Cardiovascular Diseases, Psychiatric Disorder
Conditions
Keywords
Psychocardiology, Rehabilitation, Observational Study, Return to Work
Brief summary
Since May 2019, psychocardiological rehabilitation has been carried out at the Rehabilitation Center Felbring (RFE) in the form of a pilot project. The background is the mutual relationship of psychological and physical morbidity, which is of particular importance in cardiological rehabilitation. The present outcome evaluation study is designed as a quantitative longitudinal study with 4 repeated measures, in which at least 75 rehabilitation patients will be included. Three assessments are conducted at admission and discharge to/from inpatient rehabilitation, and an additional survey will be conducted by mail 6 months after the end of rehabilitation. Effects that become apparent as a result of rehabilitation will be recorded from a patient-centered perspective by means of patient-reported outcomes. In this way, primarily psychological and work-related changes, but also changes in the physical quality of life are to be mapped, which can be determined immediately after completion of rehabilitation and continue in the medium term up to 6 months later.
Interventions
BEHAVIORALPsychocardiological Rehabilitation
Psychocardiological Rehabilitation: Regular cardiac rehabilitation with in-depth psychological and psychotherapeutic care, individual and group counseling, relaxation training, and interdisciplinary specialist psychiatric and psychosomatic visits.
Sponsors
Pensionsversicherungsanstalt
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Cardiovascular disease and increased psychological distress due to one of the following mental health diagnoses (according to ICD-10): * Depressive Episode * Recurrent depressive disorder * Phobic disorders * Anxiety disorders (incl. panic disorder) * Acute stress reaction * Post-traumatic stress disorder * Adjustment disorders * Other reactions to severe stress * Psychological or behavioral factors that play a significant role in the etiology of physical illnesses
Exclusion criteria
* Acute danger to self or others * Acute mental disorders, the extent and/or instability of which does not allow participation in rehabilitation * High degree of neurocognitive deficits * Highly degraded communication skills
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Symptom-Checklist-90 - Standard (SCL-90-S) | 6 weeks of inpatient rehabilitation with follow-up assessment 6 months after rehabilitation. | Psychological problems and symptoms of psychopathology. Minimum value (Global Severity Index) = 0. Maximum value (Global Severity Index) = 360. Lower values indicate better outcomes (i.e. less symptoms of psychopathology). |
| Short Form-12 Health Survey (SF-12) | 6 weeks of inpatient rehabilitation with follow-up assessment 6 months after rehabilitation. | Health-related quality of life. Norm-based values (M = 50, SD = 10) for the Physical component scale (PCS) and Mental component scale (MCS). Values below 50 indicate below average (i.e. worse) physical or mental health-related quality of life. Values above 50 indicate above average (i.e. better) physical or mental health-related quality of life. |
| Subjective work ability | 6 weeks of inpatient rehabilitation with follow-up assessment 6 months after rehabilitation. | Question To what extent are you impaired in your work by your current state of health?, rated on a 10 point Likert scale, ranging from 0 = no impairment to 10 = total impairment. Lower values indicate better subjective work ability. |
| Employment status | 6 weeks of inpatient rehabilitation with follow-up assessment 6 months after rehabilitation. | Nominal scale (Full-time employed, Employed at least part-time, Unemployed, Retired) |
| Herzangstfragebogen (HAF-17) | 6 weeks of inpatient rehabilitation with follow-up assessment 6 months after rehabilitation. | \[Cardiac Anxiety Questionnaire - German version\] Heart-focused anxiety. Minimum value = 0. Maximum value = 4. Lower values indicate less heart-focused anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Social Adjustment Scale Self-Report (SAS-SR) | 6 weeks of inpatient rehabilitation. | Social adjustment / instrumental and expressive role performance at work, in social activities, and with family. Up to 54 items are rated on a five-point scale (1-5), summed and diveded by the number of items actually scored to obtain an overall mean. Lower scores indicate better social adjustment. |
| Arbeitsbezogenes Verhaltens- und Erlebensmuster (AVEM) | 6 weeks of inpatient rehabilitation. | \[Work-related behavior and experience patterns (AVEM) - German version\] Work-related behavioral health risks, resources and coping. Patients are classified into four work-related behavioral and experiential patterns: G (healthy pattern), S (unambitious pattern), A (pattern at risk for overexertion) and B (pattern at risk for chronic exhaustion and resignation). Pattern G (healthy pattern) is the desirable outcome. |
Countries
Austria
Outcome results
None listed