Psychosocial outcome in cardiovascular rehabilitation of peripheral artery disease and coronary artery disease patients
Abstract
We investigated patients with a primary diagnosis of peripheral artery disease (n = 69) and coronary heart disease (CAD; n = 520) at baseline and on changes in psychosocial risk factors (depression, anxiety, quality of life, negative and positive affect) during a cardiovascular rehabilitation program. Patients completed psychosocial questionnaires at the beginning and at discharge of a 12-week rehabilitation program. Depression and anxiety were measured with the Hospital Anxiety and Depression Scale (HADS), positive and negative affect with the Global Mood Scale, and health-related quality of life with the SF-36 Health Survey. Patients with PAD showed improvements in anxiety (p < 0.001), negative affect (p < 0.001) and bodily pain (p < 0.001). Patients with CAD reported significant improvements in all measured dimensions (all p-values < 0.001).
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Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
(1992) · PubMed · Cited by 33,716 · see citing works
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033 · see citing works
The validity of the Hospital Anxiety and Depression Scale
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00296-3 · Cited by 9,779 · see citing works
Taylor, R. S., Brown, A., Ebrahim, S., Jolliffe, J., Noorani, H., Rees, K., Skidmore, B., Stone, J. A., Thompson, D. R., & Oldridge, N. (2004) · The American Journal of Medicine · doi:10.1016/j.amjmed.2004.01.009 · Cited by 2,239 · see citing works
Exercise-based cardiac rehabilitation for coronary heart disease
Heran, B. S., Chen, J. M., Ebrahim, S., Moxham, T., Oldridge, N., Rees, K., Thompson, D. R., & Taylor, R. S. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001800.pub2 · Cited by 1,844 · see citing works
Translating Health Status Questionnaires and Evaluating Their Quality
Bullinger, M., Alonso, J., Apolone, G., Leplège, A., Sullivan, M., Wood-Dauphinée, S., Gandek, B., Wagner, A. K., Aaronson, N. K., Bech, P., et al. (1998) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(98)00082-1 · Cited by 911 · see citing works
Lawler, P. R., Filion, K. B., & Eisenberg, M. J. (2011) · American Heart Journal · doi:10.1016/j.ahj.2011.07.017 · Cited by 701 · see citing works
Cannon, C. P., Battler, A., Brindis, R. G., Cox, J. L., Ellis, S. G., Every, N. R., Flaherty, J. T., Harrington, R. A., Krumholz, H. M., Simoons, M. L., et al. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01702-8 · Cited by 673 · see citing works
Frasure-Smith, N., & Lespérance, F. (2008) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2007.4 · Cited by 571 · see citing works
Hospital anxiety and depression scale, Deutsche version (HADS-D)
Petermann, F. (2011) · Zeitschrift für Psychiatrie, Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000077 · Cited by 558 · see citing works
Regensteiner, J., Hiatt, W., Coll, J., Criqui, M., Treat-Jacobson, D., McDermott, M., & Hirsch, A. (2008) · Vascular Medicine · doi:10.1177/1358863x07084911 · Cited by 327 · see citing works
Depression and vascular disease: what is the relationship?
