Social support buffers the negative effects of stress in cardiac patients: a cross-sectional study with acute coronary syndrome patients

Wiesmaierova, Simona; Petrova, Dafina; Moreno, Antonio Arrebola; Catena, Andrés; Hernández, José Antonio Ramírez; García‐Retamero, Rocío

doi:10.1007/s10865-018-9998-4

Cited by 11 publications

(9 citation statements)

References 49 publications

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“…This experience was expressed by both male and female participants. This finding is in line with the social integration literature which posits that loneliness engenders with other negative emotions, such as anxiety, depression and self-critique ( Cacioppo et al, 2000 ; Cacioppo and Patrick, 2008 ; Wiesmaierova et al, 2019 ). Furthermore, loneliness can be related to stigma ( Cacioppo and Patrick, 2008 ), which might further enhance the subjective feeling of loneliness.…”

Section: Discussionsupporting

confidence: 88%

Who Cares? Perception of Loneliness in Patients Treated for Coronary Heart Disease

Blakoe

Berg

Højskov

et al. 2022

Global Qualitative Nursing Research

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Social support is known to be essential to cope with the physical and psychological aftermath following coronary heart disease treatment. Consequently, patients experiencing loneliness may be placed in a vulnerable situation. The aim of this study was to provide insight into the nuances and complexity of loneliness and its impact on health behaviour in the early rehabilitation period following treatment. The study used a hermeneutic philosophical approach. Patients classified as lonely were interviewed in either a focus group ( n = 7) or in an individual interview ( n = 10). We analysed the empirical material using inductive content analysis. The analysis illuminated various dimensions of patients’ perceived loneliness; ‘Loneliness as an emotional pain’, ‘A changed, but unmet need for social support’ and ‘Striving for symmetry in relationships’. Loneliness negatively influenced patients’ ability to adapt to the critical event and manage health behaviour changes. Insight into the mechanisms that aggravate loneliness may inform future social support interventions. Social støtte er beskrevet som essentiel i forbindelse med håndteringen af de fysiske og psykiske følger af iskæmisk hjertesygdom. Derfor kan patienter som oplever ensomhed være i en særlig sårbar situation. Formålet med dette kvalitative studie var at opnå en nuanceret indsigt i patients oplevelse af ensomhed, samt hvordan ensomhed influerer på sundhedsadfærd i den tidlige rehabiliteringsperiode efter behandlingen for iskæmisk hjertesygdom. I studiet havde vi en hermeneutisk filosofisk tilgang. Patienter klassificeret som ensomme blev interviewet enten individuelt (n = 10) eller i fokusgruppe (n = 7). Vi analyserede det empiriske materiale med induktiv indholdsanalyse. Analysen tydeliggjorde forskellige dimensioner af patienternes oplevede ensomhed: ”Ensomhed som en emotionel smerte”, ”Et ændret, men ikke imødekommet behov for social støtte”, Stræben efter symmetri i relationer”. Ensomhed havde en negativ indflydelse på patienternes mulighed for at håndtere den kritiske hændelse og på sundhedsadfærd. En øget indsigt i de mekanismer som forværrer ensomhed, har relevans ved udarbejdelsen af fremtidige sociale støtteinterventioner.

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Section: Discussionsupporting

confidence: 88%

Who Cares? Perception of Loneliness in Patients Treated for Coronary Heart Disease

Blakoe

Berg

Højskov

et al. 2022

Global Qualitative Nursing Research

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“…This was measured with the Spanish version of the ENRICHD Instrument (Vaglio et al , ; Wiesmaierova et al , ). Six items assess perceived emotional and instrumental support (for example, having someone who listens, gives advice or helps with everyday tasks) on scales ranging from 1 (never) to 5 (always).…”

Section: Methodsmentioning

confidence: 99%

Psychosocial markers of pre‐hospital decision delay and psychological distress in acute coronary syndrome patients

