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Social comparisons and temporal comparisons after coronary artery surgery
K B King1, P C Clark, M M Friedman
1University of Rochester School of Nursing, NY 14642, USA.
Heart & Lung : the Journal of Critical Care
|September 16, 1999
Summary
Patients undergoing coronary artery surgery benefit more from temporal comparisons, focusing on stability or improvement, than social comparisons for mood and function. Further research is needed on social comparison interventions.
Area of Science:
- Psychology
- Health Psychology
- Behavioral Medicine
Background:
- Social and temporal comparisons are cognitive processes individuals use to evaluate themselves.
- These comparisons may influence psychological and functional outcomes during recovery from major surgery.
- Understanding these mechanisms is crucial for developing effective patient support strategies.
Purpose of the Study:
- To investigate the utilization and effectiveness of social and temporal comparisons in patients before and after coronary artery surgery.
- To explore the relationship between these comparison strategies and emotional and functional recovery.
Main Methods:
- Secondary analysis of data from a prospective study on social support.
- Inclusion of 141 subjects who underwent coronary artery surgery.
- Assessment of social and temporal comparisons at different postoperative time points.
Main Results:
- One-third of subjects engaged in spontaneous social comparisons, often viewing themselves as similar to others.
- Social comparisons were linked to mood states only before surgery.
- A majority made temporal comparisons post-surgery, generally perceiving themselves as stable or improved, which correlated with better emotional and functional outcomes.
Conclusions:
- Social comparisons showed inconsistent associations with emotional and functional status, warranting further investigation for intervention development.
- Temporal comparisons were positively related to improved mood and functional status.
- Encouraging patients to perceive themselves as stable or improved compared to their preoperative state may enhance recovery.