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Lin TK, Hsu BC, Li YD, Chen CH, Lin JW, Chien CY, Weng CY. The impact of sources of perceived social support on readmissions in patients with heart failure. J Psychosom Res 2022; 154:110723. [PMID: 35078080 DOI: 10.1016/j.jpsychores.2022.110723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Revised: 01/09/2022] [Accepted: 01/09/2022] [Indexed: 10/19/2022]
Abstract
BACKGROUND Lower levels of perceived social support have been known as an independent predictor of hospital readmissions in patients with heart failure (HF). However, the impact of sources of perceived social support on readmissions remain unexplored. PURPOSE The main purpose of this study was to investigate and compare the relative importance of social support from significant other, family, and friends on all-cause readmission and cardiac readmission in patients with HF. METHODS The prospective cohort study was used to recruit a total of 299 patients with HF in Taiwan between May 2012 and December 2014. Demographic and clinical characteristics, Multidimensional Perceived Social Support Scale (MPSSS), and 18-month follow-up readmissions were recorded during the hospital stay. Univariate and multivariate logistic regressions were constructed to determine the impact of levels and sources of perceived social support with all-cause readmission and cardiac readmission. RESULTS A total of 158 patients (52.8%) and 118 patients (39.5%), respectively, had all-cause readmission and cardiac readmissions within 18 months. Multivariate logistic regression yielded inverse associations between levels of perceived social support and readmissions by 18-months. Importantly, social support from significant other was significantly associated with a lower risk of readmissions, both of all-cause readmission and cardiac readmission, in patients with HF, even after controlling for possible covariates, social support from family and friends. CONCLUSIONS Social support from significant other, rather than from family and friends, was relatively and inversely associated with 18-month all-cause readmission and cardiac readmission in patients with HF, which is consistent with the hierarchical compensatory model.
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Affiliation(s)
- Tin-Kwang Lin
- School of Medicine, Tzu Chi University, Hualien, Taiwan No.701, Sec.3, Jhongyang Rd., Hualien City, Hualien 97004, Taiwan; Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan No. 2, Min-Sheng Road, Dalin Town, Chiayi 622, Taiwan
| | - Bo-Cheng Hsu
- Department of Psychology, National Chung Cheng University, Chiayi, Taiwan No.168, Sec. 1, University Rd., Minhsiung, Chiayi 62102, Taiwan.
| | - Yi-Da Li
- School of Medicine, Tzu Chi University, Hualien, Taiwan No.701, Sec.3, Jhongyang Rd., Hualien City, Hualien 97004, Taiwan; Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan No. 2, Min-Sheng Road, Dalin Town, Chiayi 622, Taiwan
| | - Chi-Hsien Chen
- Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan No. 2, Min-Sheng Road, Dalin Town, Chiayi 622, Taiwan
| | - Jiunn-Wen Lin
- Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan No. 2, Min-Sheng Road, Dalin Town, Chiayi 622, Taiwan
| | - Chen-Yu Chien
- Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan No. 2, Min-Sheng Road, Dalin Town, Chiayi 622, Taiwan
| | - Chia-Ying Weng
- Department of Psychology, National Chung Cheng University, Chiayi, Taiwan No.168, Sec. 1, University Rd., Minhsiung, Chiayi 62102, Taiwan.
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Donald JN, Atkins PWB, Parker PD, Christie AM, Guo J. Cognitive Defusion Predicts More Approach and Less Avoidance Coping With Stress, Independent of Threat and Self-Efficacy Appraisals. J Pers 2016; 85:716-729. [DOI: 10.1111/jopy.12279] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- James N. Donald
- Institute for Positive Psychology and Education, Australian Catholic University
| | - Paul W. B. Atkins
- Institute for Positive Psychology and Education, Australian Catholic University
| | - Philip D. Parker
- Institute for Positive Psychology and Education, Australian Catholic University
| | | | - Jiesi Guo
- Institute for Positive Psychology and Education, Australian Catholic University
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Son H, Friedmann E, Thomas SA, Son YJ. Biopsychosocial predictors of coping strategies of patients postmyocardial infarction. Int J Nurs Pract 2016; 22:493-502. [PMID: 27492735 DOI: 10.1111/ijn.12465] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2015] [Revised: 04/21/2016] [Accepted: 06/12/2016] [Indexed: 11/29/2022]
Abstract
Data from the Patients and Families Psychological Response to the Home Automated External Defibrillator Trial were used to examine the relationship between biopsychosocial variables and patients' coping strategies postmyocardial infarction. This study is the secondary data analysis of longitudinal observational study. A total of 460 patient-spouse pairs were recruited in January 2003 to October 2005. Hierarchical linear regression analysis examined biological/demographic, psychological and social variables regarding patients' coping scores using the Family Crisis Oriented Personal Evaluation Scale. Lower social support and social support satisfaction predicted lower total coping scores. Being younger, male gender and time since the myocardial infarction predicted lower positive coping strategy use. Higher anxiety and lower social support were related to fewer positive coping methods. Lower educational levels were related to increased use of negative coping strategies. Reduced social support predicted lower total coping scores and positive coping strategy use and greater passive coping style use. Social support from a broad network assisted with better coping; those living alone may need additional support. Social support and coping strategies should be taken into consideration for patients who have experienced a cardiac event.
