Key result
A repressive coping style in CAD patients was associated with an increased risk of death or MI compared to a nonrepressive style (13% vs 6%; adjusted OR 2.17, 95% CI 1.10-4.08, p=0.025).
Why the study?
Does a repressive coping style increase the risk of total mortality or myocardial infarction in patients with coronary artery disease?
Population
731 patients with coronary artery disease (CAD)
Comparison
Repressive coping style (n=159) vs Nonrepressive coping style (n=360)
Design
Cohort
Follow-up
mean 6.6 years (range 5 to 10 years)
Authors
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Suggests repressive coping as a prognostic marker in CAD; leaves open whether interventions targeting it improve outcomes.
Cohort (n=731)
Does a repressive coping style increase the risk of total mortality or myocardial infarction in patients with coronary artery disease?
Odds Ratio: 2.17 (95% CI 1.1–4.08)
Absolute Event Rate: 13% vs 6%
p-value: p=0.025
Coronary artery disease patients with a repressive coping style are at a significantly increased risk for death or myocardial infarction, despite reporting low emotional distress.
Denollet et al. (2008) conducted a cohort in Coronary artery disease (CAD) (n=731). Repressive coping style vs. Nonrepressive coping style was evaluated on Composite of total mortality or myocardial infarction (MI) (OR 2.17, 95% CI 1.10-4.08, p=0.025). A repressive coping style in CAD patients was associated with an increased risk of death or MI compared to a nonrepressive style (13% vs 6%; adjusted OR 2.17, 95% CI 1.10-4.08, p=0.025).
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