Socioeconomic Status and the Course of Quality of Life in Older Patients with Coronary Heart Disease.

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Title: Socioeconomic Status and the Course of Quality of Life in Older Patients with Coronary Heart Disease.
Authors: Barbareschi, Giorgio, Sanderman, Robbert, Kempen, Gertrudis I. J. M., Ranchor, Adelita V.
Source: International Journal of Behavioral Medicine. Sep2009, Vol. 16 Issue 3, p197-204. 8p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: Coronary disease, Diagnosis, Social status, Quality of life, Multivariate analysis, Social surveys
Abstract: Previous research suggests that socioeconomic status (SES) might be related to the course of quality of life (QoL) in coronary heart disease (CHD) patients. The authors sought to determine whether there are differences in the course of QoL before and after the incidence of CHD among older persons of differing SES. Two hundred two CHD patients were followed up longitudinally using a community-based survey. Data on patients’ QoL were collected before the diagnosis and at three follow-up assessments. High SES patients reported better outcomes at the premorbid assessment with fewer depressive feelings and better physical functioning. In physical functioning, similar results were repeated 6 and 12 months after the diagnosis. Additionally, high SES patients showed better role and social functioning 1 year after CHD. A multivariate analysis of variance revealed differential longitudinal pathways in relation to SES in role, social, and physical functioning. CHD modulates premorbid differences in depressive feelings. Conversely, high SES leads to better outcomes in all functional domains in the long-term after diagnosis. Postmorbid differences in physical functioning are not directly related to CHD, but rather the reestablishment of a premorbid situation. In contrast, socioeconomic inequalities in social and role functioning are a direct response to the impact of the disease. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Socioeconomic Status and the Course of Quality of Life in Older Patients with Coronary Heart Disease.
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  Data: <searchLink fieldCode="AR" term="%22Barbareschi%2C+Giorgio%22">Barbareschi, Giorgio</searchLink><br /><searchLink fieldCode="AR" term="%22Sanderman%2C+Robbert%22">Sanderman, Robbert</searchLink><br /><searchLink fieldCode="AR" term="%22Kempen%2C+Gertrudis+I%2E+J%2E+M%2E%22">Kempen, Gertrudis I. J. M.</searchLink><br /><searchLink fieldCode="AR" term="%22Ranchor%2C+Adelita+V%2E%22">Ranchor, Adelita V.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Behavioral+Medicine%22">International Journal of Behavioral Medicine</searchLink>. Sep2009, Vol. 16 Issue 3, p197-204. 8p. 1 Diagram, 2 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Coronary+disease%22">Coronary disease</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Social+status%22">Social status</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Social+surveys%22">Social surveys</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Previous research suggests that socioeconomic status (SES) might be related to the course of quality of life (QoL) in coronary heart disease (CHD) patients. The authors sought to determine whether there are differences in the course of QoL before and after the incidence of CHD among older persons of differing SES. Two hundred two CHD patients were followed up longitudinally using a community-based survey. Data on patients’ QoL were collected before the diagnosis and at three follow-up assessments. High SES patients reported better outcomes at the premorbid assessment with fewer depressive feelings and better physical functioning. In physical functioning, similar results were repeated 6 and 12 months after the diagnosis. Additionally, high SES patients showed better role and social functioning 1 year after CHD. A multivariate analysis of variance revealed differential longitudinal pathways in relation to SES in role, social, and physical functioning. CHD modulates premorbid differences in depressive feelings. Conversely, high SES leads to better outcomes in all functional domains in the long-term after diagnosis. Postmorbid differences in physical functioning are not directly related to CHD, but rather the reestablishment of a premorbid situation. In contrast, socioeconomic inequalities in social and role functioning are a direct response to the impact of the disease. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s12529-008-9010-8
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        Text: English
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      – SubjectFull: Social status
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      – SubjectFull: Quality of life
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              Text: Sep2009
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