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Characteristics of midlife women with coronary microvascular dysfunction, compared with age-matched women with obstructive coronary disease

Lier, T.C.W. (2016) Characteristics of midlife women with coronary microvascular dysfunction, compared with age-matched women with obstructive coronary disease.

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Abstract:Objective: Examine differences in medical and psychosocial characteristics of midlife women with coronary microvascular dysfunction (CMD) compared with age-related women with coronary artery disease (CAD). Method: Two samples of 64 midlife women were selected from the cardiology department of the Radboud University Medical Centre and were age-matched. Respondents completed an online survey about psychosocial (CAQ, SF-12, HADS, CIS), personality (Brief COPE, MPS), medical, female reproduction-system related, demographical and lifestyle factors. Differences between groups were determined by student t-tests (Mann Whitney tests or Pearson’s Chi Square tests); covariates for CMD with logistic regression tests. Results: CMD-respondents used more self-distraction as coping style, had lower scores on physical wellbeing and were less frequently current smokers than CAD-respondents. CMD-respondents were also less frequently former smokers, higher educated, had higher scores on self-oriented perfectionism, fatigue, cardiac anxiety, more rheumatism and migraine, but had lower scores on mental wellbeing than CAD-respondents. Conclusion: Women with CMD are specific patients with as profile: highly educated, high demands on themselves, self-distraction as preferred coping style. They suffer most of limitations in daily activities, as shown by low scores on physical wellbeing. Of the traditional cardiac risk factors only smoking was less prevalent among CMD-respondents than CAD-respondents.
Item Type:Essay (Master)
Clients:
Radboud UMC, Nijmegen, Nederland
Radboud UMC, Nijmegen, Nederland
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine, 77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/69202
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