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Affiliation(s)
- Heesook Son
- Chung-Ang University, Red Cross College of Nursing, Seoul, Korea
| | - Erika Friedmann
- University of Maryland School of Nursing, Baltimore, Maryland, USA
| | - Sue A Thomas
- University of Maryland School of Nursing, Baltimore, Maryland, USA
| | - Youn-Jung Son
- Chung-Ang University, Red Cross College of Nursing, Seoul, Korea.
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Srisuk N, Cameron J, Ski CF, Thompson DR. Heart failure family-based education: a systematic review. PATIENT EDUCATION AND COUNSELING 2016; 99:326-338. [PMID: 26519992 DOI: 10.1016/j.pec.2015.10.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Revised: 10/06/2015] [Accepted: 10/11/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVE To systematically review evidence for the efficacy of family-based education for heart failure (HF) patients and carers. METHOD A systematic review was conducted. Databases CINAHL, MEDLINE Complete, Cochrane, PubMed, Web of Science, EMBASE, PsycINFO, and Scopus were searched between 1 January 2005 and 1 May 2015. Randomised controlled trials included HF patient and carer dyads or carers alone. The primary outcome was HF knowledge. Secondary outcomes included self-care behaviour, dietary and treatment adherence, quality of life, depression, perceived control, hospital readmissions, and carer burden. RESULT Six trials reported in nine papers were included. Wide variation in the quality of the studies was found. Two studies only examined HF knowledge; a significant improvement among patients and carers was reported. Other significant findings were enhanced patient self-care, boosted dietary and treatment adherence, enriched patient quality of life, improved perceived control among patients but not carers, and reduced carer burden CONCLUSION Modest evidence was found for family-based education among HF patients and carers. Methodological shortcomings of trials signify the need for empirically sound future research. PRACTICE IMPLICATION Family-based HF education needs to include strategies that are tailored to the HF patient and carer, and sustainable in nature.
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Affiliation(s)
- Nittaya Srisuk
- Centre for the Heart and Mind, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia; Faculty of Nursing, Surat Thani Rajabhat University, Surat Thani, Thailand
| | - Jan Cameron
- Centre for the Heart and Mind, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
| | - Chantal F Ski
- Centre for the Heart and Mind, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - David R Thompson
- Centre for the Heart and Mind, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
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A Narrative Literature Review of the Experiences of Patients Living With Heart Failure. Holist Nurs Pract 2016; 29:280-302. [PMID: 26263289 DOI: 10.1097/hnp.0000000000000104] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
This article reviews the literature on the experiences of patients with heart failure and their coping strategies and learning needs. Previous studies have consistently demonstrated that heart failure had negative impacts on the individuals who experienced it. Studies have also focused on the learning needs and the various coping strategies that patients with heart failure have adopted. However, there are limited studies that have investigated the experience of heart failure from the Asian patient's perspective. By incorporating the perspectives of patients with heart failure from the Asian context into clinical practices, research will promote patient-centered holistic care and improve patients' quality of life and satisfaction.
