{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:04:45Z","timestamp":1792785885546,"version":"4.5.0"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T00:00:00Z","timestamp":1667952000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100002429","name":"Amgen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002429","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004312","name":"Eli Lilly","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004312","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004339","name":"Sanofi","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004339","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ferrer,"},{"DOI":"10.13039\/501100004191","name":"Novo Nordisk","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004191","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To (1) Describe the sociodemographic and risk factor profiles of a sample of patients with coronary disease, (2) Explore associations between illness perceptions and health literacy with sociodemographic characteristics and risk factors, health-related quality of life (HRQoL), anxiety, and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Conducted as part of the ESC Prevention of CVD Project and EUROASPIRE V survey, patients were consecutively and retrospectively identified 6 months to 2 years after an acute event or elective procedure from 12 countries and interviewed. Three thousand four hundred and eight participants (76% male, mean age 64 years) were recruited, 16% were smokers, 38% obese, 60% physically inactive, and 41% hypertensive. Forty percent had attended cardiac rehabilitation. More threatening illness perceptions were associated with female gender (P &amp;lt; 0.0001), lower income (P &amp;lt; 0.0001), lower education (P = 0.02), obesity (P &amp;lt; 0.0001), sedentary behaviour (P &amp;lt; 0.0001), and diabetes (P &amp;lt; 0.0001). Poorer health literacy was associated with obesity (P = 0.02) and sedentary behaviour (P = 0.0001). Threatening illness perceptions were strongly associated with anxiety, depression, and poorer ratings of HRQoL after multivariable adjustment (all P &amp;lt; 0.001). Poor health literacy was associated with anxiety and depression (P &amp;lt; 0.0001) and poorer ratings of HRQoL (HeartQol scores P = 0.03). Results were consistent across regions of Europe, age, gender, and socio-economic strata.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Interventions like cardiac rehabilitation should be targeted at vulnerable groups given the strong associations between more threatening illness perceptions, lower health literacy, lower HRQoL, and higher levels of anxiety and depression. The delivery and content of these interventions should be accessible for those with low health literacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvac105","type":"journal-article","created":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T13:59:21Z","timestamp":1668002361000},"page":"719-729","source":"Crossref","is-referenced-by-count":37,"title":["Illness perceptions and health literacy are strongly associated with health-related quality of life, anxiety, and depression in patients with coronary heart disease: results from the EUROASPIRE V cross-sectional survey"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9143-1425","authenticated-orcid":false,"given":"C S","family":"Jennings","sequence":"first","affiliation":[{"name":"Honorary Professor of Nursing and Interdisciplinary Relations, National Institute for Prevention and Cardiovascular Health, University of Galway, Cro\u00ed Heart & Stroke Centre, Cro\u00ed House, Moyola Lane , Newcastle, Galway, H91 FF68 , Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8055-3072","authenticated-orcid":false,"given":"F","family":"Astin","sequence":"additional","affiliation":[{"name":"Professor of Nursing, School of Health, Wellbeing and Social Care, Faculty of Wellbeing, Education and Language Studies, The Open University, Horlock Building, Walton Hall, Milton Keynes , MK7 6AA , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4134-0349","authenticated-orcid":false,"given":"E","family":"Prescott","sequence":"additional","affiliation":[{"name":"Professor of Cardiology, Bispebjerg University Hospital , Copenhagen , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3913-567X","authenticated-orcid":false,"given":"T","family":"Hansen","sequence":"additional","affiliation":[{"name":"Zealand University Hospital , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Gale Chris","sequence":"additional","affiliation":[{"name":"Professor of Cardiovascular Medicine, Leeds Institute of Cardiovascular and Metabolic Medicine and Leeds Institute for Data Analytics, University of Leeds; Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Level 11, Worsely Building , Leeds , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3202-7238","authenticated-orcid":false,"given":"D","family":"De Bacquer","sequence":"additional","affiliation":[{"name":"Professor of Epidemiology, Research Methodology and Biostatistics, Department of Public Health and Primary Care, Ghent University, C. Heymanslaan 10-4K3 , 9000 Gent , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,11,9]]},"reference":[{"key":"2023101900573308000_zvac105-B1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1186\/s12955-017-0818-2","article-title":"A systematic review of the application of wilson and cleary health-related quality of life model in chronic diseases","volume":"15","author":"Ojelabi","year":"2017","journal-title":"Health Qual Life Outcomes"},{"key":"2023101900573308000_zvac105-B2","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1016\/S1053-2498(01)00298-4","article-title":"Preferences for quality of life or survival expressed by patients with heart failure","volume":"20","author":"Lewis","year":"2001","journal-title":"J Heart Lung