety Questionnaire (CAQ), which assesses heart-focused fear, attention, and avoidance, and a set of other questionnaires assessing general anxiety, depression, and quality of life. Data were compared with an age- and sex-controlled contrast group of 72 orthopedic patients with no history of cardiac disease. Results All dimensions of HFA were elevated in patients before surgery. CAQ-Fear was significantly reduced 6 weeks after surgery and at 6-month follow-up. CAQ-Avoidance was stable after surgery but declined on follow-up, while there was only a statistical tendency indicating reduction in CAQ-Attention. Approximately 20% of patients continued to experience clinically elevated levels of HFA at 6-month follow-up. Furthermore, we found decreases in global anxiety and depression, and an increase in quality of life after surgery. Conclusions In contrast to global psychosocial indicators, the more specific assessment of HFA may help identify individuals with elevated levels of HFA who might benefit from interventions to help them adjust to the effects of surgery and lingering cardiac problems.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The present results are in line with previous findings of elevated levels of heart-focused anxiety among cardiac patients.
“As expected, our results are thus in line with previous findings of elevated levels of HFA among cardiac patients (Hoyer et al., 2008; Rosman et al., 2015).”
From Management of emotional distress following a myocardial infarction: a qualitative content analysis (2023) · cites this paper as Hoyer et al., 2008
Cites
Herrmann, C. (1997) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(96)00216-4 · Cited by 2,885 · see citing works
The Prevalence of Symptoms in Medical Outpatients and the Adequacy of Therapy
Arrington, M. E. (1990) · Archives of Internal Medicine · doi:10.1001/archinte.1990.00040031685016 · Cited by 367 · see citing works
The Cardiac Anxiety Questionnaire: development and preliminary validity
Eifert, G. H., Thompson, R. N., Zvolensky, M. J., Edwards, K., Frazer, N. L., Haddad, J. W., & Davig, J. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00132-1 · Cited by 349 · cited 5× · see citing works
“CAQ-Fear [19] .”
BackgroundMethodInfluentialSelf-citation
Flagged first, then by citations
Cited by
Sorted by citations
Lebel, S., Mutsaers, B., Tomei, C., Leclair, C. S., Jones, G., Petricone‐Westwood, D., Rutkowski, N. A., Ta, V., Trudel, G., Laflamme, S. Z., et al. (2020) · PLoS ONE · doi:10.1371/journal.pone.0234124 · Cited by 211 · see citing works
“The evolution of HA is unclear, in part due to different measurement occasions across studies: one study found that HA either fluctuated or decreased over time from 6 weeks post surgery to 6 months later [90], one reported an increase from hospitalization to five years later [264], and one reported that HA was stable…”
BackgroundInfluentialQuality of life after aortic valve surgery: replacement versus reconstruction.
Aicher, D., Holz, A., Feldner, S. K., Köllner, V., & Schäfers, H. (2011) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2011.02.006 · Cited by 132 · see citing works
“QoL after all 3 was generally comparable to that published for healthy control subjects(19) and to data published for recovery after valve replacement and coronary bypass surgery.(23) Interestingly, our patients scored lower in symptoms of general depression than did age-matched healthy control subjects.”
ResultSelf-citationParental Overprotection and Heart-Focused Anxiety in Adults with Congenital Heart Disease
Ong, L., Nolan, R. P., Irvine, J., & Kovacs, A. H. (2010) · International Journal of Behavioral Medicine · doi:10.1007/s12529-010-9112-y · Cited by 102 · see citing works
“Recent data also suggest that heart-focused anxiety is significantly correlated with increased symptoms of anxiety and depression and lower health-related quality of life among patients undergoing cardiac surgery [ 21 ].”
BackgroundComorbidity of fear of progression and anxiety disorders in cancer patients
Dinkel, A., Kremsreiter, K., Marten‐Mittag, B., & Lahmann, C. (2014) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2014.08.006 · Cited by 67 · see citing works
“Being seriously ill evokes fear: Patients often suffer from realistic fears that relate to the illness itself, its treatment and the associated psychosocial consequences [1–5].”
