Coping predicts depression and disability in heart transplant candidates
Department of Allied Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7205, USA. Journal of Psychosomatic Research
(Impact Factor: 2.74).
11/2005; 59(4):215-22. DOI: 10.1016/j.jpsychores.2005.06.055
The aim of this study was to describe the coping strategies used by cardiac patients who are pursuing heart transplant and to determine which coping strategies are related to depression and self-reported disability.
This is a cross-sectional design with 50 cardiac patients (74% male) who were inpatients being evaluated for heart transplant at a large medical center. Coping styles were measured using the COPE Inventory (Carver CS, Scheier MF, Weintraub, JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 1989;56:267-83). Depression was assessed with the Structured Interview Guide for the Hamilton Depression Rating Scale (HAM-SIGH-D; Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56-62), and disability was assessed using the Sickness Impact Profile (SIP; Bergner M, Bobbitt R, Carter W, Gilson B. The Sickness Impact Profile: development and final revision of a health status measure. Med Care 1981;19:787-805).
Patients reported using a variety of adaptive coping strategies, but depression and disability were only significantly correlated with maladaptive coping strategies. Multiple regressions demonstrated that denial had the strongest association with depression, and focusing on and venting emotions had the strongest association with disability.
Maladaptive coping styles, such as denial and focusing and venting of emotions, can serve as markers of emotional distress and disability that may identify patients who may benefit from psychologic and psychiatric interventions.
Available from: Marina Kohlsdorf
- "These studies did not explore associations between coping strategies and patients' characteristics, which could also be relevant to subside psychosocial interventions that may promote a better preparation to transplant. It is relevant to stand that emotion focused coping strategies during preparation to transplant have been associated with depression symptoms, poor adherence to medical recommendations and self-care, poor quality of life, anxiety, and self-blaming (Burker et al., 2005; Jurado et al., 2011; López-Navas et al., 2010; Myaskovsky et al., 2005; Taylor et al., 2008; Telles-Correia et al., 2008). "
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This paper aimed to analyze the coping strategies adopted by patients in preparation to kidney transplant, as well as associations between coping and socio-demographic data.
A total of 76 patients took part in this descriptive, exploratory study. While waiting for the first medical consultation regarding kidney transplantation, participants answered the Brazilian version of the Ways of Coping Scale.
The main coping strategies adopted corresponded first to religiosity, then problem focused coping and seeking for social support. There were statistically significant associations between coping categories and gender, marital status, monthly income, children’s ages, and time in dialysis.
This study highlights the main coping strategies adopted by patients in preparation to kidney transplant, and it also reveals associations between some socio-demographic data and coping. These results may promote further psychosocial interventions, which may help to improve preparation to kidney transplants, promoting better adaptation and treatment adherence as well as fewer psychological burdens.
Available from: ncbi.nlm.nih.gov
- "Denial was correlated with depression and suicidal ideation but, contrary to our hypothesis, was not a predictor of depression or suicidal ideation. The use of denial as a coping strategy has been associated with depression (Burker et al., 2005; Kortte et al., 2003; Panayiotou & Papageorgious, 2007) and suicidal ideation (Apter et al., 1997). However, only Apter and colleagues focused on adolescents and it is possible that the use of denial as a coping strategy may have different outcomes for adolescents and adults. "
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ABSTRACT: The coping strategies used by adolescents to deal with stress may have implications for the development of depression and suicidal ideation. This study examined coping categories and specific coping behaviors used by adolescents to assess the relation of coping to depression and suicidal ideation. In hierarchical regression models, the specific coping behaviors of behavioral disengagement and self-blame were predictive of higher levels of depression; depression and using emotional support were predictive of suicidal ideation. Results suggest that specific behaviors within the broad coping categories of emotion-focused coping (e.g., self-blame) and avoidant coping (e.g., behavioral disengagement) account for these categories' associations with depression and suicidal ideation. Specific problem-focused coping strategies did not independently predict lower levels of depression or suicidal ideation. It may be beneficial for interventions to focus on eliminating maladaptive coping behaviors in addition to introducing or enhancing positive coping behaviors.
Available from: Amy Lee Ai
- "The purpose of this study is to better understand the influence of coping strategies in patients undergoing cardiac surgery. Our findings replicate and extend the limited research on this topic, which document the harmful effects of maladaptive coping (anger and avoidant strategies) and the favorable role of active coping (Anderson, 1987; Boudrez & Backer, 2001; Burker et al., 2005; Shen et al., 2006). The present study, however, expands the existing literature by linking these strategies with other research that suggests the protection of faith factors in this population (Ai et al., 1998; Contrada et al., 2004; Oxman et al., 1995). "
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ABSTRACT: Despite the growing evidence linking faith with health and well-being, national leaders noted the need to explore the mechanism underlying these linkages. The goal of this prospective study was to investigate the psychosocial mechanisms involved in the preoperative use of private prayer for coping and the effects of such act on short-term quality of life (SPQOL) in 294 patients following open-heart surgery. Using established instruments, three interviews were conducted with middle-aged and older patients (average age 62) at two weeks and two days preoperatively, then 36 days postoperatively. The endpoints were assessed with levels of distress (e.g., depression and anxiety) and fatigue symptoms. Structural equation modeling was used to test a theoretical model. The final model showed the indirect influence of using prayer for coping on SPQOL through the mediation of cognitive coping and perceived social support. However, this mediation was not observed for behavioral, anger, and avoidant coping. Psychosocial factors may explain the potential role of using prayer for coping on short-term postoperative quality of life.
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