To compare the impact of network support and different types of perceived functional support on all-cause mortality or nonfatal reinfarction for patients with a recent acute myocardial infarction (AMI).
Participants were recruited from the Enhancing Recovery in Coronary Heart Disease (ENRICHD) trial; 2,481 AMI patients with depression or low social support were randomized to a cognitive-behavioral intervention or to a usual care control group. Data collection for certain measures of social support was limited: 2,466 participants completed the ENRICHD Social Support Inventory; 2,457 completed the Perceived Social Support Scale; 1,296 completed the Social Network Questionnaire; and 707 completed the Interpersonal Support and Evaluation List, Tangible Support subscale. Patients also completed the Beck Depression Inventory and were followed for up to 4.5 years.
Time to death or nonfatal reinfarction.
Over the follow-up period, 599 patients (24%) died or had a nonfatal AMI. Survival models controlling age, sex, race, socioeconomic status, smoking, antidepressant use, and a composite measure of increased risk revealed that higher levels of perceived social support were associated with improved outcome for patients without elevated depression but not for patients with high levels of depression. Neither perceived tangible support nor network support were associated with more frequent adverse events.
AMI patients should be assessed for multiple dimensions of perceived functional support and depression to identify those at increased psychosocial risk who may benefit from treatment.
"However, all analyzed studies have some limitations. The majority of them did not measure the quality of marital or social relationships, but assesses only the presence of marital status or social relationship (Lett et al., 2007; Empana et al., 2008; Chung et al., 2009); some of them present methodological limitations, such as the lack of adequate control groups (Lett et al., 2007), a high gender imbalance (Shen et al., 2004) and the use of a single-item scale (Thurston and Kubzansky, 2009). "
[Show abstract][Hide abstract] ABSTRACT: Background: Coronary heart disease is the major cause of morbidity and mortality in the world. Psychosocial factors such as depression and low social support are established risk factors for poor prognosis in patients with heart disease. However, little is known about the hypothetical relationship pattern between them.
Purpose: The purposes of this narrative review are (1) to appraise the 2002–2012 empirical evidence about the multivariate relationship between depression, social support and health outcomes in patients with heart disease; (2) to evaluate the methodological quality of included studies.
Method: PubMed and PsychINFO were searched for quantitative studies assessing the multiple effects of low social support and depression on prognosis outcomes in patients with heart disease. The following search terms were used: social relation*, cardiac disease, support quality, relationship, and relational support.
Results: Five studies (three prospective cohort studies, one case-control study, and one randomization controlled trial) were selected and coded according to the types of support (social and marital). The majority of findings suggests that low social support/being unmarried and depression are independent risk factors for poor cardiac prognosis. However, all analyzed studies have some limitations. The majority of them did not focus on the quality of marital or social relationships, but assessed only the presence of marital status or social relationship. Moreover, some of them present methodological limitations.
Conclusion: Depressive symptoms and the absence of social or marital support are significant risk factors for poor prognosis in cardiac patients and some evidence supports their independence in predicting adverse outcomes. Cardiac rehabilitation and prevention programs should thus include not only the assessment and treatment of depression but also a specific component on the family and social contexts of patients.
Frontiers in Psychology 07/2013; 4:384. DOI:10.3389/fpsyg.2013.00384 · 2.80 Impact Factor
"A large body of research recognises the health benefits of social support, and has indicated that social isolation increases susceptibility to ill health from a number of causes (Berkman, 1995; Itkowitz, Kerns, & Otis, 2002; Pearlin, et al., 1981). In particular, social support has been associated with better outcomes in patients with cardiovascular illness (Lett, et al., 2007). However a degree of vagueness in the definition and measurement of social support has led to conflicting results, with some studies showing that dimensions of social support may in fact increase the risk of negative outcomes (Itkowitz, et al., 2002; Schieman & Meersman, 2004). "
"A estratégia de enfrentamento da busca do suporte social pode ser entendida como uma teia de relações que a pessoa estabelece com grupos de pertença, servindo como âncoras afetivas e cognitivas nos momentos de crise (Chor, Griep, Lopes & Faerstein, 2001). Os benefícios constatados em estudos científicos demonstram que pessoas que mantêm uma rede de suporte social benéfica apresentam uma maior capacidade de lidar com estresse, além de terem um melhor estado de saúde em comparação à população em geral e manejarem de forma mais eficaz estressores ligados à saúde e aos conflitos sociais (Chor et al., 2001; Lett et al., 2007; Pietrukowics, 2001). Para Lazarus (1999), o impacto que um evento tem diante da capacidade de reação do indivíduo é determinado pela interpretação que o sujeito faz da situação. "
[Show abstract][Hide abstract] ABSTRACT: Enfrentamento, locus de controle e preconceito: um estudo com pessoas de orientação sexual homoafetiva (Coping, locus of control and prejudice: a study with homoafetive orientation people) (Afrontamiento, locus de controly prejuicio: un estudio de las personas con orientación sexual homoafetiva) Resumo Esta pesquisa objetivou identificar os tipos de enfrentamento da discriminação mais usados por pessoas de orientação sexual homoafetiva, além de verificar a adesão ao tipo de locus de controle usado para explicar os acontecimentos de suas vidas e analisar as relações entre modos de enfrentamento e locus de controle. Participaram 31 pessoas de orientação sexual homoafetiva residentes em Aracaju-SE. Realizou-se a coleta por meio da escala de modos de enfrentamento de problemas (EMEP) e uma escala de locus de controle. As principais estratégias de enfrentamento usadas foram o foco no problema e o suporte social, sendo que o locus de controle interno predominou como explicação da causalidade. O locus interno apresentou correlação positiva com o foco no problema (p<.01) e o suporte social (p<.05), enquanto que o locus externo correlacionou-se positivamente com o foco na emoção (p<.01) e busca pela religiosidade (p<.05). Palavras-chave: estratégias de enfrentamento; preconceito sexual; locus de controle; atribuição de causalidade. Abstract The aim of this research was to identify the types of discrimination coping more usual to homoafective orientation people, and to examine the adhesion of the type of locus of control utilized for explain the lives happened, and to analyze the relations between types of coping and locus of control. 31 homoafective orientation people of Aracaju (SE) take part
In Cheol Park, Myung Ho Jeong, In Soo Kim, Jung Ae Rhee, Jin Su Choi, In Hyae Park, Leem Soon Chai, Yun Ah Jeong, Dae Yong Hyun, Hae Chang Jeong, Ki Hong Lee, Keun-Ho Park, Doo Sun Sim, Kye Hun Kim, Young Joon Hong, Hyung Uk Park, Ju Han Kim, Young Keun Ahn, Jeong Gwan Cho, Jong Chun Park
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