Gender and quality of life and coping over one year after myocardial infarction: do men really have the upper hand?

Wlodarczyk, Dorota

doi:10.5603/kp.a2015.0212

Cited by 8 publications

(10 citation statements)

References 8 publications

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“…Unfortunately, the delayed positive effect of problem solving is counterbalanced by a negative effect of resignation at T3. We also observed that substance use at T2 was a delayed positive predictor of T3 discomfort in women; there were no gender or time differences in use of this strategy [28]. In women substance use at T2 was negatively related to T2 symptoms, after controlling for variance in symptoms at T1.…”

Section: Discussionmentioning

confidence: 47%

“…We observed that resignation predicted HRQoL at T1 and T2 in women and at T3 in men. However, in our sample there was no gender difference in the dynamics of use of this strategy, although women made more use of resignation than men at T2 [28]. This shows that even when there is no gender difference in use of a coping strategy, there may be a gender difference in how it is related to HRQoL.…”

Section: Discussionmentioning

confidence: 48%

“…Another important observation relates to delayed effects. In men, but not women, problem solving at T1 predicted T3 discomfort; there was no gender difference in the dynamics of this strategy, although there was a main quadratic effect of time for the whole sample, reflected in an increase in use of problem solving at T2 [28]. It appears that in men applying problem solving strategies during early cardiac rehabilitation has a delayed effect on HRQoL.…”

Section: Discussionmentioning

confidence: 78%

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How gender-specific are predictors of post-MI HRQoL? A longitudinal study

Wlodarczyk

Ziętalewicz

2020

Preprint

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Purpose Extant research shows that health-related quality of life (HRQoL) differs between female and male survivors of myocardial infraction (MI), but the reasons for this are not fully understood. We aimed to examine gender differences in predictors of HRQoL in survivors during the first year after MI.Methods At timepoints 1 and 2 the sample comprised 222 MI survivors (59 women and 163 men; M age 53.84 years, SD = 6.71; range 24-65) referred for in-patient cardiac rehabilitation. This number dropped to 140 participants (42 women and 98 men) at the third timepoint, approx. one year after MI. We examined gender differences in various predictors of physical and mental HRQoL: demographic factors (age; gender identity; marital status; education), disease-related factors (pre- and post-MI), personality and coping with stress.Results Stepwise regressions were performed to investigate how the relationships between the four groups of predictors and HRQoL varied with gender. Initially both physical and mental HRQoL were lower in women than men, but the differences disappeared at timepoint 3. We captured gender differences in factors shaping HRQoL at all timepoints. Substantially fewer factors predicted physical HRQoL in women than in men. The role of predictors also changed over time.Conclusions The psychosocial resources that influence HRQoL differ substantially between women and men; however trait anxiety predicted HRQoL in both genders. Further studies with a different or broader range of predictors are needed.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 78%

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How gender-specific are predictors of post-MI HRQoL? A longitudinal study

Wlodarczyk

Ziętalewicz

2020

Preprint

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“…The Polish adaptation of the Life Orientation Test-Revised (LOT-R) was used to measure optimism [26,27]. It consists of 10 items describing beliefs about the future.…”

Section: Procedures and Research Toolsmentioning

confidence: 99%

“…Coping strategies were measured using a modi ed version of the COPE questionnaire [27,28] consisting of 46 statements organised into seven subscales. Answers were given on a scale ranging from 1; 'I don't usually do this at all' to 4; 'I usually do this a lot'.…”

Section: Procedures and Research Toolsmentioning

confidence: 99%

How gender-specific are predictors of post-MI HRQoL? A longitudinal study

Wlodarczyk

Ziętalewicz

2020

Preprint

View full text Add to dashboard Cite

Purpose: Extant research shows that health-related quality of life (HRQoL) differs between female and male survivors of myocardial infarction (MI), but the reasons for this are not fully understood. We aimed to examine the predictors of HRQoL in female and male survivors during the first year after MI. Methods: At timepoints 1 and 2, the sample comprised 222 MI survivors (59 women and 163 men; mean age 53.84 years, range 24–65) referred for in-patient cardiac rehabilitation. This number dropped to 140 participants (42 women and 98 men) at the third timepoint, approximately one year after the MI. We examined the gender differences in various predictors of physical and mental HRQoL: demographic factors (e.g., age, education, marital status), disease-related factors (pre- and post-MI), personality and coping with stress. Results: Initially, both physical and mental HRQoL were lower in women than men, but the differences disappeared at timepoint 3. Stepwise regressions performed separately for men and women revealed that the factors shaping HRQoL were different in both genders; they also changed over time. Substantially fewer factors predicted physical HRQoL in women than in men. Trait anxiety seems to play a similarly negative role in both genders. Conclusions: The psychosocial resources that influence HRQoL were different for women and men. There were also differences concerning predictors of HRQoL dimensions. Further studies with a different or broader range of predictors are needed, especially among women.

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Sex differences in quality of life of patients following percutaneous coronary intervention in Vietnam

Norman

Pham

et al. 2022

Qual Life Res

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Purpose Data regarding the health-related quality of life (HRQoL) in men and women after percutaneous coronary intervention (PCI) in low-and-middle incomes countries remains scarce. To investigate sex difference in the HRQoL at 30 days and 12 months post PCI in Vietnam. Methods We used data from a single percutaneous coronary registry established in the Vietnam National Heart Institute. The HRQoL was measured using the EQ-5D-3L instrument via telephone interviews, and information about demographics, clinical presentation and procedures was obtained through face-to-face interviews and medical records. The HRQoL between men and women were compared using independent samples t tests, the Mann–Whitney U test or univariate/multivariate logistic regression. Results There were 866 patients included in this cohort, with the proportion of women being nearly half of men (32.1 vs 67.9%). Women were 3.5 years older, had lower income and educational levels but greater prevalence of cardiovascular risk factors. At 30 days, women significantly had more problems in mobility, personal care and pain/discomfort compared to men. At 12 months, women had more problem than men in usual activity. The geometric means of HRQoL was lower in women at 30 days, but not in 12 months. From 30 days to 12 months after discharge, women showed better recovery in mobility compared to men, but not in other dimensions. Conclusions In this first insight of sex differences in HRQoL following PCI in Vietnam, women appeared to have worse quality of life, especially at 30 days after discharge but they showed better recovery in mobility at 12 months compared to men.

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Gender and quality of life and coping over one year after myocardial infarction: do men really have the upper hand?

Cited by 8 publications

References 8 publications

How gender-specific are predictors of post-MI HRQoL? A longitudinal study

How gender-specific are predictors of post-MI HRQoL? A longitudinal study

How gender-specific are predictors of post-MI HRQoL? A longitudinal study

Sex differences in quality of life of patients following percutaneous coronary intervention in Vietnam

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