References of "Spaderna, Heike"
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See detailAngst vor körperlicher Bewegung bei Patienten mit Herzinsuffizienz und gesunden Senioren – Ein psychophysiologisches Experiment basierend auf dem Schreckreflex-Paradigma
Hoffmann, Jeremy; Finke, Johannes; Vögele, Claus UL et al

in Schorr, A. (Ed.) Abstractband 13. Kongress der Fachgruppe Gesundheitspsychologie der DGPs (2017)

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See detailPhysical activity and depression predict event-free survival in heart transplant candidates
Spaderna, Heike; Vögele, Claus UL; Barten, Markus J. et al

in Health Psychology (2014), 33(11), 1328-1336

Objective: This study prospectively evaluated the relationship of physical activity (PA), depression and anxiety to event-free survival during waiting-time for heart transplantation in ambulatory patients ... [more ▼]

Objective: This study prospectively evaluated the relationship of physical activity (PA), depression and anxiety to event-free survival during waiting-time for heart transplantation in ambulatory patients enrolled in the “Waiting for a New Heart Study”. Methods: Data from 227 ambulatory patients newly listed for heart transplantation was analyzed. Everyday PA (number of activities, caloric expenditure), depression, and anxiety at time of listing were assessed via questionnaires. Events were defined as death, high-urgency transplantation, delisting due to clinical deterioration, and mechanical circulatory support device implantation (MCSD). Associations of PA scores, depression and anxiety with event-free survival were analyzed using Cox proportional hazards models. Covariates included age, sex, BMI, and objective indicators of disease severity. Results: After a median follow-up of 478 days (6-1849 days), 132 events occurred (46 deaths, 20 MCSDs, 54 high-urgency transplantations, 12 delistings). A higher number of activities was significantly associated with a reduced hazard ratio (HR) to experience an event (HR=.88, 95% CI .81-.96), while depression increased this risk (HR=1.64, 95% CI 1.16-2.32). Both effects remained significant in multivariate analyses (HR=.91, 95% CI .83-.99; HR=1.60, 95% CI 1.12-2.29, p-values<.02). No significant interactions between PA scores and emotions were observed and anxiety was unrelated to survival. Conclusion: Both everyday physical activity and the absence of depression prolonged event-free survival in ambulatory heart transplant candidates. These findings were independent of objective measures of disease severity. Patients waiting for cardiac transplantation may benefit from interventions focused on increasing their everyday physical activity and reducing depressive symptoms. [less ▲]

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See detailCardiac threat appraisal and depression after first myocardial infarction
Vögele, Claus UL; Christ, Oliver; Spaderna, Heike

in Frontiers in Psychology [=FPSYG] (2012), 3:365

The present study investigated cardiac threat appraisal and its association with depression after first myocardial infarction (MI). A semi-structured interview allowing for DSM-IV-Axis I diagnoses was ... [more ▼]

The present study investigated cardiac threat appraisal and its association with depression after first myocardial infarction (MI). A semi-structured interview allowing for DSM-IV-Axis I diagnoses was administered to 36 patients after first MI. Patients completed self-reports 5 to 15 days after the MI (time 1), 6 to 8 weeks later (time 2) and again 6 months later (time 3). Assessments at time 1 included indices of cardiac threat appraisal, locus of control, coping, and depression while at time 2 and time 3 only measures of depression were obtained. Cardiac threat appraisal was significantly correlated with depression at time 1, but was unrelated to depression scores at time 2 and time 3. Furthermore, there was a significant inverse association between cardiac threat appraisal and the subscales “search for affiliation” and "threat minimization" of the coping questionnaire. Additionally, “search for affiliation” correlated negatively with depression scores at time 1 and time 3, and "threat minimization" negatively with depression scores at time 1 and time 2. These results suggest a significant association between cardiac threat appraisal and depressive symptoms shortly after MI. Practical implications for treatment are discussed. [less ▲]

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