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Related Experiment Videos

Coping with coronary heart disease: a longitudinal study.

T van Elderen1, S Maes, E Dusseldorp

  • 1Clinical and Health Psychology Section, Faculty of Social Sciences, Leiden University, The Netherlands. Poppel@fsw.Leiden.Univ.nl

Journal of Psychosomatic Research
|December 1, 1999
PubMed
Summary

Facing the trauma of a cardiac event using approach coping strategies, though difficult initially, improves long-term emotional well-being and reduces anxiety and depression in coronary heart disease patients.

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Area of Science:

  • Psychology
  • Cardiology
  • Health Psychology

Background:

  • Coronary heart disease (CHD) significantly impacts patients' psychological health.
  • Coping strategies, specifically approach and avoidance, are crucial in managing chronic illness.
  • Understanding the long-term effects of coping on psychosocial outcomes in CHD is vital.

Purpose of the Study:

  • To evaluate the longitudinal effects of approach and avoidance coping strategies on anxiety, depression, and well-being in CHD patients.
  • To examine both cross-sectional and longitudinal relationships between coping mechanisms and psychosocial outcomes post-cardiac event.

Main Methods:

  • A longitudinal study design was employed with CHD patients.
  • Data on coping strategies (approach and avoidance), anxiety, depression, and well-being were collected at three time points: 1, 3, and 12 months post-cardiac event.

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  • Statistical analyses explored cross-sectional and longitudinal associations.
  • Main Results:

    • Cross-sectionally, approach coping was negatively associated with well-being and positively with anxiety and depression at all time points.
    • Initially, avoidance coping showed positive associations with well-being and negative with anxiety.
    • Longitudinally, approach coping at earlier time points predicted reduced anxiety and depression, and increased well-being at later time points.

    Conclusions:

    • Facing and processing the trauma of a coronary event through approach coping is crucial for long-term psychosocial adjustment in CHD patients.
    • While potentially causing short-term distress, approach coping attenuates long-term emotional suffering.
    • Interventions and assessments for CHD patients should incorporate longitudinal data on coping and psychosocial outcomes, not solely cross-sectional findings.