Association of social support and coping strategies with acute coronary syndrome: A case–control study

Roohafza, Hamidreza; Talaei, Mohammad; Pourmoghaddas, Zahra; Rajabi, Fereshteh; Sadeghi, Masoumeh

doi:10.1016/j.jjcc.2011.12.001

Cited by 21 publications

(19 citation statements)

References 35 publications

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“…These findings should be interpreted cautiously due to the small sample size, but they are consistent with previous work showing that coping strategies and disease-related beliefs play an important role in health behaviours and disease adjustment [23,24]. By showing that patients' coping strategies after a cardiac event are more strictly associated with future disease severity than expressed symptomatology, they support the 9 emphasis of the constructive perspective on the different modalities that individuals use to make sense of the events that happen to them and to deal with these events [5].. Also, the finding that emotion-focused coping was a better predictor of cardiac functioning than the other forms of coping is in line with the constructivist view that emotions play a crucial role in the way we attribute meaning to life experience [5].…”

Section: Discussionsupporting

confidence: 91%

Emotional coping is a better predictor of cardiac prognosis than depression and anxiety

Chiavarino

Rabellino

Ardito

et al. 2012

Journal of Psychosomatic Research

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Objective: We compared, in a prospective study on patients with acute coronary syndrome, the predictive effect of a depression or anxiety diagnosis and of emotion-focused, problem-focused and dysfunctional coping strategies, as detected early after an acute event, on patients' left ventricular ejection fraction (LVEF), a reliable prognostic index of disease severity, at a three-month follow up.Methods: Ninety consecutive patients following an acute coronary syndrome event (83.3% men; mean age 56.9 ± 8.9 years) were included in the study. Demographic and clinical characteristics, presence of depression and anxiety disorders (MINI), and active use of emotion-focused, problemfocused and dysfunctional coping strategies (Brief Cope) were assessed at the time of enrolment.LVEF at a three-month follow up was used as the outcome measure. Results: The medical predictors of LVEF accounted for 10.6% of the variance of LVEF at follow up. Emotion-focused coping strategies significantly contributed for an additional 6.1%, while the presence of a depression and/or anxiety disorder was not a significant predictor of LVEF at follow up, nor were dysfunctional and problem-focused coping strategies. Conclusion: Emotion-focused coping strategies at the time of the cardiac event were the only reliable psychological predictor of disease severity at a three-month follow up. These findings hint to the possibility that variables such as emotional coping may be a fruitful target for psychological treatments directed at cardiac patients in primary care settings.Keywords: acute coronary syndrome; cardiac rehabilitation; constructivism; depression; emotionfocused coping.Abbreviations: ACS, acute coronary syndrome; BMI, body mass index; CABG, coronary artery bypass graft; DSM, diagnostic and statistical manual of mental disorders; ICD, international classification of diseases; LVEF, left ventricular ejection fraction; MINI, mini-international neuropsychiatric interview; NSTEMI, non-ST-elevation myocardial infarction; PCI, percutaneous coronary intervention; STEMI, ST elevation myocardial infarction.

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Section: Discussionsupporting

confidence: 91%

Emotional coping is a better predictor of cardiac prognosis than depression and anxiety

Chiavarino

Rabellino

Ardito

et al. 2012

Journal of Psychosomatic Research

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“…), and lack of social support leads to decreased survival and poorer prognosis among people with CHD (Albus , Roohafza et al . ).…”

Section: Discussionmentioning

confidence: 97%

“…Informational and emotional supports were primarily perceived at a high level, while the weakest dimension of social support perceived was functional support. This outcome is distinct because, according to previous studies, there is considerable evidence that a low level of perceived social support is an independent risk factor for CHD (Barth et al 2010), and lack of social support leads to decreased survival and poorer prognosis among people with CHD (Albus 2010, Roohafza et al 2012). There were a few noteworthy findings regarding dimensions of social support and background variables.…”

Section: Discussionmentioning

confidence: 98%

“…It is well known that CHD is strongly related to lifestyle: smoking, unhealthy diet, physical inactivity, certain psychological factors like stress, anxiety, and depression, and low-socio-economic status (Perk et al 2015). There is convincing evidence that certain psychosocial factors, such as low social support, contribute to the risk of CHD in healthy individuals (Albus 2010) and reduce good prognoses among people diagnosed with CHD (Barth et al 2010, Roohafza et al 2012, Compare et al 2013). This has been considered a cardiac risk factor equivalent to traditional risk factors, such as smoking, elevated plasma cholesterol and high blood pressure (Mookadam & Arthur 2004, Goff et al 2013.…”

Section: Introductionmentioning

confidence: 99%

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Perceived social support following percutaneous coronary intervention is a crucial factor in patients with coronary heart disease

Kähkönen

Kankkunen

Miettinen

et al. 2016

Journal of Clinical Nursing

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“…Social support: Roohafza et al, found a significant negative association between social support and acute coronary syndrome [27]. Cheraghi et al found a significant relationship between perceived social support and quality of life [28].…”

Section: Introductionmentioning

confidence: 99%

Social Functioning and Mental Wellbeing in 13- to 15-year-old Adolescents in Iran and Finland: A Cross-cultural Comparison

Khademi¹,

Söderberg²,

Österman³

et al. 2017

J Child Adolesc Behav

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Objectives: To investigate social functioning and mental wellbeing in 13-15 year-old adolescents in Iran and Finland, in order to explore potential cultural and gender-based differences during early adolescence. Methods:One thousand and one (1001) adolescents from Iran and 2205 adolescents from Finland (age range 13-15 years) filled in a questionnaire consisting of the following scales: the Mini Direct and Indirect Aggression Scale (Mini-DIA), the Self-Efficacy Questionnaire for Children (SEQ-C), the School Burnout Inventory (SBI), and the Multidimensional Scale for Perceived Social Support Assessment (MSPSSA).Results: Iranian boys scored highest on Aggression, Victimization, and School Burnout, and lowest on Social Support, Academic Self-Efficacy, and Interpersonal Self-Efficacy. The Finnish boys scored highest on Interpersonal Self-Efficacy and Emotional Self-Efficacy, and lowest on School Burnout and Victimization. Finnish girls had the highest scores on Social Support and Academic Self-Efficacy, but the lowest on Aggression and Emotional SelfEfficacy. The Iranian girls did not have any highest or lowest scores in this sample.Conclusion: Clear differences due to culture and gender were found. It appears that Iranian boys, despite their higher societal status than girls, experience their school environment as more stressful than Iranian girls do, and than Finnish boys do as well. The findings are discussed.

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Association of social support and coping strategies with acute coronary syndrome: A case–control study

Abstract: Improvement in social support and adaptive coping strategies should be considered in patients with chronic ischemic heart disease (IHD) to reduce the risk of ACS.

Cited by 21 publications

References 35 publications

Emotional coping is a better predictor of cardiac prognosis than depression and anxiety

Emotional coping is a better predictor of cardiac prognosis than depression and anxiety

Perceived social support following percutaneous coronary intervention is a crucial factor in patients with coronary heart disease

Social Functioning and Mental Wellbeing in 13- to 15-year-old Adolescents in Iran and Finland: A Cross-cultural Comparison

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