BackgroundHamang, A., Eide, G. E., Rokne, B., Nordin, K., & Øyen, N. (2011) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-9-100 · Cited by 69 · see citing works
Crössmann, A., Schulz, S. M., Kühlkamp, V., Ritter, O., Neuser, H., Schumacher, B., Bauer, W., & Pauli, P. (2010) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181d9bcec · Cited by 61 · see citing works
“One study (51) indicated that sensitivity to change is high for CAQ-Fear, moderate for CAQ-Avoidance, and rather low for CAQ-Attention before versus after cardiac surgery.”
BackgroundCardiac anxiety after sudden cardiac arrest: Severity, predictors and clinical implications
Rosman, L., Whited, A., Lampert, R., Mosesso, V. N., Lawless, C., & Sears, S. F. (2015) · International Journal of Cardiology · doi:10.1016/j.ijcard.2014.11.115 · Cited by 52 · see citing works
Berg, S., Zwisler, A., Pedersen, B., Haase, K., & Sibilitz, K. (2013) · BMC Nursing · doi:10.1186/1472-6955-12-23 · Cited by 51 · see citing works
O'Donovan, C., Painter, L., Lowe, B., Robinson, H., & Broadbent, E. (2015) · Cardiology in the Young · doi:10.1017/s1047951114002728 · Cited by 45 · see citing works
The Cardiac Anxiety Questionnaire: Cross-Validation among Cardiac Inpatients
Van Beek, M. H. C. T., Voshaar, R. C. O., Van Deelen, F. M., Van Balkom, A. J. L. M., Pop, G., & Speckens, A. E. M. (2012) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.43.4.e · Cited by 41 · see citing works
Hohls, J. K., Beer, K., Arolt, V., Haverkamp, W., Kuhlmann, S., Martus, P., Waltenberger, J., Rieckmann, N., Müller-Nordhorn, J., & Ströhle, A. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.109958 · Cited by 40 · see citing works
Heart-focused anxiety in the general population
Fischer, D., Kindermann, I., Karbach, J., Herzberg, P., Ukena, C., Barth, C., Lenski, M., Mahfoud, F., Einsle, F., Dannemann, S., et al. (2012) · Clinical Research in Cardiology · doi:10.1007/s00392-011-0371-7 · Cited by 40 · see citing works
Self-citationMourad, G., Strömberg, A., Johansson, P., & Jaarsma, T. (2015) · Patient · doi:10.1007/s40271-015-0125-0 · Cited by 41 · see citing works
“4 Statistical analysis In all questionnaires, missing data were imputed by substituting one to two missing values with the average of the non-missing items within each subscale [31,32].”
MethodHamang, A., Eide, G. E., Rokne, B., Nordin, K., Bjorvatn, C., & Øyen, N. (2011) · Journal of Genetic Counseling · doi:10.1007/s10897-011-9393-6 · Cited by 40 · see citing works
“First, patients with an actual cardiac diagnosis may experience higher levels of heart-focused anxiety (Hoyer et al. 2008; Zvolensky et al. 2003).”
BackgroundSzczepańska-Gieracha, J., Morka, J., Kowalska, J., Kustrzycki, W., & Rymaszewska, J. (2012) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezs463 · Cited by 36 · see citing works
“Before CABG, 55% of patients feel a high level of state anxiety [6], but its intensity decreases significantly within a short time after surgery [6, 23].”
BackgroundPsychological Distress After Sudden Cardiac Arrest and Its Impact on Recovery
Agarwal, S., Birk, J. L., Abukhadra, S. L., Rojas, D. A., Cornelius, T. M., Bergman, M., Chang, B., Edmondson, D. E., & Kronish, I. M. (2022) · Current Cardiology Reports · doi:10.1007/s11886-022-01747-9 · Cited by 70 · see citing works
Mental symptoms in patients with cardiac symptoms and normal coronary arteries
Christoph, M., Christoph, A., Dannemann, S., Poitz, D. M., Pfluecke, C., Strasser, R. H., Wunderlich, C., Köllner, V., & Ibrahim, K. S. (2014) · Open Heart · doi:10.1136/openhrt-2014-000093 · Cited by 34 · see citing works
“5 years).(15) Hospital Anxiety and Depression Scale (HADS) is a 14-item self-report measure containing two subscales of anxiety (7 items) and depression (7 items).”
BackgroundBunz, M., Lenski, D., Wedegärtner, S., Ukena, C., Karbach, J., Böhm, M., & Kindermann, I. (2016) · Clinical Research in Cardiology · doi:10.1007/s00392-015-0909-1 · Cited by 33 · see citing works
“Our results stand in line with study results investigating HFA, general anxiety, depression, and QoL before and after cardiac surgery and indicating that the level of HFA was elevated on all dimensions before surgery [11].”
