Prospective study of perceived stress in cardiac patients
Prospective study of perceived stress in cardiac patients
复制标题
DOI：
10.1207/s15324796abm2701_4
复制
发表时间：
2004-02-01
影响因子：
3.8
通讯作者：
Barefoot, JC
中科院分区：
文献类型：
--
作者：
Brummett, BH;Babyak, MA;Barefoot, JC
背景：众所周知，心理压力对冠状动脉疾病（CAD）患者的健康和幸福感有负面影响。虽然对压力CAD样本的研究受到了相当大的关注，但很少有研究检查性别和年龄的影响，在很长一段时间内进行多次随访，并进行广泛的基线评估。目的：在这项研究中，人口统计学，临床，社会和个性变量进行了评估，作为预测的9个重复评估的压力超过2年的322例CAD患者（33.2%女性）。方法：在基线，感知社会支持，应对方式和社会冲突与压力等级。混合模型被用来评估预测报告的压力在随后的2年。结果：女性和年轻患者的应激水平较高。中等收入、充血性心力衰竭、高社会冲突、低社会支持和消极应对方式的患者也存在随访压力。结论：这些发现可能有助于临床医生识别在诊断CAD后较长时间内可能经历较高压力水平的患者，也可能表明哪些患者可能从减压干预中获益最多。
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.