Do Cognitive Coping and Goal Adjustment Strategies Used Shortly After Myocardial Infarction Predict Depressive Outcomes 1 Year Later?

Abstract

The results showed that cognitive coping strategies (rumination, catastrophizing, and positive refocusing) and goal adjustment strategies predicted 39% of the variance in depressive symptoms at follow-up. In addition, little change in depressive symptom scores was observed after 1 year. The results with regard to the prospective relationships between coping and depressive symptoms provide important targets for intervention.

One-year trajectories of depression and anxiety symptoms in older patients presenting in general practice with musculoskeletal pain: A latent class growth analysis

“…In general, our results are consistent with previously found associations between poor pain characteristics, functioning and poorer long-term course of depression and anxiety symptoms in people with rheumatoid arthritis [58] and adults with pain [23]. Previous studies in medical patients have described the association between catastrophizing and an unfavorable course of anxiety [24] and depression [22] over time. Active coping strategies were found to be longitudinally associated with lower levels of depressed mood in medical patients [4] and community-based adults with depressive disorders [65].…”

Cardiac Threat Appraisal and Depression after First Myocardial Infarction

“…Similar results have been reported for patients with coronary heart disease showing that rumination is associated with emotional distress after cardiac surgery (Schröder et al, 1998), and with perceived stress in patients scheduled for angiography (Closa Leon et al, 2010). In patients after an MI rumination was positively associated with depression (Garnefski et al, 2009) and predicted depression scores 1 year later (Garnefski and Kraaji, 2010). Rumination may, therefore, mediate the effects of perceived threat on depression, and thus show a positive association with perceived threat.…”

Cardiac Disease, Coping with

“…In line with this reasoning, specific stressors experienced by patients with CHD and chronic HF have been identified. Additional stressors comprise the disease's interferences with personal goals (Garnefski and Kraaji, 2010) or medication side effects (Bosworth et al, 2004). Similar stressors have been reported by patients with chronic HF (Bosworth et al, 2004;Spaderna et al, 2012).…”

“…The latter result is surprising, considering that approach coping was operationalized via items such as "I allow myself to be controlled by it (heart disease)" or "I think how easy it is for healthy people", self-blaming and viewing the world pessimistically, indicating a rather passive approach to the stressor. Garnefski and Kraaji (2010) emphasized that approaching the stressor 'cardiac disease' by finding new goals in one's life (goal reengagement) contributes to a stable low level of depressive symptoms. This might be particularly relevant for those patients who perceive their health condition as controllable (Park et al, 2012).…”