What is the clinical evidence from this study?

Study design: Observational. Population: First-time myocardial infarction (n=128). Intervention: Coping strategies. Primary outcome: Coping, positive and negative affect, anxiety, and perceived health.

What question did this study set out to answer?

To examine concurrent and prospective associations between coping strategies, emotional outcomes, and perceived health in first-time myocardial infarction patients across the first six months of recovery.

November 1, 2000British Journal of Health Psychology

Coping, emotion and perceived health following myocardial infarction: Concurrent and predictive associations

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Key result

Problem-focused coping was prospectively associated with adaptive emotion outcomes and perceived health over the first 6 months following a first-time myocardial infarction.

Why the study?

How do coping mechanisms relate to emotion outcomes and perceived health in first-time myocardial infarction patients over 6 months?

Population

First-time myocardial infarction (MI) patients (N=128 at baseline, N=100 at 2 months, N=74 at 6 months)

Design

Cohort

Follow-up

6 months

Authors

RLRob LoweOregon Health & Science University PNPaul NormanBirmingham City University PBPaul BennettGriffith University

Discussion

Member takes

Implication

May guide post-MI coping assessment; hypothesis-generating for interventions, pending randomized trials.

Key Points

To examine concurrent and prospective associations between coping strategies, emotional outcomes, and perceived health in first-time myocardial infarction patients across the first six months of recovery.
Conducted a longitudinal survey across three time points: during inpatient admission (N = 128), at 2 months follow-up (N = 100), and at 6 months follow-up (N = 74).
Assessed coping via the COPE questionnaire, positive and negative affect using the Global Mood Scale, anxiety with the State Anxiety Inventory, and perceived physical health with the Health Complaints Scale.
Coping strategies and psychological outcomes displayed marked stability across the 6-month post-infarction evaluation period.
Concurrent assessments demonstrated that avoidant-, acceptance-, and social/emotion-focused coping were linked with immediate emotional and health status, whereas prospective analyses identified problem-focused coping as the primary adaptive factor over time.

Study Design

Type

Observational (n=128)

Structured PICO

How do coping mechanisms relate to emotion outcomes and perceived health in first-time myocardial infarction patients over 6 months?

Population

128 first-time myocardial infarction patients followed for 6 months to assess coping, emotion outcomes, and perceived health.

Outcome

Coping, emotion outcomes (positive and negative affect, anxiety), and perceived health over the first 6 months of adjustmentpatient reported

Problem-focused coping predicts better emotional and perceived health outcomes in patients recovering from a first-time myocardial infarction.

Cite This Study

Lowe et al. (2000) conducted an observational in First-time myocardial infarction (n=128). Coping strategies was evaluated on Coping, positive and negative affect, anxiety, and perceived health. Problem-focused coping was prospectively associated with adaptive emotion outcomes and perceived health over the first 6 months following a first-time myocardial infarction.

synapsesocial.com/papers/6a8714b43a1d8ec5fdd3dc03 https://doi.org/10.1348/135910700168964

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Coping, emotion and perceived health following myocardial infarction: Concurrent and predictive associations

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Coping, emotion and perceived health following myocardial infarction: Concurrent and predictive associations

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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Also Consider