Psychological coping and recurrent major adverse cardiac events following acute coronary syndrome
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Date
2015-05-07Author
Messerli-Burgy, N.
Molloy, G. J.
Poole, L.
Wikman, A.
Kaski, J. C.
Steptoe, A.
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Recommended Citation
Messerli-Burgy, N. Molloy, G. J.; Poole, L.; Wikman, A.; Kaski, J. C.; Steptoe, A. (2015). Psychological coping and recurrent major adverse cardiac events following acute coronary syndrome. The British Journal of Psychiatry 207 (3), 256-261
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Abstract
Background
Depressed mood and stress are associated with recurrent adverse outcomes following acute coronary syndrome (ACS), but the impact of psychological coping style has not been evaluated in detail.
Aims
We tested the relationship between task-oriented coping and event-free survival following ACS.
Method
We followed 158 patients with ACS for an average of 59.8 months for major adverse cardiac outcomes. Psychological coping was assessed with the Coping Inventory of Stressful Situations.
Results
Compared with patients in the lower half of the distribution, those reporting higher task-oriented coping had a reduced hazard of adverse cardiac events (hazard ratio (HR)=0.28, 95% CI 0.11-0.68, P=0.005) independently of demographic, clinical and behavioural covariates. The combination of low task-oriented coping and high depressive symptoms showed a strong association with adverse outcomes (HR=6.25, 95% CI 1.88-20.82, P=0.003).
Conclusions
The tendency to cope using task-oriented strategies may promote event-free survival following ACS.
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(C) The Royal College of Psychiatrists 2015.