The Comparison of Anxiety Sensitivity and Coping Stress Strategies between Patients with Non-Cardiac Chest Pain, Cardiac Patients and Normal Subjects
Subject Areas : Educational
nowshad ghasemi
1
(عضو هیأت دانشگاه آزاد اسلامی واحد فسا، شیراز، ایران)
Keywords: non-cardiac chest pain, cardiac disease, coping stress strategies, anxiety sensitivity,
Abstract :
The main propose of this study was to compare the anxiety sensitivity and coping stress strategies between patients with non-cardiac chest pain, cardiac disease and healthy individuals. An ex-post- facto design was used as the research design. The population included all patients with non-cardiac and cardiac chest pain who referred to Shiraz health centers in 2013. Subjects were 50 cardiac patients (28 females and 22 males), 50 patients with non-cardiac chest Pain (29 females and 21 males) and 50 people as normal matched group (27 female and 23 male) within 22 to 81 years old age range who were selected through purposive sampling method. The instruments for data collection consisted of Anxiety Sensitivity Index (Taylor & Cox, 1998), Coping Inventory for Stressful Situations (Parker & Endler, 1990), and a researcher-made demographic information checklist. Then the data was analyzed with one way analysis of variance and chi square. Results indicated that both cardiac and non- cardiac chest pain patients significantly are lower than normal matched group in using problem solving coping strategies (P<0.01) and higher in using emotional (P<0.01) and avoidance coping strategies (P<0.05). Results also indicated that non-cardiac chest pain patients showed highest sensitivity to all 6 subscales and normal group showed lowest sensitivity. In this regard, patients with cardiac disease could stand between the two groups and both groups of patients were significantly different from the normal healthy group (P<0.05). As a conclusion, psychological variables such as anxiety sensitivity and coping stress strategies can predict pain frequency, severity and treatment seeking especially for patients with Non –cardiac chest pain.
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