{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T18:26:36Z","timestamp":1748370396622,"version":"3.37.3"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund In der station\u00e4ren kardiologischen Rehabilitation\n                    werden Patienten idealerweise nach psychosozialen Risikofaktoren gescreent und\n                    psychologisch betreut. Herzbezogene \u00c4ngste bei kardiologischen\n                    Erkrankungen k\u00f6nnen die Lebensqualit\u00e4t erheblich\n                    beeintr\u00e4chtigen und sowohl die Prognose des Krankheitsverlaufs als auch\n                    die soziale und berufliche Teilhabe beeinflussen. Aufgrund der Diskrepanz\n                    zwischen der, in der Literatur berichteten, Pr\u00e4valenz der Herzangst und\n                    dem, durch die Patienten in der Klinik Roderbirken ge\u00e4u\u00dferten\n                    Bedarf an psychologischer Betreuung, vermuteten die Autoren, dass ein Teil der\n                    Patienten diesen Bedarf nicht selbst\u00e4ndig \u00e4u\u00dfert. Ziel\n                    der Studie war es, diese Patienten durch ein einfaches Screening-Instrument zu\n                    identifizieren, um ihnen eine ad\u00e4quate psychologische Betreuung\n                    anzubieten und dadurch die Rehabilitationsziele, darunter den Erhalt der\n                    Erwerbsf\u00e4higkeit, zu sichern.<\/jats:p><jats:p>\n          Methode Die vorliegenden Daten wurden in einer monozentrischen\n                    Querschnittsstudie in der Rehabilitationsklinik Roderbirken, Leichlingen, NRW,\n                    erhoben. Die Patienten wurden einmalig mit einem standardisierten Fragebogen,\n                    bestehend aus dem Herzangstfragebogen, der Hospital Anxiety and Depression Scale\n                    und der Skala I des Screening-Instruments Beruf und Arbeit in der Rehabilitation\n                    befragt. Soziodemographische und klinische Daten wurden aus dem Kliniksystem\n                    erg\u00e4nzt. Die Auswertung der Daten erfolgte mithilfe\n                    deskriptiv-statistischer und regressionsanalytischer Verfahren. Ein Ethikvotum\n                    liegt vor.<\/jats:p><jats:p>\n          Ergebnisse Nach Bereinigung des Datensatzes konnten 507 Patienten in die\n                    Analyse eingeschlossen werden (82,6% M\u00e4nner, mittleres Alter\n                    gesamt 54,4\u00b17,1 Jahre). Von diesen meldeten 40,0% einen Bedarf\n                    an psychologischer Betreuung an. Bei 15,7% aller Patienten lag eine\n                    Herzangst nach dem Herzangstfragebogen vor, von denen wiederum 59,0%\n                    einen Bedarf an psychologischer Betreuung anmeldeten. Es zeigte sich, dass\n                    insbesondere Patienten mit diagnostizierten psychischen Erkrankungen\n                    Betreuungsbedarf \u00e4u\u00dferten (57,6 vs. 0,7%;\n                    p&lt;0,05). Die subjektive Erwerbsprognose war mit Herzangst und mit der\n                    Depressionssymptomatik nach Hospital Anxiety and Depression Scale assoziiert (je\n                    p&lt;0,001), des Weiteren mit der Ausbildung und dem beruflichen\n                    Status.<\/jats:p><jats:p>\n          Diskussion Die Ergebnisse der Selbstbeurteilungsfrageb\u00f6gen und die\n                    Betrachtung sozio\u00f6konomischer sowie klinischer Patientencharakteristika\n                    geben Hinweise auf ein Bedarfsprofil hinsichtlich des psychologischen\n                    Betreuungsbedarfs und eine negative subjektive Erwerbsprognose.<\/jats:p><jats:p>\n          Schlussfolgerung Ein Screening mit der Hospital Anxiety and Depression\n                    Scale ist geeignet, um die Identifizierung nicht ge\u00e4u\u00dferter\n                    psychologischer Betreuungsbedarfe und damit die Zielerreichung der beruflichen\n                    Reintegration in der kardiologischen Rehabilitation zu unterst\u00fctzen.