ResultSchmitz, C., Wedegärtner, S., Langheim, E., Kleinschmidt, J., & Köllner, V. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.836750 · Cited by 31 · see citing works
Self-citationSibilitz, K. L., Berg, S. K., Hansen, T. B., Risom, S. S., Rasmussen, T. B., Hassager, C., Køber, L., Steinbr�chel, D. A., Gluud, C. N., Winkel, P., et al. (2013) · Trials · doi:10.1186/1745-6215-14-104 · Cited by 29 · see citing works
Psychiatric disturbances in patients undergoing open-heart surgery
Younes, O., Amer, R., Fawzy, H., & Shama, G. (2019) · Middle East Current Psychiatry · doi:10.1186/s43045-019-0004-9 · Cited by 28 · see citing works
Alsubaie, M., Dickens, C. M., Dunn, B. D., Gibson, A., Ukoumunne, O. C., Evans, A., Vicary, R., Gandhi, M., & Kuyken, W. (2018) · Mindfulness · doi:10.1007/s12671-018-0999-8 · Cited by 29 · see citing works
One-year follow up of cardiac anxiety after a myocardial infarction: a latent class analysis.
van Beek, M., Mingels, M., Voshaar, R. O., van Balkom, A. V., Lappenschaar, M., Pop, G., & Speckens, A. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.09.004 · Cited by 27 · see citing works
“The mean CAQ score in our population was indeed slightly lower than that in other cardiac populations [10,13], suggesting that we might not have included the most anxious patients.”
BackgroundResultInfluentialEfficacy of Precise Foot Massage Therapy on Pain and Anxiety Following Cardiac Surgery: Pilot Study
Alameri, R. A., Dean, G. E., Castner, J., Volpe, E. M., Elghoneimy, Y. F., & Jungquist, C. R. (2019) · Pain Management Nursing · doi:10.1016/j.pmn.2019.09.005 · Cited by 29 · see citing works
The impact of coronary artery bypass graft surgery on depression and anxiety
Nemati, M., & Astaneh, B. (2011) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0b013e32834358e9 · Cited by 25 · see citing works
Anxiety and Depression in Patients Undergoing Mitral Valve Surgery: A Prospective Clinical Study
Botzet, K., Dalyanoĝlu, H., Schäfer, R., Lichtenberg, A., Schipke, J., & Korbmacher, B. (2017) · The thoracic and cardiovascular surgeon · doi:10.1055/s-0037-1604461 · Cited by 23 · see citing works
Risk factors of depressive and anxiety symptoms 8 years after coronary artery bypass grafting.
Kustrzycki, W., Rymaszewska, J., Malcher, K., Szczepańska-Gieracha, J., & Biecek, P. (2012) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/j.ejcts.2011.06.028 · Cited by 23 · see citing works
“has been confirmed by other authors [3,10,11].”
The Relevance of Accuracy of Heartbeat Perception in Noncardiac and Cardiac Chest Pain
Schroeder, S., Gerlach, A., Achenbach, S., & Martin, A. (2015) · International Journal of Behavioral Medicine · doi:10.1007/s12529-014-9433-3 · Cited by 22 · see citing works
Moser, D., McKinley, S., Riegel, B., Doering, L., Meischke, H., Pelter, M., Davidson, P. M., Baker, H., & Dracup, K. (2012) · European Journal of Cardiovascular Nursing · doi:10.1016/j.ejcnurse.2010.11.003 · Cited by 22 · see citing works
“Anxiety related to the heart or cardiac disease is a relatively common problem [22] and one with serious negative consequences [22].”
Predictors of fear and anxiety nine years after coronary artery bypass grafting.
Koivula, M., Hautamäki-Lamminen, K., & Åstedt-Kurki, P. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05230.x · Cited by 22 · see citing works
Tradução e adaptação transcultural da versão brasileira do Questionário de Ansiedade Cardíaca
Sardinha, A., Nardi, A., & Eifert, G. (2008) · Revista de Psiquiatria do Rio Grande do Sul · doi:10.1590/s0101-81082008000300010 · Cited by 22 · see citing works
Self-citationRasmussen, T. B., Zwisler, A., Moons, P., & Berg, S. K. (2014) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000144 · Cited by 24 · see citing works
“Emotional and psychological reactions are prominent in recovery experiences within various cardiac populations, and studies show that predisposed individuals have a higher risk of having depression, anxiety, and even posttraumatic stress disorder after, for instance, heart valve surgery.(42,43) Depressive symptoms and…”
BackgroundAi, A. L., Kabbaj, M., & Kathy, L. (2014) · Journal of behavioral medicine · doi:10.1007/s10865-012-9484-3 · Cited by 21 · see citing works
“The link between symptoms in mental health (depressed mood, anxiety, and hostility) and prognosis of cardiovascular diseases (CVDs), including medical outcomes following cardiac surgery, has been established (Ai et al., 2008; Chida & Steptoe, 2009; Hoyer et al., 2008; Niaura et al., 2002; Mosovich et al., 2008; Pignay…”
BackgroundInfluentialKohlmann, S., Rimington, H., & Weinman, J. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.03.002 · Cited by 21 · see citing works
“Anxious but not depressed patients are more concerned about their health and are motivated to follow doctor's advice [41,42].”
BackgroundDragioti, E., Vitoratou, S., Kaltsouda, A., Tsartsalis, D., & Gouva, M. (2011) · Psychological Reports · doi:10.2466/08.09.15.pr0.109.4.77-92 · Cited by 21 · see citing works
Wu, E., Desta, L., Broström, A., & Mårtensson, J. (2020) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000638 · Cited by 26 · see citing works
“Anxiety Questionnaire has been shown to be more sensitive than a general anxiety measurement such as the Hospital Anxiety and Depression scale in patients with chest pain.(36) In addition, the Seattle Angina Questionnaire is sensitive to clinical change and is a valuable measure of outcome in cardiovascular research.”
MethodPsychosocial Adjustment and Quality of Life in Patients With Peripartum Cardiomyopathy
Rosman, L. A., Salmoirago-Blotcher, E., Cahill, J. M., & Sears, S. (2019) · Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000518 · Cited by 20 · see citing works
Tsartsalis, D., Dragioti, E., Kontoangelos, K., Pitsavos, C., Sakkas, P., Papadimitriou, G., Stefanadis, C., & Kallikazaros, I. (2016) · Psychiatrike = Psychiatriki · doi:10.22365/jpsych.2016.273.192 · Cited by 20
Muschalla, B., Glatz, J., & Linden, M. (2014) · Psychology, Health & Medicine · doi:10.1080/13548506.2013.774428 · Cited by 17 · see citing works
Symptoms of Cardiac Anxiety in Family Members of Intensive Care Unit Patients.
Konstanti, Z., Gouva, M., Dragioti, E., Nakos, G., & Koulouras, V. (2016) · American Journal of Critical Care · doi:10.4037/ajcc2016642 · Cited by 16 · see citing works
Management of emotional distress following a myocardial infarction: a qualitative content analysis
Liljeroos, T., Humphries, S., Puthoopparambil, S. J., Norlund, F., & Olsson, E. M. G. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2022.2135591 · Cited by 15 · see citing works
“As expected, our results are thus in line with previous findings of elevated levels of HFA among cardiac patients (Hoyer et al., 2008; Rosman et al., 2015).”
ResultKottmaier, M., Hettich, I., Deutsch, M., Badiu, C., Krane, M., Lange, R., & Bleiziffer, S. (2016) · The thoracic and cardiovascular surgeon · doi:10.1055/s-0036-1584907 · Cited by 15
Jones, L., Taylor, D., Sii, F., Masood, I., Crabb, D., & Shah, P. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-038916 · Cited by 14 · see citing works
Predictors of heart-focused anxiety in patients with stable heart failure.
Wedegärtner, S., Schwantke, I., Kindermann, I., & Karbach, J. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.06.065 · Cited by 13 · see citing works
Agarwal, S., Wagner, M. K., & Mion, M. (2024) · Neurotherapeutics · doi:10.1016/j.neurot.2024.e00509 · Cited by 13 · see citing works
“Cardiac anxiety has been associated with higher rates of CVD-related distress, and avoidance of physical activity as it could trigger worrisome cardiac sensations, patient-reported disability, and poorly perceived health [62 – 66].”
