Cardiophobia: a paradigmatic behavioural model of heart-focused anxiety and non-anginal chest pain
- PMID: 1616469
- DOI: 10.1016/0005-7967(92)90045-i
Cardiophobia: a paradigmatic behavioural model of heart-focused anxiety and non-anginal chest pain
Erratum in
- Behav Res Ther 1993 Sep;31(7):711
Abstract
Cardiophobia is defined as an anxiety disorder of persons characterized by repeated complaints of chest pain, heart palpitations, and other somatic sensations accompanied by fears of having a heart attack and of dying. Persons with cardiophobia focus attention on their heart when experiencing stress and arousal, perceive its function in a phobic manner, and continue to believe that they suffer from an organic heart problem despite repeated negative medical tests. In order to reduce anxiety, they seek continuous reassurance, make excessive use of medical facilities, and avoid activities believed to elicit symptoms. The relationship of cardiophobia to illness phobia, health anxiety, and panic disorder is discussed. An integrative psychobiological model of cardiophobia is presented which includes previous learning conditions relating to experiences of separation and cardiac disease; deficient and inappropriate behavioural repertoires which constitute a psychological vulnerability for cardiophobic problems; negative life events, stressors, and conflicts in the person's present situation that trigger and contribute to the symptoms; current affective, cognitive, and behavioural symptoms and their stimulus properties; and genetic and acquired biological vulnerability factors. Finally, recommendations for the treatment of cardiophobia are derived from the model and areas of future research are outlined.
Similar articles
-
Cardiophobia: a critical analysis.Transcult Psychiatry. 2008 Jun;45(2):230-52. doi: 10.1177/1363461508089766. Transcult Psychiatry. 2008. PMID: 18562494
-
Psychological aspects of non-cardiac chest pain.Psychother Psychosom. 1995;64(2):62-73. doi: 10.1159/000288993. Psychother Psychosom. 1995. PMID: 8559955 Review.
-
Psychological treatment for atypical non-cardiac chest pain: a controlled evaluation.Psychol Med. 1990 Aug;20(3):605-11. doi: 10.1017/s0033291700017116. Psychol Med. 1990. PMID: 2236369 Clinical Trial.
-
[Diagnosis of functional heart complaints from the psychosomatic viewpoint].Herz. 1999 Apr;24(2):107-13. doi: 10.1007/BF03043849. Herz. 1999. PMID: 10372296 Review. German.
-
The impact of depression and cardiophobia on quality of life in patients with essential hypertension.Psychiatriki. 2016 Jul-Sep;27(3):192-203. doi: 10.22365/jpsych.2016.273.192. Psychiatriki. 2016. PMID: 27837573
Cited by
-
Heart-Focused Anxiety Affects Behavioral Cardiac Risk Factors and Quality of Life: A Follow-Up Study Using a Psycho-Cardiological Rehabilitation Concept.Front Psychiatry. 2022 May 9;13:836750. doi: 10.3389/fpsyt.2022.836750. eCollection 2022. Front Psychiatry. 2022. PMID: 35615455 Free PMC article.
-
Comparing Patient and Provider Experiences with Atrial Fibrillation to Highlight Gaps and Opportunities for Improving Care.J Gen Intern Med. 2022 Sep;37(12):3105-3113. doi: 10.1007/s11606-021-07303-5. Epub 2022 Jan 6. J Gen Intern Med. 2022. PMID: 34993876 Free PMC article.
-
Changes in quality of life, depression, general anxiety, and heart-focused anxiety after defibrillator implantation.ESC Heart Fail. 2021 Aug;8(4):2502-2512. doi: 10.1002/ehf2.13416. Epub 2021 May 27. ESC Heart Fail. 2021. PMID: 34047078 Free PMC article.
-
Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates.PLoS One. 2020 Jul 27;15(7):e0234124. doi: 10.1371/journal.pone.0234124. eCollection 2020. PLoS One. 2020. PMID: 32716932 Free PMC article.
-
Assessment of the Psychological Situation in Adults with Congenital Heart Disease.J Clin Med. 2020 Mar 13;9(3):779. doi: 10.3390/jcm9030779. J Clin Med. 2020. PMID: 32182982 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical