Pathways to Postoperative Hostility in Cardiac Patients Mediation of Coping, Spiritual Struggle and Interleukin-6

被引：36

作者：

Ai, Amy Lee ^{[1
]}

Pargament, Kenneth ^{[2
]}

Kronfol, Ziad

Tice, Terrence N. ^{[3
]}

Appel, Hoa ^{[4
]}

机构：

[1] Univ Pittsburgh, Pittsburgh, PA 15260 USA

[2] Bowling Green State Univ, Bowling Green, OH 43403 USA

[3] Iliff Sch Theol, Denver, CO 80210 USA

[4] Univ Washington, Seattle, WA 98195 USA

来源：

JOURNAL OF HEALTH PSYCHOLOGY | 2010年 / 15卷 / 02期

关键词：

anger; cardiac disease and open-heart surgery; coping; existential stress; hostility; Interleukin-6 (IL-6); religion and spiritual struggle; stress and mood state; RELIGIOUS INVOLVEMENT; PLASMA INTERLEUKIN-6; PSYCHOSOCIAL FACTORS; STRESS; INCREASES; MORTALITY; CYTOKINES; SYMPTOMS; OUTCOMES; COMFORT;

D O I：

10.1177/1359105309345556

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Using structural equation modeling, we estimated major pathways from preoperative distress, indicated by anxiety and other factors, to postoperative hostility in cardiac patients. Sequential interviews were conducted before and after surgery. Standardized medical and surgical indices were selected from a national database. Results showed that preoperative spiritual struggle mediated indirect effects of anxiety and anger coping on Interleukin-6 (IL-6) immediately before surgery. The link between spiritual struggle and IL-6 further mediated the indirect effects of anxiety and anger coping on postoperative hostility. Anger coping mediated the harmful influence of anxiety and counteracted the protection of positive religious coping on adjustment.

引用

页码：186 / 195

页数：10

共 52 条

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