Stasiewski, E., Christoph, M., Christoph, A., Bittner, A., Weidner, K., & Julius, U. (2015) · Atherosclerosis Supplements · doi:10.1016/j.atherosclerosissup.2015.02.035 · Cited by 11 · see citing works
“The German version of CAQ, which we used in our trial, includes just 17 items (one item of the fear subscale was skipped due to differential item functioning in German compared to English) and has shown satisfactory psychometric properties [18].”
MethodBrazilian Portuguese Validated Version of the Cardiac Anxiety Questionnaire
Sardinha, A., Nardi, A., de Araújo, C. G. D., Ferreira, M. C., & Eifert, G. (2013) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20130207 · Cited by 11 · see citing works
Self-citationHeart-Focused Anxiety in Patients With Noncardiac Chest Pain
Israel, J., White, K. S., Farmer, C. C., Pardue, C. M., & Gervino, E. (2017) · Assessment (Odessa, Fla.) · doi:10.1177/1073191115597059 · Cited by 10 · see citing works
“In addition to being utilized by studies focusing on HFA (e.g., Fischer et al., 2012; Hoyer et al., 2008; Van Beek, Mingles, et al., 2012), the CAQ has served as a measure of treatment outcome in trials of medical 597059 ASMXXX10.”
Method„Positive Nebenwirkungen“ von Psychotherapie
Hoyer, J. (2016) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000370 · Cited by 9 · see citing works
Self-citationQuality of life and mental health of women who had cardiac disease in pregnancy and postpartum
Hutchens, J. C., Frawley, J., & Sullivan, E. (2022) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-022-05123-x · Cited by 9 · see citing works
“There are no validated clinical cut-off scores however according to the grading of the items, a higher total and subscale scores indicate greater cardiac-related anxiety [42, 43].”
BackgroundZoch-Lesniak, B., Dobberke, J., Schlitt, A., Bongarth, C., Glatz, J., Spörl-Dönch, S., Koran, I., Völler, H., & Salzwedel, A. (2020) · Archives of Rehabilitation Research and Clinical Translation · doi:10.1016/j.arrct.2020.100043 · Cited by 9 · see citing works
Illness perception in overweight and obese patients with cardiovascular diseases
Pokrajac-Bulian, A., & Ambrosi-Randić, N. (2018) · Eating and Weight Disorders · doi:10.1007/s40519-018-0506-1 · Cited by 9 · see citing works
“By providing education about symptoms and helping patients to differentiate between anxiety and cardiac symptoms, practitioners may decrease the overuse of the healthcare system that is typical of individuals experiencing cardiac-related fears [39, 40].”
BackgroundImplementierung einer Verhaltensmedizinisch Orientierten Rehabilitation in der Kardiologie
Benninghoven, D., Menke, E., China, C., Schroeder, F., & Bethge, M. (2022) · PPmP Psychotherapie Psychosomatik Medizinische Psychologie · doi:10.1055/a-1749-6379 · Cited by 8 · see citing works
Heart-Focused Anxiety Among Latinxs in Primary Care
Manning, K. F., Rogers, A. H., Bakhshaie, J., Viana, A. G., Lemaire, C. M., Garza, M. J., Ochoa‐Perez, M., & Zvolensky, M. J. (2019) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001020 · Cited by 11 · see citing works
“Employment status with andwithout cardiac disease (Aikens et al., 2001; Eifert et al., 1996, 2000a, 2000b; Hoyer et al., 2008; Marker et al., 2008; White et al., 2010).”
BackgroundBethge, M., Thome-Soós, F., Rašo, L. M., Weier, L., & Benninghoven, D. (2023) · BMC Cardiovascular Disorders · doi:10.1186/s12872-023-03272-1 · Cited by 7 · see citing works
“Cardiac anxiety is assessed with the German 17-item version of the Cardiac Anxiety Questionnaire.”
