Document Type : Original Article
Authors
- Hamidreza Roohafza 1
- Danesh Heidari 2
- Azam Khani 3
- Awat Feizi 4
- Sara Bagherieh 5
- Niloufar Yavari 6
- Parsa Saneian 7
- Ali Karami 8
- Masoumeh Sadeghi 4
1 Assistant Professor, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
2 Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
3 Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
4 Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
5 Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran
6 Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
7 Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
8 Students' Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Introduction: This study aims to explore the psychosocial factors related to the severity of pain in patients with non-cardiac chest pain (NCCP), providing insights to support more comprehensive and targeted management strategies.
Methods: This cross-sectional study was conducted at two university-affiliated hospitals. The patients diagnosed with NCCP, based on physical examination and angiographic findings, completed questionnaires assessing type D personality, cardiac anxiety, fear of body sensations, somatization, depression, and pain severity. Univariate and multiple logistic regression analyses were conducted to identify factors influencing pain severity levels.
Results: 156 males and 204 females with a mean age of 55.76±12.83 were divided into low pain (N=182) and high pain (N=178) groups. Higher education and being female were significantly associated with higher pain severity. Depression, type D personality, somatization, and cardiac anxiety were significantly correlated with pain severity. Multiple logistic regression analysis indicated that self-rated health (OR,: 2.14; 95% CI. :1.18-3.90), depression (OR-11.15; 95% CI-:1.09-1.22), type D personality (OR-: 1.90; 95% CI-: 1.06- 3.41), somatization (OR-: 1.03; 95% CI-: 1.01-1.06), and fear of bodily sensation (OR-: 1.90; 95% CI-: 1.06-3.41), were all associated with pain severity.
Conclusions: It is concluded that type D personality, fear of bodily sensation, depression, somatization, cardiac anxiety, and bad self-rated health were associated with increased NCCP severity. By controlling the disease and related pain earlier, it is possible to have a more coherent treatment and increase people's quality of life.
Keywords
)