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This study examined the relationship between anxiety, depression, demographic, objective and subjective PH factors, and self\u2010reported cognitive and behavioral processes, which have been associated with mood in clinical and nonclinical samples. This is a secondary analysis of baseline data from 77 adults with PH who took part in a randomized controlled trial of a self\u2010help intervention targeting anxiety in PH. Participants completed self\u2010report measures including: demographic (age, gender, ethnicity, education, employment) and clinical questionnaire (PH diagnosis, functional class, years since diagnosis), depression (PHQ\u20109), anxiety (GAD\u20107), health\u2010related quality of life (emPHAsis\u201010), dyspnea (D12), and cognitive and behavioral processes (CBP\u2010Q) scale. Data were analyzed using correlational and regression analyses. Overall, 70% and 63% of participants scored above the clinical cut off for anxiety and depression, respectively. Demographics were not associated with anxiety or depression. PH\u2010related factors were correlated with depression but not anxiety. A multiple regression analysis suggested dyspnea and cognitive processes significantly predicted anxiety whereas behavioral processes were not a unique predictor. In contrast, dyspnea and behavioral processes predicted depression whereas cognitive processes did not. While a body of evidence exists demonstrating people with PH are more likely to experience anxiety and depression, less is known about factors that cause and maintain these disorders. Findings highlight the significance of subjective factors that could be a target for screening and psychological treatments for emotional difficulties, such as cognitive behavioral therapy.<\/jats:p>","DOI":"10.1002\/pul2.12174","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T15:49:58Z","timestamp":1670428198000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Cognitive and behavioral processes predict anxiety and depression in patients with pulmonary hypertension"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4962-3551","authenticated-orcid":false,"given":"Gregg H.","family":"Rawlings","sequence":"first","affiliation":[{"name":"School of Social Sciences Nottingham Trent University  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6788-7222","authenticated-orcid":false,"given":"Andrew R.","family":"Thompson","sequence":"additional","affiliation":[{"name":"South Wales Clinical Psychology Training Programme Cardiff and Vale University Health Board and Cardiff University  Cardiff UK"},{"name":"Clinical Psychology Unit University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5898-3087","authenticated-orcid":false,"given":"Iain","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital Sheffield Teaching Hospitals NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9638-7032","authenticated-orcid":false,"given":"Barbora","family":"Novakova","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Service, Sheffield IAPT Sheffield Health and Social Care NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7916-9313","authenticated-orcid":false,"given":"Nigel","family":"Beail","sequence":"additional","affiliation":[{"name":"Clinical Psychology Unit University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.10.032"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-041428"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/2045-8932.83444"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2018.04.002"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/crj.12312"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e318275330d"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1465-9921-6-92"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.667602"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2017-000263"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-2113.173072"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S147173"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.765461"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1465-9921-14-104"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000145593.37594.39"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/2045893217724750"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-062564"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2021-000876"},{"issue":"11","key":"e_1_2_10_19_1","first-page":"2327","article-title":"Longterm predictors of anxiety and depressed mood in early rheumatoid arthritis: a 3 and 5 year followup","volume":"29","author":"Evers AW","year":"2002","journal-title":"J Rheumatol"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22308"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2016.10.015"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-014-9641-9"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445511419254"},{"key":"e_1_2_10_24_1","unstructured":"National Institute for Health and Care Excellence.Generalised anxiety disorder and panic disorder in adults: management Clinical guideline [CG113]. 2019. 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