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Journal of Behavioral Medicine

Erschienen in:

01.10.2011

Causal attributions among patients undergoing coronary artery bypass surgery: gender aspects and relation to depressive symptomatology

verfasst von: Anne Dunkel, Friederike Kendel, Elke Lehmkuhl, Roland Hetzer, Vera Regitz-Zagrosek

Erschienen in: Journal of Behavioral Medicine | Ausgabe 5/2011

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Abstract

Causal attributions made by patients for their coronary heart disease may contribute to gender differences in emotional adjustment. The purpose of this study was to determine gender differences in causal attributions and to analyze the associations between causal attributions and depressive symptomatology in patients undergoing coronary artery bypass graft (CABG) surgery. Nine hundred and seventy-nine patients (mean age 66.8 years, 19.9% women) completed a modified version of the Illness Perception Questionnaire (IPQ) and the depression module of the Patient Health Questionnaire (PHQ-9) 1–3 days before CABG-surgery and 1 year after surgery. Men were more likely to name their health behavior (men: 40.2%, women: 26.9%, P < .001) as a cause of disease, whereas women were more likely to cite destiny (women: 34.7%, men: 25.7%, P = .012). Regression analyses showed cross-sectional and longitudinal associations of attributions with depressive symptomatology which were independent of gender, sociodemographic and clinical variables. Attribution to personality and stress were associated with an increase in depressive symptomatology. Causal attributions may present a valuable approach for identifying patients at risk for depression and the implementation of targeted interventions.

Aalto, A. M., Heijmans, M., Weinman, J., & Aro, A. R. (2005). Illness perceptions in coronary heart disease. Sociodemographic, illness-related, and psychosocial correlates. Journal of Psychosomatic Research, 58, 393–402.PubMedCrossRef

Astin, F., & Jones, K. (2004). Heart disease attributions of patients prior to elective percutaneous transluminal coronary angioplasty. Journal of Cardiovascular Nursing, 19, 41–47.PubMed

Baker, R. A., Andrew, M. J., Schrader, G., & Knight, J. L. (2001). Preoperative depression and mortality in coronary artery bypass surgery: preliminary findings. ANZ Journal of Surgery, 71, 139–142.PubMedCrossRef

Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef

Blankstein, R., Ward, R. P., Arnsdorf, M., Jones, B., Lou, Y. B., & Pine, M. (2005). Female gender is an independent predictor of operative mortality after coronary artery bypass graft surgery: Contemporary analysis of 31 Midwestern hospitals. Circulation, 112, 323–327.

Blumenthal, J. A., Lett, H. S., Babyak, M. A., White, W., Smith, P. K., Mark, D. B., et al. (2003). Depression as a risk factor for mortality after coronary artery bypass surgery. Lancet, 362, 604–609.PubMedCrossRef

Broadbent, E., Ellis, C. J., Thomas, J., Gamble, G., & Petrie, K. J. (2009). Further development of an illness perception intervention for myocardial infarction patients: A randomized controlled trial. Journal of Psychosomatic Research, 67, 17–23.PubMedCrossRef

Burg, M. M., Benedetto, M. C., Rosenberg, R., & Soufer, R. (2003). Presurgical depression predicts medical morbidity 6 months after coronary artery bypass graft surgery. Psychosomatic Medicine, 65, 111–118.PubMedCrossRef

Burker, E. J., Blumenthal, J. A., Feldman, M., Burnett, R., White, W., Smith, L. R., et al. (1995). Depression in male and female patients undergoing cardiac surgery. British Journal of Clinical Psychology, 34, 119–128.PubMed

Cameron, L. D., Petrie, K. J., Ellis, C., Buick, D., & Weinman, J. A. (2005). Symptom experiences, symptom attributions, and causal attributions in patients following first-time myocardial infarction. International Journal of Behavioral Medicine, 12, 30–38.PubMedCrossRef

Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.PubMedCrossRef

Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

Darr, A., Astin, F., & Atkin, K. (2008). Causal attributions, lifestyle change, and coronary heart disease: Illness beliefs of patients of South Asian and European origin living in the United Kingdom. Heart & Lung: The Journal of Acute and Critical Care, 37, 91–104.CrossRef

Dickens, C., McGowan, L., Percival, C., Tomenson, B., Cotter, L., Heagerty, A., et al. (2008). Negative illness perceptions are associated with new-onset depression following myocardial infarction. General Hospital Psychiatry, 30, 414–420.PubMedCrossRef

Dunkel, A., Kendel, F., Lehmkuhl, E., Babitsch, B., Oertelt-Prigione, S., Hetzer, R., et al. (2009). Predictors of preoperative depressive risk in patients undergoing coronary artery bypass graft surgery. Clinical Research in Cardiology, 98, 643–650.PubMedCrossRef

ENRICHD-Investigators. (2000). Enhancing recovery in coronary heart disease patients (ENRICHD): study design and methods. The ENRICHD investigators. American Heart Journal, 139, 1–9.

