Sanjuán Pilar, Magallares Alejandro, Arranz Henar, Castro Almudena
School of Psychology, Personality, evaluation, and psychological treatment department, Spanish Open University (UNED), Madrid, Spain.
School of Psychology, Social psychology department, Spanish Open University (UNED), Madrid, Spain.
Psychol Health Med. 2023 Jul-Dec;28(7):1916-1923. doi: 10.1080/13548506.2022.2163672. Epub 2023 Jan 1.
Emotions and coping play a role in the prognosis of cardiac patients. This two-wave longitudinal study aims to analyze the ability of adaptive and maladaptive coping to predict the emotional well-being of cardiac patients after controlling for their functional physical capacity. Emotional well-being (positive and negative affect), coping strategies, and functional physical capacity were evaluated both at Time 1 (n = 253) and at Time 2 (n = 186), 8 weeks later. At Time 1, positive affect was positively predicted by adaptive coping and negatively predicted by maladaptive coping, while the opposite pattern was found when negative affect was considered. At Time 2, after controlling for sociodemographic variables and for negative affect and functional physical capacity at T1, negative affect was negatively predicted by adaptive coping and positively predicted by maladaptive coping. In addition, positive affect was only predicted by adaptive coping after controlling for functional physical capacity and positive affect at Time 1. Relationships between coping and emotional well-being remain after controlling for the functional physical capacity of cardiac patients, which has a big impact on their emotional state. Finally, it is suggested that specific modules to improve coping and emotional state of cardiac patients should be included in Cardiac Rehabilitation Programs.
情绪和应对方式在心脏病患者的预后中发挥着作用。这项两阶段纵向研究旨在分析适应性和适应不良应对方式在控制心脏病患者身体功能能力后，对其情绪健康状况的预测能力。在第1阶段（n = 253）和8周后的第2阶段（n = 186），对情绪健康状况（积极和消极情绪）、应对策略以及身体功能能力进行了评估。在第1阶段，适应性应对方式对积极情绪有正向预测作用，适应不良应对方式对积极情绪有负向预测作用；而在考虑消极情绪时，情况则相反。在第2阶段，在控制了社会人口统计学变量以及第1阶段的消极情绪和身体功能能力后，适应性应对方式对消极情绪有负向预测作用，适应不良应对方式对消极情绪有正向预测作用。此外，在控制了身体功能能力和第1阶段的积极情绪后，积极情绪仅由适应性应对方式预测。在控制了心脏病患者的身体功能能力后，应对方式与情绪健康状况之间的关系依然存在，而身体功能能力对他们的情绪状态有很大影响。最后，建议在心脏康复计划中纳入特定模块，以改善心脏病患者的应对方式和情绪状态。
