Illness Perceptions in Hypertrophic Cardiomyopathy (HCM) Patients and Their Association With Heart-Focussed Anxiety

Heart Lung Circ. 2021 Apr;30(4):496-506. doi: 10.1016/j.hlc.2020.08.009. Epub 2020 Sep 18.

Abstract

Background: To our knowledge this was the first study aimed at examining the associations between illness perceptions and heart-focussed anxiety amongst individuals with hypertrophic cardiomyopathy. The secondary aim of this study was to examine the contribution of demographic, clinical and lifestyle factors to heart-focussed anxiety in this patient group.

Methods: This cross-sectional sample of 153 patients, recruited through social media platforms, completed the Revised Illness Perception Questionnaire (IPQ-R), Cardiac-Focussed Anxiety Questionnaire (CAQ) as well as questionnaires covering demographic, lifestyle and clinical factors.

Results: Hierarchical regression analyses found that illness perceptions significantly accounted for variability in heart-focussed anxiety beyond the effects of clinical, demographic and lifestyle factors. Illness perceptions accounted for 22% of the variability in heart-focussed anxiety, while demographic factors accounted for 12%, and lifestyle and clinical parameters accounted for 17%.

Conclusions: Whilst longitudinal studies are warranted to confirm these findings, psychological interventions grounded in the Common-Sense Model may have the potential to better support patients coping with hypertrophic cardiomyopathy related anxiety.

Keywords: Cardiac-focussed anxiety; Common sense model; Heart-focussed anxiety; Hypertrophic cardiomyopathy; Illness perceptions.

MeSH terms

  • Adaptation, Psychological
  • Anxiety* / epidemiology
  • Cardiomyopathy, Hypertrophic* / complications
  • Cardiomyopathy, Hypertrophic* / diagnosis
  • Cardiomyopathy, Hypertrophic* / epidemiology
  • Cross-Sectional Studies
  • Depression
  • Humans
  • Perception
  • Surveys and Questionnaires