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CompletedNCT04123327Updated Feb 18, 2021

Symptom Preoccupation in Atrial Fibrillation (AF) and Its Role in AF-related Disability

An observational study in Atrial Fibrillation, sponsored by Karolinska Institutet. Completed at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-02-18.

Sponsored by Karolinska Institutet · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
400
Ages
18 Years and older
Sex
All
01

Study summary

A cross-sectional study (N=400) will investigate the prevalence of symptom preoccupation and its role in AF-related disability. Subjectively-rated assessments will be gathered from 400 AF patients.

Read the detailed description

In the present study we aim to investigate symptom preoccupation in patients with atrial fibrillation (AF) to further improve the understanding of the role of psychological factors in AF-related disability. A cross-sectional study (N=400) will investigate the prevalence of symptom preoccupation and its role in AF-related disability. Subjectively-rated assessments will be gathered from 400 AF patients.

02

Conditions studied

  • Atrial Fibrillation

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Keywords

  • Symptom preoccupation
  • Atrial fibrillation
  • Quality of Life
  • Cardiac anxiety
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's enrollment of 400 is above the median of 300 across 1,363 observational studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Karolinska Institutet is the lead sponsor of 1,113 studies on the registry; 267 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Probability sample

Study population

Patients above 18 years of age and diagnosed with AF (paroxysmal, persistant or chronic)

Inclusion criteria

  • 18 years of age
  • Diagnoses with AF
  • Able to read Swedish and access to computer

Exclusion criteria

Exclusion Criteria:

-

05

Study design

Observational model
Other
Time perspective
Other
Enrollment
400 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. [Time Frame: From baseline to 12 weeks] Atrial Fibrillation Effect on Quality-of-Life (AFEQT)

    AFEQT is an atrial fibrillation-specific measure that taps into the QoL-domains: symptoms, daily activities, treatment concern, and treatment satisfaction. The scale has 20 items, with the total score ranging from 0 (severe symptoms and disability) to 100 (no symptoms and disability), with responses provided on a seven-point rating scale from "no limitations/symptoms" to "severe limitations/symptoms".

    Time frame: Baseline

Secondary outcomes

  1. Cardiac Anxiety Questionnaire (CAQ)

    It an 18-item scale that measures cardiac anxiety by three subscales fear (e.g., "When my heart is beating fast I get frightened" avoidance (e.g., I avoid exercise or other physical work) and attention (e.g., I pay attention to my heart beat). The responses are given on a four-point Likert scale ranging from 0 (never) to 4 (always), a greater score indicates greater cardiac anxiety.

    Time frame: Baseline

  2. Patient Health Questionnaire (PHQ-9)

    Measures depressive symptoms on nine items scoring from 0 (not at all) to 3 (nearly every day) per item. Scores were categorized as follows: zero to minimal depressive symptoms (0-4), mild to moderate depressive symptoms (5-10), or severe depressive symptoms (10 or above).

    Time frame: Baseline

  3. The Generalized Anxiety Disorder (GAD-7)

    The Generalized Anxiety Disorder (GAD-7) scale measures the severity of worry and anxiety. In healthy controls, the mean score was 4.9 (SD=4.8); a score of 10 or greater on the scale corresponds to a cut-off point for identifying cases of GAD.

    Time frame: Baseline

  4. Anxiety Sensitivity Index (ASI)

    Measure of anxiety sensitivity

    Time frame: Baseline

  5. Bodily Sensation Questionnaire (BSQ)

    Fear of bodily sensations

    Time frame: Baseline

  6. The University of Toronto Atrial Fibrillation Severity Scale (AFSS)

    AFSS will assess AF symptoms and how affected the patient is by AF-specific symptoms such as dyspnea, palpitations etc. The AF symptom score ranges from 0-35 with a higher score indicating higher symptom severity.

    Time frame: Baseline

  7. The Symptoms Checklist, Frequency and Severity Scale (SCL)

    SCL is a disease specific checklist used to measure AF-related symptoms (e.g., palpitations, dizziness) on two subscales: symptom severity (mild to extreme; 16 items, scores ranging from 0 to 48) and symptom frequency (never to always; 16 items, scores ranging from 0 to 64) over the past four weeks. Higher scores correlate with more frequent and severe symptoms.

    Time frame: Baseline

  8. Perceived Stress Scale (PSS-4)

    To assess stress sensitivity and perception of stress. Each item is rated on a five-point scale and a higher score corresponds to more perceived stress.

    Time frame: Baseline

  9. World Health Organization Disability Assessment Schedule (WHODAS)

    WHODAS is a reliable and well validated measure of general health and disability. We use the version consisting of 12-items evaluating six domains: cognition, mobility, self-care, getting along, life activities and life participation. Each item is rated on a 5-point scale, with higher scores indicating increased disability.

    Time frame: Baseline

  10. AF behaviors

    Checklist of behaviors related to AF

    Time frame: Baseline

  11. Demographics

    Demographics

    Time frame: Baseline

  12. Medical history

    Comorbidities, medication, medical history

    Time frame: Baseline

07

Study locations

1 site
  • Department of Clinical Neuroscience, Karolinska Institutet
    Stockholm, Sweden
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04123327
Lead sponsor
Karolinska Institutet
Responsible party
Brjann Ljotsson (Associate Professor, Karolinska Institutet) — Principal investigator
First posted
Oct 10, 2019
Start date
Dec 24, 2019
Primary completion
Oct 10, 2020
Completion
Oct 10, 2020
Last update
Feb 18, 2021

Study contacts

Brjánn Ljótsson, PhD
principal investigator · Karolinska Institutet

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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