Thomas, A. J. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00349-x · Cited by 267 · see citing works
Blumenthal, J. A., Sherwood, A., Babyak, M. A., Watkins, L. L., Smith, P. J., Hoffman, B. M., O'Hayer, C. V. F., Mabe, S., Johnson, J., Doraiswamy, P. M., et al. (2012) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2012.04.040 · Cited by 259 · see citing works
Yohannes, A. M., Doherty, P., Bundy, C., & Yalfani, A. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2010.03313.x · Cited by 172 · see citing works
Health status as a risk factor in cardiovascular disease: A systematic review of current evidence
Mommersteeg, P. M. C., Denollet, J., Spertus, J. A., & Pedersen, S. S. (2008) · American Heart Journal · doi:10.1016/j.ahj.2008.09.020 · Cited by 167 · see citing works
Quality of life 12 months after coronary artery bypass graft surgery
Hunt, J. O., Hendrata, M., & Myles, P. S. (2000) · Heart & Lung · doi:10.1067/mhl.2000.110578 · Cited by 141 · see citing works
Emotional distress and fatigue in coronary heart disease: the Global Mood Scale (GMS)
Denollet, J. (1993) · Psychological Medicine · doi:10.1017/s0033291700038903 · Cited by 141 · see citing works
Ellert, U., & Kurth, B. ‐. (2004) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-004-0933-1 · Cited by 131 · see citing works
Psychological treatments in cardiac rehabilitation
Linden, W. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00094-x · Cited by 128 · see citing works
A Patient‐Derived Perspective of Health‐Related Quality of Life With Peripheral Arterial Disease
Treat‐Jacobson, D., Halverson, S. L., Ratchford, A., Regensteiner, J. G., Lindquist, R. A., & Hirsch, A. T. (2002) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2002.00055.x · Cited by 124 · see citing works
McDermott, M. M., Greenland, P., Guralnik, J. M., Liu, K., Criqui, M. H., Pearce, W. H., Chan, C., Schneider, J. R., Sharma, L., Taylor, L. M., et al. (2003) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2003.20527.x · Cited by 123 · see citing works
Izawa, K. P., Hirano, Y., Yamada, S., Oka, K., Omiya, K., & Iijima, S. (2004) · Circulation Journal · doi:10.1253/circj.68.315 · Cited by 107 · see citing works
Smolderen, K. G. E., Hoeks, S. E., Pedersen, S. S., van Domburg, R. T., de Liefde, I. I., & Poldermans, D. (2009) · Vascular Medicine · doi:10.1177/1358863x09104658 · Cited by 90 · see citing works
Sharif, F., Shoul, A. R., Janati, M., Kojuri, J., & Zare, N. (2012) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-12-40 · Cited by 88 · see citing works
Association Between Depression and Peripheral Artery Disease: Insights From the Heart and Soul Study
Grenon, S. M., Hiramoto, J. S., Smolderen, K. G. E., Vittinghoff, E., Whooley, M. A., & Cohen, B. E. (2012) · Journal of the American Heart Association · doi:10.1161/jaha.112.002667 · Cited by 82 · see citing works
Smolderen, K. G. E., Aquarius, A. E., Vries, J. D., Smith, O. R. F., Hamming, J. F., & Denollet, J. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.12.238 · Cited by 78 · see citing works
Cherr, G. S., Wang, J., Zimmerman, P. M., & Dosluoglu, H. H. (2007) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2006.11.057 · Cited by 77 · see citing works
Guidon, M., & McGee, H. M. (2010) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e3283377f08 · Cited by 60 · see citing works
Peripheral arterial disease and depressed mood in older men and women
Arseven, A., Guralnik, J. M., O’Brien, E., Liu, K., & McDermott, M. M. (2001) · Vascular Medicine · doi:10.1177/1358836x0100600405 · Cited by 60 · see citing works
Ruo, B., Liu, K., Tian, L., Tan, J. R., Ferrucci, L., Guralnik, J. M., & McDermott, M. M. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318063ef5c · Cited by 57 · see citing works
Gellis, Z. D., & Kang‐Yi, C. D. (2012) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2012.06.021 · Cited by 56 · see citing works
Eshah, N. F., & Bond, A. E. (2009) · International Journal of Nursing Practice · doi:10.1111/j.1440-172x.2009.01738.x · Cited by 45 · see citing works
Lau‐Walker, M., Cowie, M., & Roughton, M. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02386.x · Cited by 44 · see citing works
Type D Personality and Mortality in Peripheral Arterial Disease: A Pilot Study
Aquarius, A. E. (2009) · Archives of Surgery · doi:10.1001/archsurg.2009.75 · Cited by 43 · see citing works
