“…It accords with previous research showing that religious involvement can predict health outcomes following adjustments for factors such as social support (McCullough et al, 2000). The independent effect for depressive symptoms is consistent with accumulating evidence linking depression to a variety of negative physical health outcomes, including several related to cardiovascular disease (Barefoot & Schroll, 1996) and adaptation following health crises, such as acute myocardial infarction (Frasure-Smith et al, 1993, 1995 or heart surgery (Jenkins et al, 1996;Scheier et al, 1999). However, on the basis of previous research involving cardiovascular outcomes, dispositional optimism (Scheier et al, 1989;Scheier et al, 1999), trait hostility (Barefoot, Larsen, von der Lieth & Schroll, 1995), and perceived social support (Kulik & Mahler, 1993) also were expected to predict the course of surgical recovery.…”