Key result
Higher spiritual well-being was significantly associated with lower CAD severity (β = -0.06; 95% CI -0.09 to -0.04), a relationship that was partially mediated by reduced anger rumination.
Why the study?
Biological and psychological factors contribute to CAD, but the relationship between spiritual well-being, anger rumination, worry, and CAD severity required investigation.
Does spiritual well-being correlate with reduced CAD severity, and is this mediated by anger rumination and worry in patients with CAD?
Cross-Sectional (n=327)
No
Does spiritual well-being correlate with reduced CAD severity, and is this mediated by anger rumination and worry in patients with CAD?
Answers are grounded in this paper and cite their sources.
Spiritual well-being is inversely associated with coronary artery disease severity, a relationship that is partially mediated by reduced anger rumination.
Objective: Biological and psychological factors contribute to coronary artery disease (CAD). The purpose of this study was to investigate the relationship between spiritual well-being and CAD severity and determine the mediating effects of anger rumination and worry on this relationship. Design: Descriptive, cross-sectional survey. Setting: Afshar Hospital in Yazd, Iran. Method: Participants were 327 patients with CAD (138 women, 189 men). Spiritual well-being, anger rumination, worry and CAD severity were measured using demographic and medical information questionnaires, the Spiritual Well-Being Scale, the Anger Rumination Scale, the Penn State Worry Questionnaire and Gensini method. Mediation analysis was conducted using the PROCESS macro. Results: CAD severity was negatively correlated with spiritual well-being ( r = –.62, p < .01) and positively correlated with anger rumination ( r = .58, p < .01) and worry ( r = .33, p < .01). The relationship between spiritual well-being and CAD severity was mediated by anger rumination. The direct effect of spiritual well-being on CAD severity was statistically significant (β = –.06, 95% confidence interval [CI] [–.09, –.04]). We find a significant indirect effect of spiritual well-being on CAD severity through anger rumination (β = –.03, 95% CI [–.05, –.02]). Conclusion: These results highlight the potential benefits of spiritual well-being for patients with CAD to help them reduce anger rumination and, consequently, CAD severity.
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Ramesh et al. (2020) conducted a cross-sectional in Coronary artery disease (CAD) (n=327). Spiritual well-being was evaluated on CAD severity (β = -0.06, 95% CI -0.09 to -0.04, p=<.01). Higher spiritual well-being was significantly associated with lower CAD severity (β = -0.06; 95% CI -0.09 to -0.04), a relationship that was partially mediated by reduced anger rumination.
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