Dispositional optimism and recovery from coronary artery bypass surgery: the beneficial effects on physical and psychological well-being.

Dispositional optimism and recovery from coronary artery bypass surgery: the beneficial effects on physical and psychological well-being.
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DOI:
10.1037//0022-3514.57.6.1024
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发表时间:
1989-12
影响因子:
7.6
通讯作者:
M. Scheier;K. Matthews;J. Owens;GJ Magovern;R. Lefebvre;RA Abbott;C. Carver
M. Scheier;K. Matthews;J. Owens;GJ Magovern;R. Lefebvre;RA Abbott;C. Carver
中科院分区:
心理学1区
文献类型:
--
作者:
M. Scheier;K. Matthews;J. Owens;GJ Magovern;R. Lefebvre;RA Abbott;C. Carver

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在一组51名中年男性中,研究了性格乐观对冠状动脉搭桥手术后恢复的影响。患者在三个时间点提供信息-(a)手术前一天,(B)术后6-8天,(c)术后6个月。获得的信息与患者的身体恢复率、情绪和术后生活质量有关。还收集了关于患者试图科普手术压力及其后果的方式的信息。正如预期的那样,性格乐观被证明是一个重要的预测应对努力和手术结果。更具体地说,性格乐观(手术前评估)与以问题为中心的应对表现呈正相关,与否认的使用呈负相关。性格乐观也与住院期间身体恢复的速度更快以及出院后恢复正常生活活动的速度更快有关。最后,乐观水平和术后6个月的生活质量之间存在很强的正相关。
The effect of dispositional optimism on recovery from coronary artery bypass surgery was examined in a group of 51 middle-aged men. Patients provided information at three points in time--(a) on the day before surgery, (b) 6-8 days postoperatively, and (c) 6 months postoperatively. Information was obtained relating to the patient's rate of physical recovery, mood, and postsurgical quality of life. Information was also gathered regarding the manner in which the patients attempted to cope with the stress of the surgery and its aftermath. As expected, dispositional optimism proved to be an important predictor of coping efforts and of surgical outcomes. More specifically, dispositional optimism (as assessed prior to surgery) correlated positively with manifestations of problem-focused coping and negatively with the use of denial. Dispositional optimism was also associated with a faster rate of physical recovery during the period of hospitalization and with a faster rate of return to normal life activities subsequent to discharge. Finally, there was a strong positive association between level of optimism and postsurgical quality of life at 6 months.