BackgroundMethodInfluentialHuang, J.-S., Xu, N., Sun, K.-P., Hong, Z., Chen, L.-W., Kuo, Y.-R., & Chen, Q. (2020) · Journal of Cardiothoracic Surgery · doi:10.1186/s13019-020-1045-1 · Cited by 7
Classification and regression tree analysis in acute coronary syndrome patients
Tung, H.-H., Chen, C.-Y., Lin, K., Chou, N.-K., Lee, J.-Y., Clinciu, D., & Lien, R.-Y. (2012) · World Journal of Cardiovascular Diseases · doi:10.4236/wjcd.2012.23030 · Cited by 7 · see citing works
Mayorga, N. A., Shepherd, J., Garey, L., Viana, A., & Zvolensky, M. J. (2021) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-021-01054-z · Cited by 6 · see citing works
Auer, C., Kube, T., Laferton, J., Salzmann, S., Shedden-Mora, M., Rief, W., & Moosdorf, R. (2016) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000358 · Cited by 6 · see citing works
Kazitani, B. S., Martins, L. M., da Silva, V. M., Fernandes, P. A., Maier, S. R. D. O., & Dessotte, C. A. M. (2022) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2022-0250 · Cited by 5 · see citing works
“Considering that the presence of CA symptoms for a long time can impair physical recovery and psychosocial rehabilitation(5,12,15,21), we believe that early identification of CA symptoms is important, as these patients are at higher risk for serious adverse cardiac events(10,12-13,22).”
BackgroundResultInfluentialKankaya, E., & Bilik, Ö. (2019) · Clinical and Experimental Health Sciences · doi:10.33808/clinexphealthsci.599805 · Cited by 5 · see citing works
“Uncertainty over the date of the surgery is an important cause of anxiety in prospective OHS patients and previous studies show how postoperative patients’ anxiety is reduced (3-5) as patients may experience anxiety due to a fear of death and pain (5).”
BackgroundZimmermann, K., Einsle, F., Dannemann, S., Pollack, K., Köllner, V., & Nitschke-Bertaud, M. (2010) · PPmP. Psychotherapie, Psychosomatik, medizinische Psychologie · doi:10.1055/s-0029-1243227 · Cited by 5
Self-citationPsychological factors and outcomes of coronary surgery
Bokeria, L., Zinchenko, Y., & Kiseleva, M. (2013) · Psychology in Russia State of Art · doi:10.11621/pir.2013.0414 · Cited by 5 · see citing works
Spindler, H., Thorup, C. B., Nøhr, D., & Andreasen, J. J. (2023) · Journal of Clinical Nursing · doi:10.1111/jocn.16818 · Cited by 4 · see citing works
Internettherapie für ICD-Patienten
Schulz, S. M., & Pauli, P. (2011) · Herzschrittmachertherapie + Elektrophysiologie · doi:10.1007/s00399-011-0145-y · Cited by 3 · see citing works
Pollok, V. L., Thome-Soós, F., Benninghoven, D., & Bethge, M. (2026) · BMC Psychology · doi:10.1186/s40359-026-04004-8 · Cited by 2 · see citing works
“Cardiac anxiety was assessed using the 17-item German version of the Cardiac Anxiety Questionnaire (CAQ), with each item scored from 0 (“never”) to 4 (“always”) [32].”
Eilerts, A., Schröer, S., Wissen, S., Mayer-Berger, W., & Pieper, C. (2021) · Die Rehabilitation · doi:10.1055/a-1642-3450 · Cited by 2 · see citing works
Occupational Therapy in the Intensive Care Unit
Brummel, N., Álvarez, E., Esbrook, C. L., Mart, M., Garrido, M. A., & Tobar, E. (2020) · Occupational Therapy for Older People · doi:10.33015/dominican.edu/2017.ot.02 · Cited by 2 · see citing works
“This type of anxiety can be found in individuals with or without cardiac conditions and in individuals with or without preexisting anxiety (Hoyer et al., 2008).”
InfluentialZimbrean, P., Oldham, M. A., & Lee, H. (2019) · Cambridge International Law Journal · doi:10.1007/978-3-319-99774-2 · Cited by 2
“Delirium after heart surgery is associated with functional [108] and cognitive [109] impairment 1 month after cardiotomy, but these effects were no longer seen at 1 year.”
BackgroundPsychocardiology and the Role of the Psychologist in Acquired and Congenital Heart Disease
Compare, A., Zarbo, C., & Bonaiti, A. (2015) · Springer eBooks · doi:10.1007/978-88-470-5699-2_9 · Cited by 2 · see citing works
Shin, N., Jang, Y., & Kang, Y. (2017) · Journal of Korean Academy of Nursing · doi:10.4040/jkan.2017.47.2.178 · Cited by 2 · see citing works
Matzka, M., Lenz, R., Köller-Janauschek, C., Neubauer, M., Mustak-Blagusz, M., & Mikl, J. (2025) · PLoS ONE · doi:10.1371/journal.pone.0322485 · Cited by 1 · see citing works
Ritzka, D., Petzold, C., Wäßnig, N. K., Schmalbach, B., & Petrowski, K. (2020) · Psychology, Health & Medicine · doi:10.1080/13548506.2019.1612077 · Cited by 1 · see citing works
“The internal consistency for the total score is α = .85 (Hoyer et al., 2008).”
