The Seattle angina questionnaire: reliability and validity in women with chronic stable angina
Open accessAbstract
Angina pectoris causes substantial psychological and functional disability and adversely effects health-related quality of life, particularly in women. Studies of cardiac disease-specific quality of life in women with coronary artery disease and angina are limited because little reliability and validity data for these instruments exist for women. Therefore, the purpose of this study was to examine reliability and validity of the Seattle Angina Questionnaire (SAQ), a cardiac disease-related quality-of-life measure, in a sample of women with chronic stable angina. A secondary analysis was performed on SAQ data from 175 women with a confirmed diagnosis of CAD and angina pectoris. The majority of the women were older, white, living with their spouse, had a previous acute myocardial infarction, and had undergone revascularization. The Cronbach alpha was used to assess reliability of the SAQ's five subscales, and factor analysis was used to assess the SAQ's validity. Results suggest that the SAQ is a reliable and valid quality-of-life measure in women with CAD. The physical limitations subscale factored into two separate factors, suggesting that the subscale measures two domains of physical function: self-care and exercise tolerance/mobility. Future research is needed to determine whether examining different combinations of SAQ items might provide a more sensitive assessment of cardiac disease-specific quality of life in women.
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Internal consistency of the Seattle Angina Questionnaire (SAQ) subscales is good in people with coronary heart disease (Cronbach α=0.67 to 0.91).
“Internal consistency of the SAQ subscales is good in people with coronary heart disease (Cronbach α=0.67 to 0.91)) (Kimble et al., 2002;Spertus et al., 1995).”
From Perseverative negative thinking predicts depression in people with acute coronary syndrome (2019) · cites this paper as Kimble et al., 2002
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Perseverative negative thinking predicts depression in people with acute coronary syndrome
Trick, L., Watkins, E. R., Henley, W., Gandhi, M. M., & Dickens, C. (2019) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2019.06.012 · Cited by 11 · see citing works
- Authors
- Kimble, L. P., Dunbar, S. B., Weintraub, W. S., McGuire, D. B., Fazio, S., De, A. K., & Strickland, O.
- Affiliations
- Emory University (US)
- Venue
- Heart Disease
- Published
- 2002-07
- Volume
- 4
- Issue
- 4
- Pages
- 206-211
- ISSN
- 1521-737X (ISSN-L)
- PMC
- PMC4322389
- OpenAlex
- W2040165048
- Cited by
- 54
- References
- 14
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 8 · 2019: 3 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 1 · 2014: 1
- FWCI
- 6.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Heart Disease (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research (R29NR004425, R29NR04425)
- Topics
- Social Sciences › Education › Health Education and Validation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
- Keywords
- Seattle Angina Questionnaire, stable angina, women, coronary artery disease, health-related quality of life, psychometric validation, reliability statistics, exercise tolerance, self-care, revascularization
- MeSH terms
- Adult, Aged, Aged, 80 and over, Angina Pectoris, Coronary Artery Disease, Factor Analysis, Statistical, Female, Humans, Middle Aged, Quality of Life, Surveys and Questionnaires, Women, Southeastern United States, Reproducibility of Results
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