Exploring the role of emotional control in symptom burden and quality of life in atrial fibrillation
M Wleklik, P Majchrowska, I Uchmanowicz, M Lisiak, K LomperAbstract
Introduction
The relationship between psychological factors and cardiovascular health has gained increasing attention, particularly in atrial fibrillation (AF). AF, a common cardiac arrhythmia, significantly affects patients’ quality of life and is associated with a wide spectrum of symptoms. Understanding the association between emotional control and AF symptom burden may contribute to a more comprehensive approach to patient management.
Purpose
To assess the relationship between emotional control, symptom severity, and quality of life in patients with atrial fibrillation.
Methods
The study included 100 patients with AF (70 men, 30 women; mean age 67.1 ± 5.0 years). Paroxysmal AF was present in 57% of patients, persistent AF in 39%, and permanent AF in 4%. Sociodemographic and clinical data were collected using a self-administered questionnaire. Quality of life and symptom severity were assessed using the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia (ASTA). Emotional control was evaluated with the Courtauld Emotional Control Scale (CECS), measuring suppression of anger, anxiety, and depression. Correlation analyses were performed, with p<0.05 considered statistically significant.
Results
According to the EHRA classification, 4% of patients were asymptomatic, 13% had mild symptoms, 36% moderate, 42% severe, and 5% very severe symptoms. Physical activity (64.3%) and stress (50%) were reported as common triggers of arrhythmic episodes.The mean ASTA total score was 39.34 ± 15.19, with physical health 35.72 ± 19.09 and mental health 43.50 ± 17.26. The mean overall emotional control score was 58.90 ± 10.79. Significant positive correlations were observed between emotional control subscales and symptom severity as well as physical quality of life. Higher suppression of anger, depression, and anxiety was associated with greater symptom burden and poorer physical quality of life (all p<0.001).
Conclusions
Emotional control is significantly associated with symptom burden and physical quality of life in patients with atrial fibrillation. These findings highlight the potential relevance of psychological factors in the clinical expression of AF and support the consideration of multidisciplinary approaches addressing emotional regulation in patient care.