Arrebola‐Moreno

Petrova

Garrido

et al. 2020

British J Health Psychol

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Objectives. Both pre-hospital decision delaythe time patients wait before seeking medical attention after symptoms have startedand high psychological distress after the cardiac episode predict poor prognosis of patients with acute coronary syndromes (ACS). We aimed to identify psychosocial markers of these prognostic factors. Design.A cross-sectional study of 102 consecutive, clinically stable ACS survivors.Methods. Participants completed a questionnaire measuring pre-hospital decision delay, psychological distress, and several known psychosocial factors related to cardiovascular health: type D personality, resilience, social support, and concerns during the cardiac event. Multiple linear regression and mediation analyses were conducted.Results. Type D personality and fewer concerns about the serious consequences of delaying help-seeking were related to more psychological distress post-ACS, and these relationships were mediated by longer pre-hospital decision delay. In contrast, resilience was related to lower psychological distress. Social support and social concerns about help-seeking were not related to the outcome variables.Conclusions. Type D personality may be a risk factor for more delayed help-seeking for an ACS and higher psychological distress after the cardiac event. Resilience, in contrast, emerged as a potential protective factor of patients' mental health after the cardiac event. Pre-hospital decision delay was related to thinking about serious consequences (e.g., complications, protecting one's family) but not about social concerns (e.g., wasting other people's time) during the cardiac episode.

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“…Wilson et al (2005) asserted that there is a behavior-change intention inherent in help-seeking, this was supported by Zartaloudi and Madianos (2010) who found that people who underutilize self-referral services were less likely to respond to intervention. The addition of a supportive therapist offers positive relational depth, this alone may positively impact on the SI variable by “the capacity of social support to buffer the negative effects of stress” (Wiesmaierova et al, 2019, p. 1), indeed psychophysiological benefits may also be observed as positive social experiences are associated with lower mortality and improved health (Berkman & Leonard Syme, 1979). A placebo or best-available-therapy control group would address whether this had any impact on stress biomarker or DS14 results and may yield valuable data that achieve double-blinding as participants were cognizant of their specific treatment allocation in this study.…”

Section: Discussionmentioning

confidence: 99%

A Psychophysiological Examination of the Mutability of Type D Personality in a Therapeutic Trial

Hodgson

Clayton

Carmi³

et al. 2021

Journal of Psychophysiology

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Abstract. Identifying the associations between health and personality has been a focus for psychophysiological research. Type D personality is associated with predisposition to physical and psychological ill-health. This statistician-blind parallel-group controlled trial (intervention group vs. waiting list control group) examined the impact of Havening Techniques on the Type D constituents of negative affect (NA) and social inhibition (SI). One hundred twenty-five adult (18+ years) participants in the United Kingdom (72 females, 53 males) completed the Type D Scale-14 (DS14) measure of Type D personality at baseline (T1), 24-hours (T2), and at 1-month (T3). Forty participants in the treatment group received additional stress biomarker assessment of heart rate, blood pressure, and salivary cortisol. Type D caseness remained stable in the waiting list participants ( n = 57). In the treatment group ( n = 68); NA, SI, and total scores decreased from T1 to T2 ( p < .001, p < .001, and p < .001, respectively), and from T2 to T3 ( p = .004, p < .001, and p < .001, respectively), significantly transmuting to non-caseness ( p < .001 for T1 to T2; p = .025 for T2 to T3). Between T1 and T2, decreases in cortisol ( p < .001), diastolic blood pressure ( p < .001), and systolic blood pressure ( p < .001) were demonstrated. Heart rate fell nonsignificantly between T1 and T2 ( p = .063), but significantly from T1 to T3 ( p = .048). The findings of this study indicate the potential mutability of the psychophysiological illness-prone characteristics of Type D personality.

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Social support buffers the negative effects of stress in cardiac patients: a cross-sectional study with acute coronary syndrome patients

Cited by 11 publications

References 49 publications

Who Cares? Perception of Loneliness in Patients Treated for Coronary Heart Disease

Who Cares? Perception of Loneliness in Patients Treated for Coronary Heart Disease

Psychosocial markers of pre‐hospital decision delay and psychological distress in acute coronary syndrome patients

A Psychophysiological Examination of the Mutability of Type D Personality in a Therapeutic Trial

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