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Subjectively Reported Symptoms in Patients with Persistent Atrial Fibrillation and Emotional Distress

Overview of attention for article published in Frontiers in Psychology, January 2013
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Title
Subjectively Reported Symptoms in Patients with Persistent Atrial Fibrillation and Emotional Distress
Published in
Frontiers in Psychology, January 2013
DOI 10.3389/fpsyg.2013.00192
Pubmed ID
Authors

Nina Kupper, Krista C. van den Broek, Jos Widdershoven, Johan Denollet

Abstract

Background: Patients with atrial fibrillation (AF) are characterized by emotional distress and poor quality of life. Little is known about the relation between emotional distress and subjectively reported AF symptoms. Our aims were to compare emotional distress levels in AF patients with distress levels in the general population and to examine the cross-sectional and prospective relationship between subjective AF symptom reports and emotional distress around electrical cardioversion (ECV). Methods: At baseline, this study included 118 patients with persistent AF planned for ECV (aged 68 ± 10 years, 60% men) in which depression (BDI), anxiety (STAI), Type D personality (DS14), perceived stress (PSS-10), and AF symptoms (ATSSS) were assessed. The prospective substudy included 52 patients. Objective AF status was determined by ECG. Results: AF patients experienced significantly higher levels of anxiety (p < 0.001) and depression (p < 0.001) than age and gender matched persons from the general population. Linear regression analyses showed that AF patients with higher depression levels reported significantly more AF symptoms (β = 0.44; p < 0.0005) and reported symptoms to occur with a higher frequency (β = 0.51; p < 0.0005) during the AF episode, independent of age, sex, cardiac disease, BMI, and physical activity. At 4 weeks follow-up, 56% of all patients had maintained sinus rhythm. Repeated Measures Linear mixed modeling showed that these patients reported fewer AF symptoms and a lower frequency of AF symptoms pre and post-ECV (p = 0.04). Also, the course of the number and frequency of reported symptoms was significantly associated with the change in depression over that same time period (p < 0.0005). Conclusion: Patients with persistent AF are characterized by emotional distress. Distressed AF patients, particularly the depressed, report more AF symptoms before and after ECV. These findings call for increased attention of clinicians to emotional distress in this patient population.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 50 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 2%
France 1 2%
Unknown 48 96%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 13 26%
Student > Bachelor 10 20%
Researcher 7 14%
Student > Master 5 10%
Student > Doctoral Student 3 6%
Other 6 12%
Unknown 6 12%
Readers by discipline Count As %
Medicine and Dentistry 18 36%
Psychology 8 16%
Nursing and Health Professions 6 12%
Engineering 3 6%
Social Sciences 2 4%
Other 4 8%
Unknown 9 18%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 May 2013.
All research outputs
#15,219,842
of 22,708,120 outputs
Outputs from Frontiers in Psychology
#18,157
of 29,486 outputs
Outputs of similar age
#180,848
of 280,717 outputs
Outputs of similar age from Frontiers in Psychology
#705
of 969 outputs
Altmetric has tracked 22,708,120 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 29,486 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.5. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 280,717 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 969 others from the same source and published within six weeks on either side of this one. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.