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dc.contributor.authorJonsbu, Egil
dc.contributor.authorMartinsen, Egil Wilhelm
dc.contributor.authorMorken, Gunnar
dc.contributor.authorMoum, Torbjørn Åge
dc.contributor.authorDammen, Toril
dc.date.accessioned2018-01-03T09:09:28Z
dc.date.available2018-01-03T09:09:28Z
dc.date.created2012-11-27T15:14:16Z
dc.date.issued2012
dc.identifier.citationBioPsychoSocial Medicine. 2012, 6 (19).nb_NO
dc.identifier.issn1751-0759
dc.identifier.urihttp://hdl.handle.net/11250/2474241
dc.description.abstractBackground Patients with chest pain or palpitations often have poor outcomes following a negative cardiac evaluation, with symptom persistence, limitations in everyday activities, and reduced health-related quality of life. The aims of this study were to evaluate illness perceptions before and after negative cardiac evaluations and measure the ability of a self-report questionnaire to predict outcomes. Methods Patients (N = 138) referred for chest pain or palpitations to a cardiac outpatient clinic were assessed before and six months after a negative cardiac evaluation. In addition to Brief Illness Perception Questionnaire (BIPQ), all patients completed the Beck Depression Inventory and SF-36 Health Survey. Results The emotional reactions to and understanding of symptoms had not improved six months after a negative cardiac evaluation. A stronger correlation between illness perceptions and health at follow-up than before the cardiac evaluation might explain the tendency for poor outcomes among these patients. Most of the eight BIPQ item scores before the negative cardiac evaluation were predictive of the outcome six months later. A single question asking about the perceived consequences of the complaints (BIPQ Item 1) rated before the cardiac evaluation was collapsed into a dichotomous variable with a cut-off at ≥4 which yields a sensitivity of 51%, a specificity of 85%, a positive predictive value of 71%, a negative predictive value of 69%, and an odds ratio of 5.7 (r = .38, p < .001) in predicting poor outcomes. Conclusions Assessing illness perceptions is important in patients with negative cardiac tests for understanding and predicting outcomes.nb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleIllness perception among patients with chest pain and palpitations before and after negative cardiac evaluationnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber8nb_NO
dc.source.volume6nb_NO
dc.source.journalBioPsychoSocial Medicinenb_NO
dc.source.issue19nb_NO
dc.identifier.doi10.1186/1751-0759-6-19
dc.identifier.cristin965492
dc.description.localcode© 2012 Jonsbu et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.nb_NO
cristin.unitcode194,65,35,0
cristin.unitnameInstitutt for psykisk helse
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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