<\/jats:p>","DOI":"10.1055\/a-1642-3450","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T23:44:15Z","timestamp":1636760655000},"page":"162-169","source":"Crossref","is-referenced-by-count":2,"title":["Bedeutung der Herzangst f\u00fcr den psychologischen\n                    Betreuungsbedarf und die subjektive Erwerbsprognose \u2013 Hinweise aus der\n                    station\u00e4ren kardiologischen Rehabilitation"],"prefix":"10.1055","volume":"61","author":[{"given":"Anna-Lisa","family":"Eilerts","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizinische Informatik, Biometrie und\n                    Epidemiologie, Universit\u00e4tsklinikum Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4917-3389","authenticated-orcid":false,"given":"Sarah","family":"Schr\u00f6er","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizinische Informatik, Biometrie und\n                    Epidemiologie, Universit\u00e4tsklinikum Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Wissen","sequence":"additional","affiliation":[{"name":"Klinik Roderbirken der Deutschen Rentenversicherung Rheinland,\n                    Leichlingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Mayer-Berger","sequence":"additional","affiliation":[{"name":"Klinik Roderbirken der Deutschen Rentenversicherung Rheinland,\n                    Leichlingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5986-9788","authenticated-orcid":false,"given":"Claudia","family":"Pieper","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizinische Informatik, Biometrie und\n                    Epidemiologie, Universit\u00e4tsklinikum Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1055\/a-0870-1420","article-title":"Psychokardiologie \u2013 aktuelle Leitlinien und klinische\n                    Realit\u00e4t","volume":"69","author":"C Herrmann-Lingen","year":"2019","journal-title":"Psychother Psych Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1159\/000080387","article-title":"Prospective examination of anxiety persistance and its relationship to cardiac\n                    symptoms and recurrent cardiac events","volume":"73","author":"S L Grace","year":"2004","journal-title":"Psychother Psychosom"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1007\/s11920-016-0739-5","article-title":"Anxiety disorders and cardiovascular disease","volume":"18","author":"C M Celano","year":"2016","journal-title":"Curr Psychiatry Rep"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1016\/j.ahj.2015.09.013","article-title":"Association between anxiety and mortality in patients with coronary artery\n                    disease: A meta-analysis","volume":"170","author":"C M Celano","year":"2015","journal-title":"Am Heart J"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e034135","DOI":"10.1136\/bmjopen-2019-034135","article-title":"Anxiety and clinical outcomes of patients with acute coronary syndrom: A\n                    meta-analysis","volume":"10","author":"J Li","year":"2020","journal-title":"BMJ Open"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1055\/a-1338-0613","article-title":"Weniger Erwerbsminderungsrenten nach der kardiologischen Rehabilitation durch\n                    intensivierte Nachsorge? 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A\n                    position paper from the Cardiac Rehabilitation Section of the European\n                    Association of Cardiovascular Prevention and Rehabilitation of the European\n                    Society of Cardiology","volume":"22","author":"N Pogosova","year":"2015","journal-title":"Eur J Prev Cardiol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1007\/s10354-017-0606-y","article-title":"Psychokardiologie in der station\u00e4ren Rehabilitation","volume":"168","author":"R Fuchs-Strizek","year":"2018","journal-title":"Wien Med Wochenschr"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1016\/S0005-7967(99)00132-1","article-title":"The cardiac anxiety questionnaire: development and preliminary validity","volume":"38","author":"G H Eifert","year":"2000","journal-title":"Behav Res Ther"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"V41","DOI":"10.1055\/s-0030-1266208","article-title":"Ver\u00e4nderungen der Herzangst kardiologischer Rehabilitanden in\n                    Abh\u00e4ngigkeit von der Selbsteinsch\u00e4tzung ihres\n                    Gesundheitszustandes. Erste Ergebnisse der CARO-QMS-Studie","volume":"72","author":"S Schleicher","year":"2010","journal-title":"Gesundheitswesen"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"109958","DOI":"10.1016\/j.psychores.2020.109958","article-title":"Association between heart-focused anxiety, depressive symptoms, health\n                    behaviours and healthcare utilization in patients with coronary