RESEARCH PAPER
Pain-coping strategies in women with ischemic heart disease
 
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1
Department of Clinical Psychology, Medical University, Lublin Poland; Department of Cardiology, Medical University, Lublin Poland
2
Department of Clinical Psychology, Medical University, Lublin Poland
3
Department of Cardiology, Medical University, Lublin Poland
4
Department of Paedodontics, Medical University, Lublin Poland
 
Ann Agric Environ Med. 2013;20(4):767–772
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ABSTRACT
Introduction and objective: The objective of the study was evaluation of the level and structure of anxiety and fear, and the characteristics of pain coping strategies used by females with ischemic heart disease (IHD). The detailed aim was assessment of the mutual relationships between the fear and pain coping strategies applied. Material and methods: The study covered 75 females aged 33 – 80 (mean age 61; SD±9.66), hospitalized in the Cardiology Clinic who had coronary angiography performed in order to assess the state of coronary vessels. Psychological studies were conducted by means of the IPAT Anxiety Scale by R. B. Cattell and the Pain Coping Strategies Questionnaire CSQ by A. C. Rosenstiel and F. J. Keefe. Results: The results obtained indicated that in the group of 75 females with IHD in the structure of anxiety and fear there dominated strong tendencies towards self-blaming and the experiencing of a sense of guilt, as well as a high level of internal tension. The strategy of the greatest importance in coping with pain among females with IHD was ‘Praying and Hoping’. The strategies used with similar frequency were: ‘Coping Self-Statements’, ‘Diverting Attention’ and ‘Increased Behavioural Activities’. Conclusions: In females with IHD, the application of psychotherapy is recommended, aimed at reducing the level of auto-aggression tendencies and decreasing a high level of internal tension. Psychotherapeutic activities carried out among females with ischemic heart disease should focus on the strengthening of strategies of coping with pain, such as: ‘Coping Self- Statements‘, ‘Increased Behavioural Activities’, and focusing attention on serious life problems.
 
REFERENCES (35)
1.
International Association for the Study of Pain. Classification of chronic pain. Pain Suppl. 1986;3:S1-S226.
 
2.
Melzack R. Pain measurement and assessment. New York, Raven Press, 1983. p. 309,.
 
3.
Domżał TM. Ból podstawowy objaw w medycynie. Warszawa, Wydawnictwo Lekarskie PZWL, 1996. p. 175.
 
4.
Main CJ, Keefe FJ, Rollman GB. Psychological assessment and treatment of the pain patient. In: Giamberardino MA. Pain 2002 – an updated review: refresher course syllabus. Seattle, IASP Press, 2002. p. 281–301.
 
5.
Świątecka G. Choroby serca u kobiet. Gdańsk, VIA MEDICA, 2000. p. 644.
 
6.
Wong ND, Black HR, Gardin JM. Kardiologia prewencyjna. Warszawa, Centrum Wydawnictw Medycznych, 2005. p. 646.
 
7.
Jiang W, Samad Z, Boyle S, Becker RC, Williams R, Kuhn C, Ortel TL, Rogers J, Kuchibhatla M, O’Connor C, Velazquez EJ. Prevalence and Clinical Characteristics of Mental Stress–Induced Myocardial Ischemia in Patients With Coronary Heart Disease. J Am Coll Cardiol. 2013; 61(7): 714–722.
 
8.
Richardson S, Shaffer JA, Falzon L, Krupka D, Davidson KW, Edmondson D. Meta-Analysis of Perceived Stress and Its Association With Incident Coronary Heart Disease Am J Cardiol. 2012; 110: 1711–1716.
 
9.
Swahn E. Stable or not, woman or man: is there a difference? Eur Heart J. 2012; 33: 2769–2770.
 
10.
Fanion-Sadowska A, Sadowski M, Janion M. A female pattern of ischemic heart disease – a new look at an old problem. Przegl Lek. 2012; 69: 76–79.
 
11.
Shaw LJ, Bugiardini R, Merz CNB. Women and Ischemic Heart Disease. Evolving Knowledge. J Am Coll Cardiol. 2009; 54: 1561–1575.
 
12.
Mosca L, Barrett-Connor E, Wenger NK. Recent Advances in Preventive Cardiology and Lifestyle Medicine. Sex/Gender Differences in Cardiovascular Disease Prevention. What a Difference a Decade Makes. Circulation. 2011; 124: 2145–2154.
 