BackgroundPsychiatric Aspects of Cardiothoracic Surgery
Piddoubny, W., & Caro, M. (2018) · Perioperative Psychiatry · doi:10.1007/978-3-319-99774-2_8 · Cited by 1 · see citing works
Effect of Patient Education on Anxiety and Depression in Patients with Intracardiac Device
Bhandare, S., Kataria, K. N., & Athole, Y. N. (2024) · International Journal of Health Sciences and Research · doi:10.52403/ijhsr.20240506
Larki, K. N., Mohammadi, T., Zakerimoghadam, M., & Sayadi, L. (2023) · The journal of Tehran Heart Center · doi:10.18502/jthc.v18i4.14826
Котелкина, О. С., Николаев, К. Ю., & Лифшиц, Г. И. (2023) · Ateroscleroz · doi:10.52727/2078-256x-2022-18-4-395-404
RELATIONSHIP OF PATIENTS’ ANXIETY LEVELS PRIOR TO OPEN HEART SURGERY WITH POSTOPERATIVE SYMPTOMS
Yaman, Ö., & Aygin, D. (2022) · Sakarya Üniversitesi Holistik Sağlık Dergisi · doi:10.54803/sauhsd.1103950
Caccamo, F., Marogna, C., Turchet, C., Sava, V., Carlon, R., & Pinton, A. (2021) · Ricerche di Psicologia · doi:10.3280/rip2021oa11897
The COVID pandemic—Potential collateral damage in a less focused dimension
Schäfers, H., Kunz, C., & Köllner, V. (2020) · Journal of cardiac surgery · doi:10.1111/jocs.15091
“The anxiety increases even further when they hear they have to undergo cardiac surgery.(1) The moment the surgeon first sees the patient, he is”
BackgroundSelf-citationAnsiedade cardíaca: uma análise em ambulatórios cardiológicos subespecializados
Maciel, P. H. A., Silva, R. P., Sobrinho, C. R. G., Sa, A., Pontes, L., & dos Santos, B. F. (2019) · Revista de Medicina da UFC · doi:10.20513/2447-6595.2019v59n1p9-15
“Valvulopatia 45 (18,8) 14 31 54,3 (15,2) 48,4 (13,9)”
A Bibliometric Analysis of Studies between 1980 and 2024 on Anxiety in Cardiac Surgery
Kankaya, E. (2025) · Journal of Cardiovascular Nursing · doi:10.5543/khd.2025.45822
Kazitani, B. S., Martins, L. M., da Silva, V. M., Fernandes, P., Maier, S. R. D. O., & Dessotte, C. A. M. (2023) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2022-0250pt
Effects of Psychological Predictors and Interventions on Recovery from Surgery
Gidron, Y. (2019) · Springer eBooks · doi:10.1007/978-3-030-18893-1_9 · Cited by 1 · see citing works
- Authors
- Hoyer, J., Eifert, G. H., Einsle, F., Zimmermann, K., Krauss, S., Knaut, M., Matschke, K., & Köllner, V.
- Affiliations
- Technische Universität Dresden (DE)
- Chapman University (US)
- Herzzentrum Dresden Universitätsklinik (DE)
- Universitätsklinikum des Saarlandes (DE)
- Corresponding author
- Hoyer, Jürgen
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2008-03
- Volume
- 64
- Issue
- 3
- Pages
- 291-297
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2033064105
- Cited by
- 97
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 8 · 2022: 8 · 2021: 4 · 2020: 10 · 2019: 7 · 2018: 6 · 2017: 3 · 2016: 4 · 2015: 5 · 2014: 7 · 2013: 6 · 2012: 9
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cardiac surgery, coronary artery bypass grafting, heart valve replacement, cardiac anxiety, depression, quality of life, cardiac patients
- MeSH terms
- Aged, Anxiety Disorders, Coronary Artery Bypass, Attention, Escape Reaction, Fear, Female, Heart Diseases, Humans, Male, Middle Aged, Postoperative Period, Surveys and Questionnaires, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
