Psychological well-being and the effects of supportive coaching during SPECT myocardial perfusion imaging in patients with suspected ischemic heart disease

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-08-18 DOI:10.1016/j.jpsychores.2025.112355

T. Roovers , I.A.C. Vermeltfoort , J.W. Widdershoven , W.J. Kop

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引用次数: 0

Abstract

Background

Diagnostic procedures for ischemic heart disease are common, but the consequences for the patient's psychological well-being are not well understood. The current study investigates changes in negative affect as a measure of psychological well-being during myocardial perfusion imaging (MPI-SPECT) and whether supportive coaching during diagnostic testing improves well-being, reduces symptom burden, and increases patient satisfaction.

Methods

Patients undergoing MPI-SPECT were randomly assigned to a supportive coaching intervention group or a care-as-usual control group. Negative affect was assessed at nine time-points throughout the 2-day diagnostic MPI visits. Anginal and adenosine-related symptoms were evaluated during cardiac stress testing (CST) and patient satisfaction at completion of MPI-SPECT. Data were analyzed using regression analysis, t-tests, and linear mixed models.

Results

A total of 149 patients were randomized (mean age = 68.5 [SD = 9.6] years, 41.6 % women; 74 intervention and 75 control condition). Negative affect changed significantly throughout the MPI procedure (F(8, 244.098) = 8.689, p < .001), with the highest level occurring during the peak phase of CST. Negative affect was associated with higher concurrent anginal (β = 0.285, p = .001) and adenosine-related symptoms (β = 0.252, p = .004) during CST. No significant benefits of supportive coaching were found for well-being or symptoms, inducibility of ischemia, or patient satisfaction (all p-values > .200).

Conclusion

Negative affect during MPI-SPECT is associated with cardiac symptoms during CST. No benefits were found of the short-term supportive coaching intervention during the MPI-SPECT procedure. Patient well-being might be improved by providing support during the entire diagnostic phase for ischemic heart disease rather than just during the MPI-SPECT procedure.

Trial registration #NCT05896982.

Open science statement/Preregistration: Medical Ethics Committee METC-Brabant NL81600.028.22 / P2234.

查看原文本刊更多论文

疑似缺血性心脏病患者SPECT心肌灌注显像期间的心理健康和支持性指导的影响

背景：缺血性心脏病的诊断程序是常见的，但对患者心理健康的后果尚不清楚。目前的研究调查了在心肌灌注成像（MPI-SPECT）期间负面情绪的变化作为心理健康的衡量标准，以及诊断测试期间的支持性指导是否能改善健康，减轻症状负担，提高患者满意度。方法将接受MPI-SPECT治疗的患者随机分为支持性指导干预组和照护对照组。在为期2天的MPI诊断访问中，在9个时间点评估负面影响。心绞痛和腺苷相关症状在心脏应激试验（CST）期间进行评估，并在MPI-SPECT完成时对患者满意度进行评估。数据分析采用回归分析、t检验和线性混合模型。结果共纳入149例患者，平均年龄68.5 [SD = 9.6]岁，女性占41.6%，干预组74例，对照组75例。在整个MPI过程中，负面情绪发生了显著变化（F(8,244.098) = 8.689, p < .001），在CST的峰值阶段出现了最高水平。在CST期间，负面情绪与较高的并发心绞痛（β = 0.285, p = 0.001）和腺苷相关症状（β = 0.252, p = 0.004）相关。没有发现支持性辅导对健康或症状、缺血诱导性或患者满意度有显著益处（所有p值>； 200）。结论MPI-SPECT期间的负面情绪与CST期间的心脏症状相关。在MPI-SPECT过程中，没有发现短期支持性指导干预的益处。通过在缺血性心脏病的整个诊断阶段提供支持，而不仅仅是在MPI-SPECT过程中，患者的健康状况可能会得到改善。试验注册#NCT05896982。开放科学声明/预注册：医学伦理委员会METC-Brabant NL81600.028.22 / P2234。

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

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.