Epstein, S. (1983). Aggregation and beyond: Some basic issues on the prediction of behavior. Journal of Personality, 51, 360–392.CrossRef

Förster, C., & Taubert, S. (2006). Subjektive Krankheitstheorien und Selbstregulation von Tumorpatienten. Zeitschrift für Medizinische Psychologie, 15, 117–127.

French, D. P., James, D., Horne, R., & Weinman, J. (2005a). Causal beliefs and behaviour change post-myocardial infarction: How are they related? British Journal of Health Psychology, 10, 167–182.PubMedCrossRef

French, D. P., Lewin, R. J., Watson, N., & Thompson, D. R. (2005b). Do illness perceptions predict attendance at cardiac rehabilitation and quality of life following myocardial infarction? Journal of Psychosomatic Research, 59, 315–322.PubMedCrossRef

French, D., Senior, V., Weinman, J., & Marteau, T. M. (2001). Causal attributions for heart disease: A sytematic review. Psychology and Health, 16, 77–98.CrossRef

Grace, S. L., Krepostman, S., Brooks, D., Arthur, H., Scholey, P., Suskin, N., et al. (2005). Illness perceptions among cardiac patients: Relation to depressive symptomatology and sex. Journal of Psychosomatic Research, 59, 153–160.PubMedCrossRef

Gump, B. B., Matthews, K. A., Scheier, M. F., Schulz, R., Bridges, M. W., & Magovern, G. J., Sr. (2001). Illness representations according to age and effects on health behaviors following coronary artery bypass graft surgery. Journal of the American Geriatrics Society, 49, 284–289.PubMedCrossRef

Hall, S., French, D., & Marteau, T. (2003). Causal attributions following serious unexpected negative events: A systematic review. Journal of Social and Clinical Psychology, 22, 515–536.CrossRef

Hermele, S., Olivo, E., Namerow, P., & OZ, M. (2007). Illness representations and psychological distress in patients undergoing coronary artery bypass graft surgery. Psychology, Health & Medicine, 12, 580–591.CrossRef

Hussain, K. M., Kogan, A., Estrada, A. Q., Kostandy, G., Foschi, A., & Dadkhah, S. (1998). Referral pattern and outcome in men and women undergoing coronary artery bypass surgery–a critical review. Angiology, 49, 243–250.PubMedCrossRef

Janoff-Bulman, R. (1979). Characterological versus behavioral self-blame: Inquiries into depression and rape. Journal of Personality and Social Psychology, 37, 1798–1809.PubMedCrossRef

Kendel, F., Spaderna, H., Sieverding, M., Dunkel, A., Lehmkuhl, E., Hetzer, R., et al. (in press). Eine deutsche adaptation des ENRICHD Social Support Inventory (ESSI). Diagnostica.

Kim, C., Redberg, R. F., Pavlic, T., & Eagle, K. A. (2007). A systematic review of gender differences in mortality after coronary artery bypass graft surgery and percutaneous coronary interventions. Clinical Cardiology, 30, 491–495.PubMedCrossRef

King, R. (2002). Illness attributions and myocardial infarction: The influence of gender and socio-economic circumstances on illness beliefs. Journal of Advanced Nursing, 37, 431–438.PubMedCrossRef

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.PubMedCrossRef

Lett, H., Ali, S., & Whooley, M. (2008). Depression and cardiac function in patients with stable coronary heart disease: Findings from the Heart and Soul Study. Psychosomatic Medicine, 70, 444–449.PubMedCrossRef

Leventhal, H., Nerenz, D., & Steele, D. (1984). Illness representations and coping with health threats. In A. Baum & J. Singer (Eds.), A handbook of psychology and health (Vol. 4, pp. 219–252). Hillsdale, NJ: Erlbaum.

Löwe, B., Grafe, K., Zipfel, S., Witte, S., Loerch, B., & Herzog, W. (2004). Diagnosing ICD-10 depressive episodes: Superior criterion validity of the Patient Health Questionnaire. Psychotherapy and Psychosomatics, 73, 386–390.PubMedCrossRef

Löwe, B., Spitzer, R. L., & Williams, J. B. (2002). PHQ-D. Gesundheitsfragebogen für Patienten [German version of the Patient Health Questionnaire]. Karlsruhe: Pfizer.