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Escartí A, Boronat N, Llopis R, Torres R, Vento M. Pilot study on stress and resilience in families with premature newborns. An Pediatr (Barc) 2016. [DOI: 10.1016/j.anpede.2015.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Escartí A, Boronat N, Llopis R, Torres R, Vento M. [Pilot study on stress and resilience in families with premature newborns]. An Pediatr (Barc) 2015; 84:3-9. [PMID: 25865220 DOI: 10.1016/j.anpedi.2015.03.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Revised: 02/17/2015] [Accepted: 03/03/2015] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Prematurity is associated with severe clinical conditions, long hospital stays, and uncertainty about patient outcomes. These circumstances lead to a stressful situation that may affect family functioning. The aim of this study was to study risk and protection factors affecting family functioning in preterm as compared to healthy term infants. POPULATION AND METHODS Preterm infants with and without pathological conditions (n=40) were recruited at 24 months post-conception age, together with a control group of healthy term newborn infants (n=31). Parents or usual caregivers responded to the Inventory of Family Protection Factors and Parental Stress scales. The results were compared using the Student t test, unidirectional analysis of variance and the Tukey test. RESULTS Parents of the control group attained higher scores than those of the preterm group for all the items studied; however, parents of preterm infants with pathological conditions perceived significantly less family resilience and more stress related to the upbringing of their child. CONCLUSIONS Prematurity itself is a risk factor for family dysfunction because it causes an elevated degree of parental stress and difficulties in the development of protection factors such as resilience.
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Affiliation(s)
- A Escartí
- Departamento de Psicología Social, Facultat de Psicología, Universitat de Valencia, Valencia, España
| | - N Boronat
- Servicio de Neonatología, Hospital Universitario y Politécnico La Fe, Valencia, España
| | - R Llopis
- Departamento de Sociología y Antropología Social, Facultat de Ciencias Sociales, Universitat de Valencia, Valencia, España
| | - R Torres
- Departamento de Psicología Social, Facultat de Psicología, Universitat de Valencia, Valencia, España
| | - M Vento
- Servicio de Neonatología, Hospital Universitario y Politécnico La Fe, Valencia, España; Red de Salud Materno Infantil y del Desarrollo SAMID (RD12/0026/0012), Instituto de Investigación Sanitaria La Fe , Valencia, España.
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Sacco SJ, Park CL, Suresh DP, Bliss D. Living with heart failure: psychosocial resources, meaning, gratitude and well-being. Heart Lung 2014; 43:213-8. [PMID: 24661743 DOI: 10.1016/j.hrtlng.2014.01.012] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2012] [Revised: 01/24/2014] [Accepted: 01/27/2014] [Indexed: 01/20/2023]
Abstract
OBJECTIVES The present study explored the experiences of people living with advanced heart failure (HF) to determine the extent to which (1) psychosocial resources relevant to HF patients were qualitatively reported, and (2) to determine the extent to which psychosocial resources were correlates of subsequent well-being as assessed by validated quantitative measures. BACKGROUND HF is a serious life-limiting illness that involves impaired heart functionality. Patients commonly face severe physical fatigue and frequently endure disabling depression. Individuals with HF often report the use of social support and religion/spirituality (R/S) as helpful, but little work has systematically linked their reliance on these resources and well-being. METHODS 111 participants completed four open-ended questions to assess aspects of living with HF. Open-ended questions were coded to identify psychosocial resources: positive meaning, gratitude, R/S, social support, and medical resources. Data were collected once and then again 3 months later. Participants also completed measures of well-being, including religious meaning, life meaning, satisfaction with life, depressive symptoms, death anxiety, and health-related quality of life. Bivariate correlations were used to relate psychosocial resources and well-being. RESULTS Patients reported many psychosocial resources, particularly positive meaning, R/S, social support, and medical resources. Positive meaning and R/S were inversely linked with depressive symptoms. R/S was also related to less death anxiety, while social support was related to higher anxiety about death three months later. CONCLUSIONS Findings advance our understanding of the struggles HF patients experience and the roles of psychosocial resources such as meaning and gratitude in alleviating these struggles. Results may help explain how resources like R/S and social support may influence well-being.
