[Anxiety, depression, health-related control beliefs, and their association with health behavior in patients with ischemic heart disease]. / Szorongás, depresszió, egészségkontrollhit és az egészség-magatartással való kapcsolatuk ischaemiás szívbetegek körében.

ABSTRACT

INTRODUCTION: Psychological and lifestyle factors affect the development and outcome of heart disease considerably. AIM: The aims of the authors were to examine health control, level of anxiety and depression and to analyse their relationship with health behaviour in patients with ischemic heart disease. METHOD: The present cross-sectional study involved 116 patients who took part in residential cardiac rehabilitation (56.9% men, mean age 57.65±8.22 years). RESULTS: 30.9% of the patients reported elevated anxiety and 21.9% increased depressive symptomatology. Social-external control belief was the strongest among respondents. Further, anxiety and depression were negatively associated with healthy diet and the frequency of exercise. Patients with stronger social-external control beliefs were more likely to seek medical attention if they suspected a disease. CONCLUSIONS: It is important to assess psychological risk factors linked to cardiovascular diseases in cardiac rehabilitation departments and to initiate psychological interventions if indicated.