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dc.contributor.authorMesserli-Burgy, N.
dc.contributor.authorMolloy, G. J.
dc.contributor.authorPoole, L.
dc.contributor.authorWikman, A.
dc.contributor.authorKaski, J. C.
dc.contributor.authorSteptoe, A.
dc.date.accessioned2018-09-20T16:17:41Z
dc.date.available2018-09-20T16:17:41Z
dc.date.issued2015-05-07
dc.identifier.citationMesserli-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
dc.identifier.issn0007-1250
dc.identifier.urihttp://hdl.handle.net/10379/12879
dc.description.abstractBackground 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. Copyright and usage (C) The Royal College of Psychiatrists 2015.
dc.publisherRoyal College of Psychiatrists
dc.relation.ispartofThe British Journal of Psychiatry
dc.subjectquality-of-life
dc.subjectmyocardial-infarction
dc.subjectheart-disease
dc.subjectjob strain
dc.subjectdepression
dc.subjectanxiety
dc.subjectrisk
dc.subjectassociation
dc.subjectinventory
dc.subjectprognosis
dc.titlePsychological coping and recurrent major adverse cardiac events following acute coronary syndrome
dc.typeArticle
dc.identifier.doi10.1192/bjp.bp.114.154419
dc.local.publishedsourcehttp://bjp.rcpsych.org/content/bjprcpsych/207/3/256.full.pdf
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