Zhang Yujie, Lei Shanyan, Yang Fang
School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Sci Rep. 2025 Jul 1;15(1):22299. doi: 10.1038/s41598-025-07490-9.
The study aimed to investigate the effects of rumination and post-traumatic growth (PTG) on health behavior among older patients with coronary heart disease (CHD). The Event-Related Rumination Inventory, Post-traumatic Growth Inventory, and Cardiac Health Behavior Scale were used to assess 429 older adult patients with CHD. Data were analyzed using descriptive statistics, t-tests, one-way analysis of variance (ANOVA), hierarchical multiple regression analysis, and structural equation modeling (SEM). Results revealed that both intrusive and deliberate rumination were significantly associated with PTG and health behavior in older patients with CHD (β = - 0.38, - 0.37; β = 0.33, 0.29; p < 0.05). Post-traumatic growth was positively associated with health behavior (β = 0.45, p < 0.05). The results of the structural equation model showed that the models had a good fit and that the relationship between rumination and health behavior was consistent with the results of the regression analysis. Path coefficients of intrusive and deliberate rumination, as well as PTG, on the various dimensions of health behaviors were all significant (p < 0.05). The results of this study provide new ideas for improving the health behaviors of older patients with CHD. It suggests that we can intervene in the cognitive processing of older patients with CHD, using rumination as an entry point, which in turn promotes individual PTG and health behavior change.
该研究旨在调查沉思和创伤后成长（PTG）对老年冠心病（CHD）患者健康行为的影响。使用事件相关沉思量表、创伤后成长量表和心脏健康行为量表对429名老年冠心病患者进行评估。数据采用描述性统计、t检验、单因素方差分析（ANOVA）、层次多元回归分析和结构方程模型（SEM）进行分析。结果显示，侵入性沉思和刻意沉思均与老年冠心病患者的PTG和健康行为显著相关（β = -0.38，-0.37；β = 0.33，0.29；p < 0.05）。创伤后成长与健康行为呈正相关（β = 0.45，p < 0.05）。结构方程模型结果表明，模型拟合良好，沉思与健康行为之间的关系与回归分析结果一致。侵入性沉思、刻意沉思以及PTG对健康行为各维度的路径系数均具有显著性（p < 0.05）。本研究结果为改善老年冠心病患者的健康行为提供了新思路。研究表明，我们可以以沉思为切入点，干预老年冠心病患者的认知加工过程，进而促进个体的PTG和健康行为改变。
