Perceived Cognition after Percutaneous Coronary Intervention: Association with Quality of Life, Mood and Fatigue in the THORESCI StudyReport as inadecuate

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International Journal of Behavioral Medicine

pp 1–11

First Online: 28 December 2016DOI: 10.1007-s12529-016-9624-1

Cite this article as: Duijndam, S., Denollet, J., Nyklíček, I. et al. Int.J. Behav. Med. 2016. doi:10.1007-s12529-016-9624-1


PurposePercutaneous coronary intervention PCI is a common invasive procedure for the treatment of coronary artery diseases. Long-term cognitive functioning after PCI and its association with health-related quality of life HRQL and psychological factors is relatively unknown. The aim of this study is to examine whether perceived cognitive functioning during the year after PCI is associated with HRQL over this time period, and whether mood, fatigue, and age are associated with changes in perceived cognition and HRQL.

MethodsPatients undergoing PCI n = 384, 79% male, mean age = 63, SD = 10 were recruited in the observational Tilburg Health Outcome Registry of Emotional Stress after Coronary Intervention THORESCI cohort study. Perceived concentration and attention problems, HRQL, mood, and fatigue were assessed at baseline, at 1-month and 12-month follow-up.

ResultsGeneral linear mixed modeling analysis showed that across time, between- and within-subject differences in perceived concentration problems were associated with a reduced HRQL in all domains independent of clinical and demographic covariates. Only a part of this association could be explained by negative mood, fatigue, and older age. Similar findings were found for between-subject differences in perceived attention problems.

ConclusionsBetween-subject differences and within-subject changes in perceived cognition in PCI patients were strongly associated with HRQL across time, such that poorer perceived cognition was associated with poorer HRQL, independent of demographic and clinical variables. Most of the associations were also independent of mood and fatigue. The results should increase the awareness of clinicians for the role of cognition in the cardiac rehabilitation and recovery post-PCI.

KeywordsAge Cognition Fatigue Mood Percutaneous coronary intervention Quality of life This research is accomplished with the help of a NWO Aspasia grant Nederlandse Organisatie voor Wetenschappelijk Onderzoek granted to Dr. N. Kupper

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Author: Stefanie Duijndam - Johan Denollet - Ivan Nyklíček - Nina Kupper


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