心脏康复生活质量结果的社会心理预测因素。

Psychosocial predictors of cardiac rehabilitation quality-of-life outcomes.

作者信息

Shen Biing-Jiun, Myers Hector F, McCreary Charles P

机构信息

Department of Psychology, University of Miami, Coral Gables, FL 33124-0751, United States.

出版信息

J Psychosom Res. 2006 Jan;60(1):3-11. doi: 10.1016/j.jpsychores.2005.06.069.

DOI:10.1016/j.jpsychores.2005.06.069

PMID:16380304

Abstract

OBJECTIVE

This study investigated hostility, social support, coping, depression, and their contributions to concurrent and posttreatment quality of life (QoL) among a group of patients participating in a 6-week cardiac rehabilitation program.

METHOD

Both direct and mediational relationships among psychosocial factors, QoL baseline, and QoL outcome were examined using structural equation modeling analysis, while age, education, and severity of illness (risk for future event) were controlled.

RESULTS

The final model was well supported (chi(2)=64.88, df=56, P>.05; CFI=.99, RMSEA=.04). Results indicated that baseline QoL, hostility, and depressive symptom severity directly and independently predicted QoL outcome, while depression and hostility were also associated with baseline QoL. Hostility, social support, and maladaptive coping also contributed to baseline and follow-up QoL by their associations with depression.

CONCLUSION

Psychosocial characteristics were interrelated, and they predicted postrehabilitation QoL outcome directly or indirectly through depression symptom severity.

摘要

目的

本研究调查了参与为期6周心脏康复项目的一组患者的敌意、社会支持、应对方式、抑郁状况，以及它们对康复期间和康复后生活质量（QoL）的影响。

方法

采用结构方程模型分析，检验心理社会因素、生活质量基线和生活质量结果之间的直接和中介关系，同时控制年龄、教育程度和疾病严重程度（未来事件风险）。

结果

最终模型得到了充分支持（卡方=64.88，自由度=56，P>.05；比较拟合指数=.99，近似误差均方根=.04）。结果表明，生活质量基线、敌意和抑郁症状严重程度直接且独立地预测了生活质量结果，而抑郁和敌意也与生活质量基线相关。敌意、社会支持和适应不良的应对方式也通过与抑郁的关联，对基线和随访时的生活质量产生影响。