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Affiliation(s)
- Shane J Sacco
- Department of Psychology, University of Connecticut, Storrs, CT 06269, USA
| | - Crystal L Park
- Department of Psychology, University of Connecticut, Storrs, CT 06269, USA.
| | - D P Suresh
- St. Elizabeth's Healthcare, Covington, KY, USA
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Social support and self-care behaviors in individuals with heart failure: an integrative review. Int J Nurs Stud 2013; 51:320-33. [PMID: 23850389 DOI: 10.1016/j.ijnurstu.2013.06.013] [Citation(s) in RCA: 111] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2013] [Revised: 06/14/2013] [Accepted: 06/15/2013] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The purpose of this review is to examine and synthesize recent literature regarding the relationship between social support and self-care behaviors in individuals with heart failure (HF). BACKGROUND Self-care is an important factor in maintaining health and well-being for individuals with heart failure. Self-care behaviors are an integral component of self-care, and may be impacted by the disease process of heart failure. However, social support may positively influence an individual's self-care behaviors by assisting with activities associated with symptom management and evaluation, as well as activities associated with maintaining heart failure-related treatment regimens. This review will synthesize the current knowledge related to the influence of social support on heart failure self-care behaviors. DESIGN AND DATA SOURCES Using an integrative review method, a review of current empirical literature was conducted utilizing CINAHL, PsycARTICLES, and PubMed computerized databases for a period of January 2000 to December 2012. Thirteen studies were identified that met the inclusion criteria for review and investigated aspects of social support and heart failure self-care behaviors. RESULTS Social support appears to have a positive relationship on heart failure self-care behaviors, with an individual's family playing an important role in assisting individuals to maintain positive self-care behaviors. Social support appears to influence both heart failure self-care maintenance and management related behaviors by assisting with maintaining treatment regimens and by participating in the decision-making process related to the management of symptoms, as well as seeking treatment for symptoms of heart failure. CONCLUSIONS All four types of social support (i.e., emotional support, instrumental/tangible support, informational support, and appraisal support) are involved in the interactive process between an individual's social network (i.e., family and peers) and the individual with heart failure to maintain self-care behaviors that enhance health and well-being. However, more research is needed, specifically longitudinal and experimental designs, to determine the effectiveness of social support on self-care behaviors in individuals with heart failure, since this review revealed mostly cross-sectional, correlational studies which limits the ability to infer causality.
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10
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Graven LJ, Grant JS. Coping and health-related quality of life in individuals with heart failure: An integrative review. Heart Lung 2013; 42:183-94. [DOI: 10.1016/j.hrtlng.2012.12.002] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2012] [Revised: 11/21/2012] [Accepted: 12/04/2012] [Indexed: 10/27/2022]
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Pérez-García AM, Oliván S, Bover R. Subjective Well-being in Heart Failure Patients: Influence of Coping and Depressive Symptoms. Int J Behav Med 2013; 21:258-65. [DOI: 10.1007/s12529-013-9311-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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12
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Illness Perceptions, Coping Strategies, and Symptoms Contribute to Psychological Distress in Patients With Recurrent Symptomatic Atrial Fibrillation. J Cardiovasc Nurs 2012; 27:431-44. [DOI: 10.1097/jcn.0b013e31821e7ab1] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
This descriptive exploratory study explored illness appraisal and spiritual coping of three groups of individuals with life-threatening illness. These were hospice clients with cancer (Ca; n = 10), clients with first myocardial infarction (MI; n = 6), and parents of children with cystic fibrosis (CF; n = 16). Qualitative data were collected by audiotaped face-to-face interviews (parents) and focus groups (MI and Ca). Similarities in illness appraisal and spiritual coping were found across the three groups except appreciation of crafts, which was found only in clients with Ca and causal meaning of parents (CF). Overall, illness was appraised negatively and positively, whereas spiritual coping incorporated existential and religious coping. These findings confirm the psychological theory (Lazarus & Folkman, 1984) and theological theory (Otto, 1950), which guided this study. Recommendations were proposed to integrate spirituality and religiosity in the curricula, clinical practice and to conduct cross-cultural comparative longitudinal research.