Puetz, T. W., Beasman, K. M., & O'Connor, P. J. (2006) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/01.hjr.0000230102.55653.0b · Cited by 42 · see citing works
Depression and anxiety symptoms affect change in exercise capacity during cardiac rehabilitation
Egger, E., Schmid, J., Schmid, R. W., Saner, H. E., & von Känel, R. (2008) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e32830eb6c5 · Cited by 33 · see citing works
Self-citationNeves, Â., Alves, A. J., Ribeiro, F., Gomes, J. L., & de Oliveira, J. J. F. (2009) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0b013e3181b4ca27 · Cited by 33 · see citing works
Outpatient Rehabilitation in Patients With Coronary Artery and Peripheral Arterial Occlusive Disease
Jeger, R. V., Rickenbacher, P. R., Pfisterer, M. E., & Hoffmann, A. (2008) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2007.09.040 · Cited by 31 · see citing works
von Känel, R., Saner, H. E., Kohls, S., Barth, J., Znoj, H., Saner, G., & Schmid, J. (2009) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e3283299542 · Cited by 23 · see citing works
Self-citationStauber, S., Schmid, J., Saner, H. E., Znoj, H., Saner, G., Grolimund, J., & von Känel, R. (2012) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-012-9311-6 · Cited by 18 · see citing works
Self-citation
Flagged first, then by citations
1 of the 42 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Nordanstig, J., Behrendt, C., Baumgärtner, I., Belch, J. J. F., Bäck, M., Fitridge, R., Hinchliffe, R. J., Lejay, A., Mills, J. L., Rother, U., et al. (2023) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2023.08.067 · Cited by 545 · see citing works
Pogosova, N., Saner, H., Pedersen, S. S., Cupples, M. E., McGee, H., Höfer, S., Doyle, F., Schmid, J.-P., von Känel, R., & on behalf of the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology (2015) · European Journal of Preventive Cardiology · doi:10.1177/2047487314543075 · Cited by 292 · see citing works
Self-citationGlobal availability of cardiac rehabilitation
Turk-Adawi, K. I., Sarrafzadegan, N., & Grace, S. L. (2014) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2014.98 · Cited by 232 · see citing works
Depression in patients with peripheral arterial disease: A systematic review
Brostow, D. P., Petrik, M. L., Starosta, A. J., & Waldo, S. W. (2017) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515116687222 · Cited by 81 · see citing works
The effect of income and insurance on the likelihood of major leg amputation
Hughes, K., Mota, L., Núñez, M. E. P., Sehgal, N. J., & Ortega, G. (2019) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2018.11.028 · Cited by 62 · see citing works
Pogosova, N., Saner, H., Pedersen, S. S., Cupples, M. E., Gee, H. M., Hofer, S., Doyle, F., Schmid, J. P., & VON, R. V. K. O. B. O. T. C. (2015) · Kardiologiia · doi:10.18565/cardio.2015.10.96-108 · Cited by 41 · see citing works
Self-citationThomas, M. B., Patel, K., GOSCH, K. L., Labrosciano, C., Mena‐Hurtado, C., Fitridge, R., Spertus, J. A., & Smolderen, K. G. E. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.109963 · Cited by 43 · see citing works
Review of biologic and behavioral risk factors linking depression and peripheral artery disease
Ramirez, J. L., Drudi, L. M., & Grenon, S. M. (2018) · Vascular Medicine · doi:10.1177/1358863x18773161 · Cited by 32 · see citing works
Lotfi‐Tokaldany, M., Shahmansouri, N., Karimi, A., Sadeghian, S., Saadat, S., Abbasi, S. H., & Jalali, A. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.03.001 · Cited by 30 · see citing works
Pedersen, S. S., Andersen, C. M., Ahm, R., Skovbakke, S. J., Kok, R., Helmark, C., Wiil, U. K., Schmidt, T., Olsen, K. R., Hjelmborg, J., et al. (2021) · BMC Cardiovascular Disorders · doi:10.1186/s12872-020-01801-w · Cited by 24 · see citing works
Gostoli, S., Roncuzzi, R., Urbinati, S., & Rafanelli, C. (2017) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12098 · Cited by 19 · see citing works
Holder, G. N., Young, W. C., Nadarajah, S., & Berger, A. M. (2014) · Palliative & Supportive Care · doi:10.1017/s1478951514000583 · Cited by 18 · see citing works
Anghel, R. C., Adam, C. A., Marcu, D. T. M., Mitu, O., & Mitu, F. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11020416 · Cited by 16 · see citing works
Peripheral Arterial Disease: Supervised Exercise Therapy Through Cardiac Rehabilitation.
