Key result
Higher resilience linked to ~18% higher odds of high post-traumatic growth in younger CHD patients.
Why the study?
Young and middle-aged adults with coronary heart disease face rising prevalence, mortality, and substantial psychosocial impairment. Although post-traumatic growth is linked to better health-promoting behaviors and prognosis, distinct growth profiles and their predictors in this population remained to be identified.
Cross-Sectional (n=513)
No
More than half of young and middle-aged patients with coronary heart disease exhibit moderate or low post-traumatic growth, highlighting the need for targeted psychosocial interventions prioritizing newly diagnosed patients with lower resilience, lower education, and heavier illness burden.
Resilience assessment may inform supportive care in young CHD patients; hypothesis-generating for interventions, requiring prospective validation.
The prevalence and mortality of coronary heart disease among young and middle-aged adults are rising, and these patients experience substantial psychosocial impairment owing to the multifaceted and long-lasting symptoms of the disease. Post-traumatic growth, a positive psychological change arising from the struggle with illness, is associated with better health-promoting behaviors and prognosis. This study aimed to identify profiles of post-traumatic growth and their associated factors in young and middle-aged patients with coronary heart disease. This cross-sectional study was conducted from October 2023 to September 2024. In total, 513 young and middle-aged patients with coronary heart disease were recruited from a tertiary hospital in China. Self-reported questionnaires were used to collect data on demographic and clinical characteristics, resilience, and post-traumatic growth. Latent profile analysis and multinomial logistic regression were performed in R to identify profiles of post-traumatic growth and their predictors. Three profiles were identified: high (43.1%), moderate (44.2%), and low (12.7%) post-traumatic growth. Demographic, clinical, and psychological factors distinguished profile membership: higher growth was associated with a higher educational level, a middle-range family monthly income (1000–5000 RMB), the absence of comorbidities, fewer previous hospital admissions, longer disease duration, and higher resilience. More than half of the patients showed only moderate or low post-traumatic growth, and resilience specifically distinguished the highest growth profile. Profile-tailored, stepped psychosocial support, prioritizing recently diagnosed patients with heavier illness burden and lower resilience, may help foster growth in this population.
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Ren et al. (2026) conducted a cross-sectional in Coronary heart disease (n=513). Resilience (per 1-point increase on the Chinese Connor-Davidson Resilience Scale) vs. Low post-traumatic growth profile (Class 3, reference group) was evaluated on Membership in the high post-traumatic growth latent profile (Class 1) versus low post-traumatic growth profile (Class 3) (OR 1.177, 95% CI 1.110-1.249, p=<0.001). Higher psychological resilience was significantly associated with membership in the high versus low post-traumatic growth profile (OR 1.177, 95% CI 1.110-1.249) among young and middle-aged CHD patients.
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