13.
Eaker ED, Pinsky J, Castelli WP. Myocardial infarction and coronary death among women: psychosocial predictors from a 20-year followup of women in the Framingham Study. Am J Epidemiol. 1992; 135: 854–64.
 
14.
Reczuch K, Wrabec K. Charakterystyka i odmienności kliniczne choroby niedokrwiennej serca u kobiet. Kardiol Pol. 2000; 52(Supl. III): 12–16.
 
15.
Sheps DS, Kaufmann PG, Sheffield D, Light KC, McMahon RP, Bonsall R, et al. Sex differences in chest pain in patients with documented coronary artery disease and exercise-induced ischemia: Results from the PIMI study. Am Heart J. 2001; 142: 864–71.
 
16.
Ostadel P, Ostadel B. Women and the management of acute coronary syndrome. Can J Physiol Pharmacol. 2012; 90: 1151–1159.
 
17.
Fleet R, Lavoie K, Beitman BD. Is panic disorder associated with coronary artery disease? A critical review of the literature. J Psychosom Res. 2000; 48: 347–56.
 
18.
Frasure-Smith N. In-hospital symptoms of psychological stress as predictors of long-term outcome after acute myocardial infarction in men. Am J Cardiol. 1991; 67: 121–7.
 
19.
Sheps DS, Creed F, Clouse RE. Chest pain in patients with cardiac and noncardiac disease. Psychosom Med. 2004; 66: 861–7.
 
20.
Hofkamp SE, Henrikson CA, Wegener ST. An interactive model of pain and myocardial ischemia. Psychosom Med. 2007; 69: 632–9.
 
21.
Felton BJ, Revenson TA, Hinrichsen GA. Strategies and coping in the explanation of psychological adjustment among chronically ill adults. Soc Sci Med. 1984; 18: 889–98.
 
22.
McCracken LM, Eccleston C. A comparison of the relative utility of coping and acceptance-based measures in a sample of chronic pain sufferers. Eur J Pain. 2006; 10: 23–9.
 
23.
Esteve R, Ramires-Maestre C, López-Marinez AE. Adjustment to chronic pain: the role of pain acceptance, coping strategies, and painrelated cognitions. Ann Behav Med. 2007; 33: 179–88.
 
24.
Geisser ME, Robinson ME, Riley JL. Pain beliefs, coping and adjustment to chronic pain: Let’s focus more on the negative. Pain Forum. 1999; 8: 161–8.
 
25.
McCracken LM, Eccleston C. Coping or acceptance: what to do about chronic pain? Pain. 2003; 105: 197–204.
 
26.
Łazowski J, Płużek Z. Problemy psychosomatyczne w pierwotnym nadciśnieniu tętniczym i chorobie wieńcowej. Warszawa, PZWL, 1982. p. 238.
 
27.
Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia. Warszawa, Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego; Chapter D, Kwestionariusz strategii radzenia sobie z bólem – CSQ. 2001. p. 162–7.
 
28.
Izard CE. The face of emotion. New York, Appleton-Century-Crofts, 1971. p. 207.
 
29.
Izard CE, Youngstrom EA. The activation and regulation of fear and anxiety. Nebr Symp Motiv. 1996; 43: 1–59.
 
30.
Renghi A, Brustia P, Moniaci D, Gramaglia L, Zeppegno P, Della Corte F, Torre E. Psychological aspects of pain. Arch Gerontol Geriatr. 2007; 44 (Suppl 1): 321–6.
 
31.
McCracken LM, Gross RT. Does anxiety affect coping with chronic pain? Clin J Pain. 1993; 9: 253–9.
 
32.
Samwel HJ, Evers AW, Crul BJ, Kraaimaat FW. The role of helplessness, fear of pain, and passive pain-coping in chronic pain patients. Clin J Pain. 2006; 22: 245–51.
 
33.
Zachariae R, Melchiorsen H, Frøbert O, Bjerring P, Bagger JP. Experimental pain and psychologic status of patients with chest pain with normal coronary arteries or ischemic heart disease. Am Heart J. 2001; 142: 63–71.
 
34.
Keogh E, Herdenfeldt M. Gender, coping and perception of pain. Pain. 2002; 7: 195–201.
 
35.
Yazdi S-M, Hosseinian S, Eslami M, Fathi-Ashtiani A. Quality of Life and Coping Strategies in Coronary Heart Disease Patients. J Applied Sci. 2008; 8: 707–710.
 
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