Impact des facteurs psychosociaux sur la fibrillation auriculaire : étude cas-témoin

Details

Supervisors

de Timary, Philippe

Faculty

Faculté de pharmacie et des sciences biomédicales

Degree label

Master [120] en sciences biomédicales, à finalité spécialisée: sciences biomédicales cliniques

Abstract

enBackground: Atrial fibrillation is the most common arrhythmia worldwide, with an estimated prevalence of between 2% and 4% in the adult population. Recent studies have demonstrated the impact of mental well-being and social support on health, particularly cardiovascular health, and have highlighted the role of psychosocial factors such as stress and emotional regulation. Objectives: This case-control study aimed to examine the association between perceived stress, emotional regulation, personality traits, social support, and atrial fibrillation. Methods: Cases were identified by a cardiologist at Saint-Luc Hospital. Data were collected using various questionnaires, including a sociodemographic questionnaire and psychosocial questionnaires (PSS-10, CERQ, OCEAN, QFSSS). Results: The case group consisted of 28 participants with a mean age of 67.14 ± 11.27 years, including 14 men and 14 women. The control group comprised 17 participants with a mean age of 61.71 ± 15.67 years, including 10 men and 7 women. Perceived stress was higher in the case group than in the control group (21.43 ± 8.53 vs. 9.35 ± 5.26, p < 0.001). Adaptive emotional regulation was lower in the case group than in the control group (3.38 ± 0.68 vs. 3.93 ± 0.53, p < 0.01). Neuroticism scores were higher in the case group than in the control group (3.59 ± 0.92 vs. 2.37 ± 0.76, p < 0.001). The frequency of social support and the level of satisfaction with social support were lower in the case group than in the control group, although these differences were not statistically significant. Conclusion: These exploratory findings highlight significant differences between the case and control groups. Participants with atrial fibrillation exhibited higher levels of perceived stress and lower levels of adaptive emotional regulation. Higher levels of neuroticism were also observed in the case group, together with lower satisfaction with social support. These findings support the value of a holistic approach to healthcare, which may contribute to improved therapeutic outcomes.