Mallik, S., Krumholz, H. M., Lin, Z. Q., Kasl, S. V., Mattera, J. A., Roumains, S. A., et al. (2005). Patients with depressive symptoms have lower health status benefits after coronary artery bypass surgery. Circulation, 111, 271–277.PubMedCrossRef

Martin, R., Johnsen, E. L., Bunde, J., Bellman, S. B., Rothrock, N. E., Weinrib, A., et al. (2005). Gender differences in patients’ attributions for myocardial infarction: Implications for adaptive health behaviors. International Journal of Behavioral Medicine, 12, 39–45.PubMedCrossRef

Nolen-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77, 1061–1072.PubMedCrossRef

Oxlad, M., Stubberfield, J., Stuklis, R., Edwards, J., & Wade, T. D. (2006a). Psychological risk factors for cardiac-related hospital readmission within 6 months of coronary artery bypass graft surgery. Journal of Psychosomatic Research, 61, 775–781.PubMedCrossRef

Oxlad, M., Stubberfield, J., Stuklis, R., Edwards, J., & Wade, T. D. (2006b). Psychological risk factors for increased post-operative length of hospital stay following coronary artery bypass graft surgery. Journal of Behavioral Medicine, 29, 179–190.PubMedCrossRef

Perkins-Porras, L., Whitehead, D. L., Strike, P. C., & Steptoe, A. (2008). Causal beliefs, cardiac denial and pre-hospital delays following the onset of acute coronary syndromes. Journal of Behavioral Medicine, 31, 498–505.PubMedCrossRef

Petrie, K. J., Weinman, J., Sharpe, N., & Buckley, J. (1996). Role of patients’ view of their illness in predicting return to work and functioning after myocardial infarction: Longitudinal study. British Medical Journal, 312, 1191–1194.PubMed

Pirraglia, P. A., Peterson, J. C., Williams-Russo, P., Gorkin, L., & Charlson, M. E. (1999). Depressive symptomatology in coronary artery bypass graft surgery patients. International Journal of Geriatric Psychiatry, 14, 668–680.PubMedCrossRef

Regitz-Zagrosek, V., Lehmkuhl, E., Hocher, B., Goesmann, D., Lehmkuhl, H. B., Hausmann, H., et al. (2004). Gender as a risk factor in young, not in old, women undergoing coronary artery bypass grafting. Journal of the American College of Cardiology, 44, 2413–2414.PubMedCrossRef

Robertson, R. M. (2001). Women and cardiovascular disease: The risks of misperception and the need for action. Circulation, 103, 2318–2320.PubMedCrossRef

Roesch, S. C., & Weiner, B. (2001). A meta-analytic review of coping with illness: Do causal attributions matter? Journal of Psychosomatic Research, 50, 205–219.PubMedCrossRef

Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. JAMA, 282, 1737–1744.PubMedCrossRef

Stafford, L., Berk, M., & Jackson, H. J. (2009). Are illness perceptions about coronary artery disease predictive of depression and quality of life outcomes? Journal of Psychosomatic Research, 66, 211–220.PubMedCrossRef

Tennen, H., & Affleck, G. (1990). Blaming others for threatening events. Psychological Bulletin, 108, 209–232.CrossRef

Turnquist, D. C., Harvey, J. H., & Andersen, B. L. (1988). Attributions and adjustment to life-threatening illness. British Journal of Clinical Psychology, 27, 55–65.PubMedCrossRef

Vaccarino, V., Lin, Z. Q., Kasl, S. V., Mattera, J. A., Roumanis, S. A., Abramson, J. L., et al. (2003a). Gender differences in recovery after coronary artery bypass surgery. Journal of the American College of Cardiology, 41, 307–314.PubMedCrossRef

Vaccarino, V., Lin, Z. Q., Kasl, S. V., Mattera, J. A., Roumanis, S. A., Abramson, J. L., et al. (2003b). Sex differences in health status after coronary artery bypass surgery. Circulation, 108, 2642–2647.PubMedCrossRef

Weidner, G., & Kendel, F. (2010). CHD prevention. In J. Suls, K. W. Davison, & R. K. Kaplan (Eds.), Handbook of health psychology and behavioral medicine. New York: Guilford Press.

Weiner, B. (1985). An attributional theory to achievement motivation and emotion. Psychological Review, 92, 548–573.PubMedCrossRef

Weinman, J., Petrie, K. J., Moss-Morris, R., & Horne, R. (1996). The Illness Perception Questionnaire: A new method for assessing the cognitive representations of illness. Psychology and Health, 11, 114–129.CrossRef

Titel: Causal attributions among patients undergoing coronary artery bypass surgery: gender aspects and relation to depressive symptomatology
verfasst von: Anne Dunkel
Friederike Kendel
Elke Lehmkuhl
Roland Hetzer
Vera Regitz-Zagrosek
Publikationsdatum: 01.10.2011
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 5/2011
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-011-9324-x

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