Thomas, S. G., Marzolini, S., Lin, E., Nguyen, C. H., & Oh, P. (2019) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2019.07.009 · Cited by 10 · see citing works
Entering Cardiac Rehabilitation With Peripheral Artery Disease
Nguyen, C. H., Marzolini, S., Oh, P., & Thomas, S. G. (2020) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000475 · Cited by 13 · see citing works
Challenges in recruitment of persons with peripheral artery disease for exercise studies
Caldieraro-Bentley, A. J., Kelechi, T. J., Treat‐Jacobson, D., & Mueller, M. (2018) · Journal of Vascular Nursing · doi:10.1016/j.jvn.2018.03.003 · Cited by 12 · see citing works
Nguyen, C., Thomas, S. G., & Marzolini, S. (2020) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000559 · Cited by 12 · see citing works
Nguyen, C. H., Marzolini, S., Oh, P., & Thomas, S. G. (2020) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2020.04.013 · Cited by 10 · see citing works
Fereydooni, A., Patel, J. N., Dossabhoy, S. S., George, E., & Arya, S. (2023) · Seminars in Vascular Surgery · doi:10.1053/j.semvascsurg.2023.01.005 · Cited by 9 · see citing works
Tóth-Vajna, G., Tóth-Vajna, Z., Balog, P., & Thege, B. K. (2020) · BMC Cardiovascular Disorders · doi:10.1186/s12872-020-01586-y · Cited by 7 · see citing works
Nguyen, C., & Marzolini, S. (2023) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000818 · Cited by 6 · see citing works
Solak, Ö., Yaman, F., Ulaşlı, A. M., Eroğlu, S., Akçi, Ö., Özkeçeci, G., Toktaş, H., & Dündar, Ü. (2015) · Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi · doi:10.5152/tftrd.2015.76093 · Cited by 6 · see citing works
Belov, Y. V., Medvedeva, L. A., Zagorulko, O. I., Komarov, R. N., Drakina, O. V., & Baskova, T. G. (2017) · Pirogov Russian Journal of Surgery · doi:10.17116/hirurgia2017567-75 · Cited by 4 · see citing works
Mood and personality changes in the patients undergone coronary angiography
Gul, A. I., Ede, H., Ardahanlı, İ., & Daar, G. (2014) · Anatolian Journal of Psychiatry · doi:10.5455/apd.161120 · Cited by 4 · see citing works
Costa, D., & Serra, R. (2026) · Journal of Vascular Diseases · doi:10.3390/jvd5010005 · Cited by 3 · see citing works
Efectos de la rehabilitación cardiaca en el paciente cardiovascular con ansiedad y depresión
Perafán-Bautista, P. E., Carrillo, D. C., Murillo, Á., Espinosa, D., Adams, C., & Quintero, O. (2019) · Revista Colombiana de Cardiología · doi:10.1016/j.rccar.2019.08.003 · Cited by 3 · see citing works
Feka, K., Burley, C. V., Parmenter, B. J., Schaumberg, M. A., Stanton, T., & Askew, C. D. (2026) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000001026 · Cited by 2 · see citing works
Psychosocial Interventions for Patients After a Cardiac Event
Jackson, A. C., Murphy, B. M., Ski, C. F., & Thompson, D. R. (2015) · Springer eBooks · doi:10.1007/978-981-4560-53-5_47-1 · Cited by 2 · see citing works
Dörr, G. (2024) · Die Rehabilitation · doi:10.1055/a-2154-3672 · Cited by 1 · see citing works
