Stress, cognitive appraisal, coping, and event free survival in patients with heart failure.
Stress, cognitive appraisal, coping, and event free survival in patients with heart failure.
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DOI:
10.1016/j.hrtlng.2018.03.008
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发表时间:
2018-05
期刊:
影响因子:
--
通讯作者:
Moser DK
中科院分区:
文献类型:
--
作者:
Alhurani AS;Dekker R;Ahmad M;Miller J;Yousef KM;Abdulqader B;Salami I;Lennie TA;Randall DC;Moser DK
To describe self-reported stress level, cognitive appraisal and coping among patients with heart failure (HF), and to examine the association of cognitive appraisal and coping strategies with event-free survival. This was a prospective, longitudinal, descriptive study of patients with chronic HF. Assessment of stress, cognitive appraisal, and coping was performed using Perceived Stress Scale, Cognitive Appraisal Health Scale, and Brief COPE scale, respectively. The event-free survival was defined as cardiac rehospitalization and all-cause death. A total of 88 HF patients (mean age 58 ± 13 years and 53.4% male) participated. Linear and cox regression showed that harm/loss cognitive appraisal was associated with avoidant emotional coping (β= −0.28; 95% CI: −0.21 – 0.02; p= 0.02) and event free survival (HR= 0.53; 95% CI: 0.28 – 1.02; p= 0.05). The cognitive appraisal of the stressors related to HF may lead to negative coping strategies that are associated with worse event-free survival.
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通讯作者:
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