The Influence of Sex and Gender on the Level and Course of Subjective Cognitive Complaints After Percutaneous Coronary Intervention.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

International Journal of Behavioral Medicine Pub Date : 2024-11-06 DOI:10.1007/s12529-024-10333-y

Sophie C M van den Houdt, Paula M C Mommersteeg, Jos Widdershoven, Nina Kupper

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引用次数: 0

Abstract

Background: Cognitive complaints (e.g., health anxiety and illness disruption) are commonly experienced by patients with coronary heart disease (CHD). While it is known that sex and gender affect health, their influence on cognitive complaints remains unknown. The current study explored sex and gender differences in cognitive complaints during the first month (acute phase) and beyond, up to 2 years (recovery phase) after percutaneous coronary intervention (PCI).

Method: A total of 514 (M_age = 64.2 ± 8.9, 84.2% male) completed the cognitive scale of the Health Complaints Scale (i.e., overall cognitive complaints, health worry, illness disruption) at baseline, 1, 12, and 24 months post-PCI. Additional questionnaires to gauge gender identity, traits, and norms were administered in a follow-up study. General linear mixed model analyses were conducted to examine the influence of sex, gender, sex × gender, and covariates on cognitive complaints.

Results: Cognitive complaints only decreased in the first month post-PCI (all p < .01). There were no clear sex differences. However, gender generally predicted cognitive complaints in the first 2 years post-PCI: masculinity was related to less complaints, whereas feminine individuals reported higher absolute levels of complaints.

Conclusion: The current findings reveal that gender is a valuable factor concerning health complaints and indicate the need to further elaborate on the discrepancies between sex and gender in health research.

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性和性别对经皮冠状动脉介入术后主观认知不适的程度和病程的影响。

背景：冠心病（CHD）患者通常会出现认知方面的主诉（如健康焦虑和疾病干扰）。众所周知，性和性别会影响健康，但它们对认知主诉的影响仍然未知。本研究探讨了经皮冠状动脉介入治疗（PCI）后第一个月（急性期）及之后长达 2 年（恢复期）认知症状的性别差异：共有 514 人（年龄 = 64.2 ± 8.9，84.2% 为男性）分别在基线、PCI 术后 1、12 和 24 个月完成了健康投诉量表的认知量表（即总体认知投诉、健康担忧、疾病干扰）。在后续研究中还进行了其他问卷调查，以评估性别认同、特质和规范。研究人员进行了一般线性混合模型分析，以检验性别、性别、性别×性别以及协变量对认知抱怨的影响：结果：认知投诉仅在 PCI 术后第一个月有所减少（均为 p）：目前的研究结果表明，性别是影响健康投诉的一个重要因素，并表明有必要在健康研究中进一步阐述性别与性别之间的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.