Heart Rate Recovery After Exercise in Outpatients with Coronary Heart Disease: Role of Depressive Symptoms and Positive Affect.
Stefanie StauberTina RohrbachHugo SanerJean Paul SchmidJohannes GrolimundRoland von KänelPublished in: Journal of clinical psychology in medical settings (2018)
Heart rate recovery after 1 min of exercise cessation (HRR-1) is an important prognostic factor in patients with cardiovascular disease (CVD). We aimed to further elucidate the association between HRR-1 and known psychosocial risk factors in patients referred for comprehensive cardiac rehabilitation. We examined 521 patients with coronary heart disease in the first week of an outpatient cardiac rehabilitation program. Depressive and anxiety symptoms were measured with the Hospital Anxiety and Depression Scale, and positive (PA) and negative affect were rated with the Global Mood Scale. Depressive symptoms showed a significant inverse relationship with HRR-1 (p < .05), controlling for sociodemographic and medical covariates, whereas anxiety symptoms did not show a significant association. PA made a significant contribution to HRR-1 as well (p < .05). Our findings suggest an independent association between HRR-1 and psychosocial risk factors of CVD.
Keyphrases
- heart rate
- sleep quality
- depressive symptoms
- prognostic factors
- risk factors
- heart rate variability
- blood pressure
- cardiovascular disease
- end stage renal disease
- high intensity
- physical activity
- bipolar disorder
- healthcare
- social support
- mental health
- newly diagnosed
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- resistance training
- emergency department
- randomized controlled trial
- patient reported outcomes
- study protocol
- adverse drug