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11.12.2015

Effects of stress, health competence, and social support on depressive symptoms after cardiac hospitalization

verfasst von: Gabriela León-Pérez, Kenneth A. Wallston, Kathryn M. Goggins, Heidi M. Poppendeck, Sunil Kripalani, For the Vanderbilt Inpatient Cohort Study (VICS)

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2016

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Abstract

Little is known about the role of stress on the psychological well-being of patients after cardiac hospitalization or about factors that protect against or exacerbate the effects of stress. We use prospective data from 1542 patients to investigate the relationship between post-discharge stress and changes in depressive symptoms, and whether the level of prior depressive symptoms, health competence, and perceived social support moderate this relationship. Net of depressive symptoms in the 2 weeks prior to hospitalization, higher levels of post-discharge stress significantly increase depressive symptoms 30 days after discharge. The level of prior depressive symptoms moderates the effect of stress. On the other hand, perceived health competence and social support buffer the negative effects of post-discharge stress. Knowing which patients are particularly vulnerable to experiencing stress and a subsequent increase in depressive symptoms can help trigger interventions prior to discharge and possibly ameliorate the prevalence of depression.

Perceived social support was also measured at the 30-day interview. This is the only variable used in the analysis, other than depressive symptoms, that was measured at another time point.

We excluded marital status (item 7 in the ESSI) because we wanted to assess the independent effects of being married or living with a partner.

We had data for a total of 1576 participants who had completed all three interviews between October 2011 and January 2015. We excluded observations with missing data in any of the variables used in the analysis (N = 35).

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Titel: Effects of stress, health competence, and social support on depressive symptoms after cardiac hospitalization
verfasst von: Gabriela León-Pérez
Kenneth A. Wallston
Kathryn M. Goggins
Heidi M. Poppendeck
Sunil Kripalani
For the Vanderbilt Inpatient Cohort Study (VICS)
Publikationsdatum: 11.12.2015
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 3/2016
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-015-9702-x

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Effects of stress, health competence, and social support on depressive symptoms after cardiac hospitalization

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Weniger postpartale Depressionen nach Esketamin-Einmalgabe

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