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Kinser PA, Goehler LE, Taylor AG. How might yoga help depression? A neurobiological perspective. Explore (NY) 2012; 8:118-26. [PMID: 22385566 PMCID: PMC3293477 DOI: 10.1016/j.explore.2011.12.005] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2011] [Indexed: 11/28/2022]
Abstract
Depression is a prevalent mental health condition worldwide and is the leading cause of disability in adults under the age of 45. Most individuals with major depressive disorder (MDD) report only a 50% decrease in symptoms with the use of the standard allopathic treatments for depression. The mechanisms underlying depression remain poorly understood even though stress and its correlates contribute to multiple aspects of the phenomenology of depression. Thus, stress and depression are clearly linked, as stress may precipitate or exacerbate depressive symptoms and depression may be a cause and/or outcome of acute or chronic stress. Therefore, use of additional therapeutic approaches to address stress and depression, such as complementary therapies including yoga, may contribute importantly to symptom reduction. Based on an emerging picture of how stress and mood are regulated within the nervous system, and considering the Executive Homeostatic Network concept that we have recently advanced, we provide an integrative overview of biological mechanisms and substrates that may mediate depression, which should be targets for research to evaluate how the practice of yoga can mitigate depressive symptomatology.
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Affiliation(s)
- Patricia Anne Kinser
- Center for the Study of Complementary and Alternative Therapies, School of Nursing, University of Virginia, Charlottesville, VA 22908, USA.
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Park CL, Sacco SJ, Edmondson D. Expanding coping goodness-of-fit: religious coping, health locus of control, and depressed affect in heart failure patients. ANXIETY STRESS AND COPING 2011; 25:137-53. [PMID: 22272787 DOI: 10.1080/10615806.2011.586030] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The goodness-of-fit coping hypothesis posits that problem-focused (PF) coping is particularly helpful under high controllability conditions, while emotion-focused (EF) coping is more helpful in low controllability situations. However, little research has examined whether the goodness-of-fit hypothesis applies to religious coping, a distinct set of coping resources and efforts. Further, little goodness-of-fit research has been conducted in the context of life-threatening illness. We tested coping goodness-of-fit for PF and EF as well as religious coping resources and strategies in 202 congestive heart failure (CHF) patients. Multiple regression analyses examined the extent to which each type of coping, health locus of control (HLOC) regarding their CHF, and their interactions related to subsequent depressed affect. Neither religious coping efforts nor religious resources were related to depressed affect. However, when examined in conjunction with internal HLOC, active coping and organized religious commitment were related to less depression for those higher in internal HLOC, while daily spiritual experience was related to less depression for those lower in HLOC. These results partially support the goodness-of-fit hypothesis and indicate a need to consider the perceived controllability of situations when examining the associations of religious coping resources and activities on depressive symptoms in the context of illness.
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Affiliation(s)
- Crystal L Park
- Department of Psychology, University of Connecticut, Box 1020, Storrs, CT 06269, USA.
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Baldacchino D. Myocardial infarction: a turning point in meaning in life over time. ACTA ACUST UNITED AC 2011; 20:107-14. [PMID: 21278658 DOI: 10.12968/bjon.2011.20.2.107] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Finding meaning in illness appears to give individuals purpose in life, which may motivate them to maintain a healthy lifestyle. Research to date has mainly used cross-sectional designs in the acute phase of recovery. This article describes a longitudinal exploratory study which explored patients' search for meaning in life across the first 5 years following myocardial infarction (MI). Interviews were conducted between 2000 and 2007 on patients with first MI (n=70; mean=61.9 years; SD=12.1). The qualitative data underwent thematic analysis guided by the analysis framework of Burnard (1991). Finding meaning appeared to increase patients' awareness of their current holistic state of life, and to provide impetus for making lifestyle changes. In the immediate aftermath of MI, patients restructured and re-evaluated their attitudes towards self, life, religious beliefs and others. However, from the third year onwards, as time passed patients lapsed in their behaviour, tending to become non-compliant with treatment and less aware or concerned about the risk of another heart attack. Further education on the spiritual dimension in care may guide nurses and health professionals in order to promote patients' rehabilitation process and persevere with a long-term healthy lifestyle. Further longitudinal comparative research with mixed method approach on various groups of patients is recommended to support these findings.
