Table 2

Prevalence of psychological outcomes

Authors (date) and countryMeasuresFollow-up assessmentsAnxiety resultsDepression resultsQoL results
Aikens et al (1999) USA24BDINone
  • NCCP mean on BDI=8.0 (SD=8.4)

  • Cognitive–affective subscale=3.9 (SD=3.4) Somatic subscale=4.1 (SD=5.6)

Demiryoguran et al (2006) Turkey25HADS-ANone
  • NCCP mean=7.9 (SD=3.7)

  • 31.2% scored ≥10

Eken et al (2010) Turkey26HADSNone
  • NCCP median=8, 38.1% scored ≥10

  • CCP median=8, 40% scored ≥10 (p=0.737)

  • NCCP median=7, 52.1% scored ≥7

  • CCP median=7, 52.3% scored ≥7 (p=0.965)

Eslick and Talley (2008) Australia27
  • HADS

  • SF-36

  • 2 years

  • 4 years

  • Baseline:

  • 21% in NCCP (95% CI 16% to 28%), 17% in CCP (95% CI 9% to 28%)

  • 2 years:

  • NCCP 12% (95% CI 6% to 21%)

  • CCP 13% (95% CI 4% to 27%)

  • 4 years:

  • NCCP 19% (95% CI 10% to 30%)

  • CCP 12% (95% CI 3% to 31%)

  • Baseline:

  • 9% in NCCP (95% CI 5% to 13%)

  • 7% in CCP (95% CI 2% to 16%)

  • 2 years:

  • NCCP 7% (95% CI 2% to 14%)

  • CCP 5% (95% CI 1% to 17%)

  • 4 years: NCCP 2% (95% CI 1% to 8%)

  • CCP 4% (95% CI 1% to 20%)

  • NCCP patients: significant improvement in QoL between baseline and 2 years in role physical (baseline mean=33.68, 2 year mean=52.47, p<0.001), pain (baseline mean=59.11, 2 year mean=69.25, p=0.008), vitality (baseline mean=45.37, 2 year mean =53.05, p=0.02), social functioning (baseline mean=61.24, 2 year mean=72.35, p=0.001) and role emotional (baseline mean =65.19, 2 year mean=77.38, p=0.03). No significant differences between 2 and 4 years

  • CCP patients: significant improvement in QoL between baseline and 2 years in role physical (baseline mean=25.67, 2 year mean=47.56, p=0.002), pain index (baseline mean=55.55, 2 year mean=73.76, p=0.003), social functioning (baseline mean=56.53, 2 year mean=73.87, p=0.002) and role emotional (baseline mean=62.96, 2 year mean=81.37, p=0.04). No significant differences between 2 and 4 years

Fagring et al (2008)20, Jerlock et al (2008)5 Sweden
  • Zung depression scale

  • Trait anxiety inventory

  • SF-36

None
  • NCCP patients, 39.39% scored ≥43 Controls, 24.13% scored ≥43

  • Significantly more anxiety in male (Adjusted OR 2.2, 95% CI 1.4 to 3.5) and female (Adjusted OR 1.8, 95% CI 1.1 to 2.8) NCCP patients

  • NCCP patients, 40.26% scored ≥39

  • Controls, 23.01% scored ≥39

  • Significantly more depression in male (Adjusted OR 2.3, 95% CI 1.4 to 3.6) and female (Adjusted OR 2.5, 95% CI 1.6 to 3.9) NCCP patients

NCCP patients significantly more likely to receive low scores on SF-36 than controls on all subscales—all p<0.0001, except general health in all participants (p<0.01), general health in men (p=0.006), physical functioning in men (p=0.0001), and role emotional in men (p=0.001)
Kuijpers et al (2003) The Netherlands22HADSNone53.9% scored ≥8 for either anxiety or depression on HADS53.9% scored ≥8 for either anxiety or depression on HADS
Mayou and Thompson (2002) UK28
  • HADS

  • SF-36

  • 3 months

  • 1 year

  • NCCP mean=7.82 (SD=4.6)

  • CCP mean=7.95 (SD=5.1)

  • (p=0.857)

  • Figures not reported for follow-up assessments; however, ‘no differences’ were reported

  • NCCP mean=4.28 (SD=3.9)

  • CCP mean=5.36 (SD=3.9)

  • (p=0.045)

  • Figures not reported for follow-up assessments; however, ‘no differences’ were reported

On admission, NCCP patients had better QoL than CCP patients in physical function (p<0.001), physical role limitation (p=0.002), social functioning (p=0.021), and pain (p=0.003). CCP patients had worse QoL on specific questions on everyday activities at 3 and 12 months (no figures given)
Shahid et al (2004) Pakistan29Aga Kahn University anxiety and depression scaleNone58% scored above cut-off of 1958% scored above the cut-off of 19
Soares-Filho et al (2009) Brazil30HADSNone
  • NCCP mean=8.20 (SD=4.5)

  • PDC mean=6.29 (SD=3.96)

  • (p<0.011)

  • NCCP 53.5% scored ≥8

  • PDC 33.9% scored ≥8

  • (p=0.025)

  • NCCP mean=4.70 (SD=3.82)

  • PDC mean=4.86 (SD=4.07)

  • (p=0.819)

  • NCCP 25.4% scored ≥8

  • PDC 30.5% scored ≥8

  • (p=0.513)

Srinivasan and Joseph (2004) India23HADSNone
  • NCCP mean=6.13

  • CCP mean=4.16

  • NCCP mean=4.10

  • CCP mean=2.93

  • BDI, Beck depression inventory; CCP, cardiac chest pain; HADS, hospital anxiety and depression scale; NCCP, non-cardiac chest pain; PDC, Pain of Determined Cause; QoL, quality of life; SF-36, short form 36.