Key result
Stress was identified as a contributor to heart disease among African American women, associated with emotion-focused coping practices and physiological worsening of their condition.
Observational
Recognizing the cultural cognitive coping model of stress in African American women with heart disease provides opportunities to develop culturally tailored heart-healthy interventions.
May inform culturally tailored stress interventions in African American women with heart disease; hypothesis-generating and requires prospective validation before practice change.
This article examines the role of stress in relation to heart disease self-care among African American women. Women described a unique stress-coping model: Stress was a cause and contributor to "bad heart" and associated with "not worrying." Family history of heart disease was used as an experiential reference scale to evaluate the severity of women's heart health. Stress attributions were associated with coping practices to manage the effect of illness through emotion-focused coping and with the physiological worsening of their condition. This model highlights opportunities to reframe stress-coping activities into culturally based heart-healthy practices for African American women.
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Warren‐Findlow et al. (2009) conducted an observational in Chronic Heart Disease. Stress was evaluated on Heart disease self-care and coping practices. Stress was identified as a contributor to heart disease among African American women, associated with emotion-focused coping practices and physiological worsening of their condition.
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