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Illness knowledge moderates the influence of coping style on quality of life among women with congestive heart failure. Heart Lung 2011; 40:122-9. [DOI: 10.1016/j.hrtlng.2009.12.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2009] [Revised: 12/13/2009] [Accepted: 12/22/2009] [Indexed: 11/23/2022]
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LeMaire AW, Shahane A, Dao TK, Kibler JL, Cully JA. Illness Intrusiveness Mediates the Relationship Between Heart Failure Severity and Depression in Older Adults. J Appl Gerontol 2011. [DOI: 10.1177/0733464810396507] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Depression frequently co-occurs in heart failure (HF) patients, causing significant interference and negative health outcomes. This case-controlled study explored the construct of illness intrusiveness and examined its relationship to HF severity and depression. Older veterans ( n = 104) with an HF diagnosis completed a one-time assessment that included demographics, depressive symptoms (Geriatric Depression Scale), the Illness Intrusiveness Rating Scale (IIRS), and HF quality of life and functional abilities (Kansas City Cardiomyopathy Questionnaire [KCCQ]). Analyses included exploratory correlations between IIRS and KCCQ items, a confirmatory factor analysis (IIRS), and formal mediational analyses. Results indicated that the IIRS had adequate internal consistency and concurrent validity, with support for its established three-factor model. Regression analyses indicated that illness intrusiveness mediated HF illness severity and depression. In conclusion, illness intrusiveness may be a better indicator of depression than illness severity (HF symptoms); thus research methods and interventions targeted at reducing illness intrusiveness merit further investigation.
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Affiliation(s)
| | - Amit Shahane
- Emory University School of Medicine, Atlanta, GA
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Sirri L, Magelli1 C, Grandi S. Predictors of perceived social support in long-term survivors of cardiac transplant: The role of psychological distress, quality of life, demographic characteristics and clinical course. Psychol Health 2010; 26:77-94. [DOI: 10.1080/08870440903377339] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Laura Sirri
- a Department of Psychology , University of Bologna , Bologna, Italy
| | - Carlo Magelli1
- b Cardiovascular Department , University of Bologna , Bologna, Italy
| | - Silvana Grandi
- a Department of Psychology , University of Bologna , Bologna, Italy
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Taubman–Ben-Ari O, Findler L, Kuint J. Personal Growth in the Wake of Stress: The Case of Mothers of Preterm Twins. THE JOURNAL OF PSYCHOLOGY 2010; 144:185-204. [DOI: 10.1080/00223980903472268] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Yeh PM, Bull M. Influences of Spiritual Well-Being and Coping on Mental Health of Family Caregivers for Elders. Res Gerontol Nurs 2009; 2:173-81. [DOI: 10.3928/19404921-20090421-08] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2008] [Accepted: 02/06/2009] [Indexed: 11/20/2022]
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Abstract
PURPOSE The purpose of this article is to critically evaluate the evidence related to depression and coping in heart failure patients and determine if certain types of coping are more common in heart failure patients with depression. METHODS A computer search of the literature from January 1996 through October 2008 was conducted. PubMed was searched using the following key search terms: congestive heart failure, heart failure, coping, and depression. Three independent reviewers met to discuss the studies, interpret findings, compare studies, and discuss recommendations. RESULTS Coping strategies were found to be associated with depression in patients with heart failure. Adaptive coping such as active coping, acceptance, and planning tended to be used by more patients and were associated with less depression. Those who used more maladaptive methods of coping such as denial and disengagement had higher levels of depression. CONCLUSIONS Further longitudinal research on depression and coping strategies and best treatment options for coping and depression in patients with heart failure are needed.
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Park CL, Moehl B, Fenster JR, Suresh DP, Bliss D. Religiousness and Treatment Adherence in Congestive Heart Failure Patients. JOURNAL OF RELIGION SPIRITUALITY & AGING 2008. [DOI: 10.1080/15528030802232270] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Abstract
Although coping has been shown to influence physical health in younger populations, whether coping affects health in older adults appears to depend upon how coping and health are conceptualized. This article reviews recent literature on coping and health in older adults in three areas. First, we discuss coping's distinct relevance to health in older adults. Second, we describe ways in which coping may differ between older and younger populations. Third, we detail recent and notable findings of coping's specific effects on biomedical health and health in general. The recent literature suggests that coping may be a developmental and multifaceted process. Positive coping strategies may have positive and even protective effects on health, whereas negative strategies may have negative effects.
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Affiliation(s)
- Loriena A Yancura
- Department of Family and Consumer Sciences, University of Hawaii at Manoa, 2515 Campus Road, Miller Hall #201C, Honolulu, HI 96822, USA.
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Coping, meaning in life, and quality of life in congestive heart failure patients. Qual Life Res 2007; 17:21-6. [DOI: 10.1007/s11136-007-9279-0] [Citation(s) in RCA: 87] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2007] [Accepted: 11/01/2007] [Indexed: 11/24/2022]
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