heart\n                    disease","volume":"131","author":"J K Hohls","year":"2020","journal-title":"J psychosom res"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0049268.","article-title":"Return to work after percutaneous coronary intervention","volume":"7","author":"K Biering","year":"2012","journal-title":"The predictive value of self-reported health compared to clinical\n                    measures. PloS one"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1055\/s-2005-867015","article-title":"Ergebnisse zur Wirksamkeit der Rehabilitation","volume":"44","author":"H G Haaf","year":"2005","journal-title":"Rehabilitation"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"2399","DOI":"10.1016\/j.apmr.2019.04.003","article-title":"Determinants of Return to Work after multicomponent cardiac rehabilitation","volume":"100","author":"A Salzwedel","year":"2019","journal-title":"Arch Phys Med Rehab"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1055\/s-0033-1360102","article-title":"Psychokardiologie: praxisrelevante Erkenntnisse und Handlungsempfehlungen","volume":"139","author":"C Albus","year":"2014","journal-title":"Dtsch med Wochenschr"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1007\/s00392-015-0909-1","article-title":"Heart-focused anxiety in patients with chronic heart failure before implantation\n                    of an implantable cardioverter defribrillator: baseline findings of the\n                    Anxiety-CHF Study","volume":"105","author":"M Bunz","year":"2016","journal-title":"Clin Res Cardiol"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1016\/j.jpsychores.2007.09.009","article-title":"Heart-focused anxiety before and after cardiac surgery","volume":"64","author":"J Hoyer","year":"2008","journal-title":"J psychosom res"},{"volume-title":"Herzangstfragebogen (HAF-17) \u2013 \u00fcberarbeitete deutsche\n                    Version","year":"2001","author":"J Hoyer","key":"ref21"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1024\/1661-4747\/a000077","article-title":"Hospital Anxiety and Depression Scale, Deutsche Version (HADS-D)","volume":"59","author":"F Petermann","year":"2011","journal-title":"Z Psychiatr Psych PS"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The Hospital Anxiety and Depression Scale","volume":"67","author":"A S Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1055\/s-0029-1231062","article-title":"SIBAR \u2013 ein kurzes Screening-Instrument zur Messung des Bedarfs an\n                    berufsbezogenen Behandlungsangeboten in der medizinischen Rehabilitation","volume":"48","author":"W B\u00fcrger","year":"2009","journal-title":"Rehabilitation"},{"key":"ref26","first-page":"439","article-title":"Psychometrische Analysen zum Herzangstfragebogen bei kardiologischen\n                    Patienten","volume":"30","author":"F Einsle","year":"2009","journal-title":"Verhaltenstherapie & Verhaltensmedizin"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1007\/s00392-011-0371-7","article-title":"Heart-focused anxiety in the general population","volume":"101","author":"D Fischer","year":"2012","journal-title":"Clin Res Cardiol"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1177\/2047487312465526","article-title":"Efficacy of a long-term secondary prevention programme following inpatient\n                    cardiovascular rehabilitation on risk and health-related quality of life in a\n                    low-education cohort: a randomized controlled study","volume":"21","author":"W Mayer-Berger","year":"2014","journal-title":"Eur J Prev Cardiol"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e0208842","DOI":"10.1371\/journal.pone.0208842","article-title":"Predicting return to work after acute myocardial infarction: Socio-occupational\n                    factors overcome clinical conditions","volume":"13","author":"M Stendardo","year":"2018","journal-title":"PLoS ONE"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1386","DOI":"10.1177\/2047487319843079","article-title":"Return to work and associations with psychosocial well-being and health-related\n                    quality of life in coronary heart disease patients: Results from EUROASPIRE\n                    IV","volume":"26","author":"J van de Cauter","year":"2019","journal-title":"Eur J Prev Cardiol"}],"container-title":["Die 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