Transplant"},{"key":"2023101900573308000_zvac105-B3","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1136\/heartjnl-2019-315510","article-title":"Quality of life trajectories in survivors of acute myocardial infarction: a national longitudinal study","volume":"106","author":"Munyombwe","year":"2020","journal-title":"Heart"},{"key":"2023101900573308000_zvac105-B4","doi-asserted-by":"crossref","first-page":"12022","DOI":"10.3390\/ijerph182212022","article-title":"Depression and quality of life\u2014A systematic review of evidence from longitudinal observational studies","volume":"18","author":"Hohls","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2023101900573308000_zvac105-B5","doi-asserted-by":"crossref","first-page":"106891","DOI":"10.1016\/j.ypmed.2021.106891","article-title":"A systematic review of the bidirectional relationship between depressive symptoms and cardiovascular health","volume":"154","author":"Ogunmoroti","year":"2022","journal-title":"Prev Med"},{"key":"2023101900573308000_zvac105-B6","first-page":"219","volume-title":"Handbook of psychology and health: social psychological aspects of health","author":"Leventhal","year":"1984"},{"key":"2023101900573308000_zvac105-B7","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1080\/088704403100081321","article-title":"A meta-analytic review of the common-sense model of illness representations","volume":"18","author":"Hagger","year":"2003","journal-title":"Psychol Health"},{"key":"2023101900573308000_zvac105-B8","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.jpsychores.2013.05.003","article-title":"Illness perceptions, mood and quality of life: a systematic review of coronary heart disease patients","volume":"75","author":"Foxwell","year":"2013","journal-title":"J Psychosom Res"},{"key":"2023101900573308000_zvac105-B9","doi-asserted-by":"crossref","first-page":"e186","DOI":"10.1111\/epi.13194","article-title":"Illness perceptions mediate the relationship between depression and quality of life in patients with epilepsy","volume":"56","author":"Shallcross","year":"2015","journal-title":"Epilepsia"},{"key":"2023101900573308000_zvac105-B10","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s12905-015-0190-5","article-title":"Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women","volume":"15","author":"Wang","year":"2015","journal-title":"BMC Womens Health"},{"key":"2023101900573308000_zvac105-B11","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.pec.2017.09.002","article-title":"Health literacy and coronary artery disease: a systematic review","volume":"101","author":"Ghisi","year":"2018","journal-title":"Patient Educ Couns"},{"key":"2023101900573308000_zvac105-B12","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1186\/s12955-018-1031-7","article-title":"The relationship between health literacy and quality of life: a systematic review and meta-analysis","volume":"16","author":"Zheng","year":"2018","journal-title":"Health Qual Life Outcomes"},{"key":"2023101900573308000_zvac105-B13","doi-asserted-by":"crossref","first-page":"e48","DOI":"10.1161\/CIR.0000000000000579","article-title":"Health literacy and cardiovascular disease: fundamental relevance to primary and secondary prevention: a scientific statement from the American heart association","volume":"138","author":"Magnani","year":"2018","journal-title":"Circulation"},{"key":"2023101900573308000_zvac105-B14","doi-asserted-by":"crossref","first-page":"e000351","DOI":"10.1136\/fmch-2020-000351","article-title":"What is the meaning of health literacy? A systematic review and qualitative synthesis","volume":"8","author":"Liu","year":"2020","journal-title":"Fam Med Community Health"},{"issue":"8","key":"2023101900573308000_zvac105-B15","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1177\/2047487318825350","article-title":"EUROASPIRE Investigators*. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry.","volume":"26","author":"Kotseva","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"2023101900573308000_zvac105-B16","first-page":"429","article-title":"2021 ESC guidelines on cardiovascular disease prevention in clinical practice: developed by the task force for cardiovascular disease prevention in clinical practice with representatives of the European society of cardiology and 12 medical societies with the special contribution of the European association of preventive cardiology (EAPC)","volume":"75","author":"Visseren","year":"2022","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"2023101900573308000_zvac105-B17","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/j.jpsychores.2005.10.020","article-title":"The brief illness perception questionnaire","volume":"60","author":"Broadbent","year":"2006","journal-title":"J Psychosom Res"},{"key":"2023101900573308000_zvac105-B18","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1080\/08870446.2015.1070851","article-title":"A systematic review and meta-analysis of the brief illness perception questionnaire","volume":"30","author":"Broadbent","year":"2015","journal-title":"Psychol Health"},{"key":"2023101900573308000_zvac105-B19","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1186\/1471-2458-13-658","article-title":"The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ)","volume":"13","author":"Osborne","year":"2013","journal-title":"BMC Public Health"},{"key":"2023101900573308000_zvac105-B20","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1186\/s12913-017-2520-9","article-title":"Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis","volume":"17","author":"Morris","year":"2017","journal-title":"BMC Health Serv Res"},{"key":"2023101900573308000_zvac105-B21","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1136\/hrt.2004.052787","article-title":"Validation of the EuroQol questionnaire in cardiac rehabilitation","volume":"92","author":"Schweikert","year":"2006","journal-title":"Heart"},{"key":"2023101900573308000_zvac105-B22","doi-asserted-by":"crossref","first-page":"e10178","DOI":"10.2196\/10178","article-title":"Euroqol (EQ-5D-5L) validity in assessing the quality of life in adults with asthma: cross-sectional study","volume":"21","author":"Hernandez","year":"2019","journal-title":"J Med Internet Res"},{"issue":"1","key":"2023101900573308000_zvac105-B23","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1177\/2047487312450544","article-title":"(for the HeartQoL Project Investigators). The HeartQoL: Part I. Development of a new core health-related quality of life questionnaire for patients with ischemic heart disease","volume":"21","author":"Oldridge","year":"2014","journal-title":"Eur J Prev Cardiol"},{"key":"2023101900573308000_zvac105-B24","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1177\/2047487312450545","article-title":"The HeartQoL: part II. Validation of a new core health-related quality of life questionnaire for patients with ischemic heart disease","volume":"21","author":"Oldridge","year":"2014","journal-title":"Eur J Prev Cardiol"},{"key":"2023101900573308000_zvac105-B25","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"2023101900573308000_zvac105-B26","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.psychres.2004.06.012","article-title":"An examination of the psychometric properties of the hospital anxiety and depression scale in Chinese patients with acute coronary syndrome","volume":"129","author":"Martin","year":"2004","journal-title":"Psychiatry Res"},{"key":"2023101900573308000_zvac105-B27","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1093\/eurpub\/ckv043","article-title":"Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU)","volume":"25","author":"S\u00f8rensen","year":"2015","journal-title":"Eur J Public Health"},{"key":"2023101900573308000_zvac105-B28","doi-asserted-by":"crossref","first-page":"97","DOI":"10.7326\/0003-4819-155-2-201107190-00005","article-title":"Low health literacy and health outcomes: an updated systematic review","volume":"155","author":"Berkman","year":"2011","journal-title":"Ann Intern Med"},{"key":"2023101900573308000_zvac105-B29","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/1471-2458-12-80","article-title":"(HLS-EU) Consortium Health Literacy Project European. Health literacy and public health: a systematic review and integration of definitions and models","volume":"12","author":"S\u00f8rensen","year":"2012","journal-title":"BMC Public Health"},{"issue":"2","key":"2023101900573308000_zvac105-B30","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1093\/eurjpc\/zwab115","article-title":"Poor adherence to lifestyle recommendations in patients with coronary heart disease: results from the EUROASPIRE surveys","volume":"29","author":"De Bacquer","year":"2022","journal-title":"Eur J Prev Cardiol"},{"issue":"2","key":"2023101900573308000_zvac105-B31","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1038\/s41366-021-01014-x","article-title":"Illness perceptions and health-related quality of life in individuals with overweight and obesity","volume":"46","author":"Sigit","year":"2022","journal-title":"Int J Obes"},{"issue":"1","key":"2023101900573308000_zvac105-B32","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/j.1365-2648.2008.04836.x","article-title":"Primary angioplasty for heart attack: mismatch between expectations and reality?","volume":"65","author":"Astin","year":"2009","journal-title":"J Adv Nurs"},{"key":"2023101900573308000_zvac105-B33","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/JCN.0b013e3181c6dcfd","article-title":"Illness perceptions after myocardial infarction relations to fatigue, emotional distress, and health-related quality of life","volume":"25","author":"Alsen","year":"2010","journal-title":"J Cardiovasc Nurs"},{"key":"2023101900573308000_zvac105-B34","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.hrtlng.2005.09.006","article-title":"Changes in patients\u2019 illness representations before and after elective percutaneous transluminal coronary angioplasty","volume":"35","author":"Astin","year":"2006","journal-title":"Heart Lung"},{"key":"2023101900573308000_zvac105-B35","doi-asserted-by":"crossref","first-page":"3636","DOI":"10.1111\/jocn.13734","article-title":"Perceived consequences, changeability and personal control of coronary heart disease are associated with health-related quality of life","volume":"26","author":"Sigurdardottir","year":"2017","journal-title":"J Clin Nurs"},{"key":"2023101900573308000_zvac105-B36","first-page":"194","article-title":"A randomised controlled trial of a self-management plan for patients with newly diagnosed angina","volume":"52","author":"Lewin","year":"2002","journal-title":"Br J Gen Pract"},{"key":"2023101900573308000_zvac105-B37","first-page":"189","article-title":"The effect of dimensions of illness perceptions on the variation of quality of life in patients with coronary artery disease","volume":"56","author":"Madani","year":"2018","journal-title":"Acta Med Iran"}],"container-title":["European Journal of Cardiovascular Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurjcn\/advance-article-pdf\/doi\/10.1093\/eurjcn\/zvac105\/52015001\/zvac105.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjcn\/article-pdf\/22\/7\/719\/52017878\/zvac105.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjcn\/article-pdf\/22\/7\/719\/52017878\/zvac105.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T20:58:22Z","timestamp":1697662702000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurjcn\/article\/22\/7\/719\/6815651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,9]]},"references-count":37,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,11,9]]},"published-print":{"date-parts":[[2023,10,19]]}},"URL":"https:\/\/doi.org\/10.1093\/eurjcn\/zvac105","relation":{},"ISSN":["1474-5151","1873-1953"],"issn-type":[{"value":"1474-5151","type":"print"},{"value":"1873-1953","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,10]]},"published":{"date-parts":[[2022,11,9]]}}}