Gefäßmedizinische Rehabilitation bei Patienten mit peripher arterieller Verschlusskrankheit (pAVK)
Dörr, G. (2025) · Physikalische Medizin Rehabilitationsmedizin Kurortmedizin · doi:10.1055/a-2520-7961 · Cited by 1 · see citing works
Anxiety and peripheral artery disease
Golledge, J., Smolderen, K. G. E., & Thanigaimani, S. (2026) · Clinical Science · doi:10.1042/cs20258419 · Cited by 1 · see citing works
Screening for Peripheral Artery Disease
Gordon, C. D. (2015) · ScholarWorks (Walden University)
Psychosocial Interventions for Patients After a Cardiac Event
Jackson, A. C., Murphy, B. M., Ski, C. F., & Thompson, D. R. (2016) · Springer eBooks · doi:10.1007/978-981-287-206-7_47
Medizinische Rehabilitation bei Gefäßerkrankungen
Dörr, G., Marx, M., Prokein, R., Oettler, W., Severin, R., Nechwatal, R., & Meng, K. (2023) · Springer Reference Medizin · doi:10.1007/978-3-662-61379-5_182-1
Management kardiovaskulärer Risikofaktoren
Weiss, N., & Dörr, G. (2024) · Springer Reference Medizin · doi:10.1007/978-3-662-61379-5_16-1
Management kardiovaskulärer Risikofaktoren
Weiss, N., & Dörr, G. (2025) · Springer Reference Medizin · doi:10.1007/978-3-662-60880-7_16
Gefäßmedizinische Rehabilitation bei Patienten mit peripher arterieller Verschlusskrankheit (pAVK)
Dörr, G. (2025) · Geriatrie up2date · doi:10.1055/a-2724-2131
Medizinische Rehabilitation bei Gefäßerkrankungen
Dörr, G., Marx, M., Prokein, R., Oettler, W., Severin, R., Nechwatal, R., & Meng, K. (2025) · Springer Reference Medizin · doi:10.1007/978-3-662-60880-7_182
Donstrup, C. H., Borregaard, B., Nicolajsen, C. W., Lindholt, J. S., & Dahl, M. (2026) · Journal of Vascular Nursing · doi:10.1016/j.jvn.2026.08.005
- Authors
- Stauber, S., Guéra, V., Barth, J., Schmid, J. P., Saner, H., Znoj, H., Grolimund, J., & von Känel, R.
- Affiliations
- University of Bern (CH)
- Department of General Internal Medicine, Division of Psychosomatic Medicine, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland
- Venue
- Vascular Medicine
- Publisher
- SAGE Publications
- Published
- 2013-10
- Volume
- 18
- Issue
- 5
- Pages
- 257-262
- ISSN
- 1358-863X (ISSN-L)
- 1477-0377
- OpenAlex
- W2128362972
- Cited by
- 39
- References
- 42
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 4 · 2014: 4
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Vascular Medicine (publishedVersion)
- PubMed (publishedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- psychosocial outcomes, cardiac rehabilitation, peripheral arterial disease, coronary artery disease, depression, anxiety, health-related quality of life, positive and negative affect, bodily pain, psychosocial risk factors
- MeSH terms
- Affect, Aged, Anxiety, Coronary Artery Disease, Depression, Female, Humans, Male, Middle Aged, Psychology, Quality of Life, Surveys and Questionnaires, Risk Factors, Switzerland, Treatment Outcome, Peripheral Arterial Disease
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