Prospective study of perceived stress in cardiac patients

被引:40
作者
Brummett, BH
Babyak, MA
Mark, DB
Clapp-Channing, NE
Siegler, IC
Barefoot, JC
机构
[1] Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC 27710 USA
[2] Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC 27706 USA
[3] Duke Univ, Med Ctr, Dept Med, Div Cardiol, Durham, NC 27706 USA
关键词
D O I
10.1207/s15324796abm2701_4
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Background: Psychological stress is known to have a negative effect on the health and well-being of coronary artery disease (CAD)patients. Although the study of stress CAD samples has received considerable attention, few studies have examined the effects of gender and age, had multiple follow-ups over an extended period, and had extensive baseline assessment batteries. Purpose: In this study, demographic, clinical, social, and personality variables were evaluated as predictors of nine repeated assessments of stress over a 2-year period in 322 CAD patients (33.2% female). Methods: At baseline, perceived social support, coping style, and social conflict were associated with stress ratings. Mixed models were used to evaluate predictors of reported stress during the subsequent 2 years. Results: The results showed that higher stress was present inpatients who were female and young. Follow-up stress was also found in patients with moderate income, congestive heart failure, high social conflict, low social support, and negative coping style. Conclusions: These findings may help clinicians identify patients who are likely to experience higher levels of stress over a prolonged period following a diagnosis of CAD and may also suggest which patients may benefit most from stress reduction interventions.
引用
收藏
页码:22 / 30
页数:9
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