Emotional Distress Associated with Surgical Treatment and its Relationship with Coping Profiles Among Chronically ill Older Patients

Abstract

The study determines the patterns of coping styles among older patients with hip osteoarthritis and assesses the derived profiles in terms of perceived stress and anxiety before and after arthroplasty. Sixty-one hospital patients (mean age 70.3 years) were analysed one day before arthroplasty and three months after. The participants were assessed with the Brief-COPE (coping style), PSS-10 (perceived stress) and STAI (anxiety) psychometric tests. Four coping patterns were yielded using data clustering: rational, enterprising (resourceful), potentially maladaptive and flexible. Repeated measures ANOVA indicated a main effect within subjects but did not indicate that decreases of stress and anxiety varied differently between groups. Cluster 1 (a coping profile characterised by high helplessness, low active coping, high avoidance) reported significantly greater stress and anxiety than all other groups before and after hip replacement, while clusters 2 (flexible), 3 (resourceful) and 4 (rational) were characterised by similar levels of anxiety and stress. Older patients with osteoarthritis might differ in terms of emotional response to surgical treatment. Screening for coping styles at admission to hospital may indicate more vulnerable individuals.

Financial stress response profiles and psychosocial functioning in low-income parents.

“…Doron et al (2015), for example, identified four coping profiles among college students: high copers, adaptive copers, avoidant copers, and low copers. A few studies have measured coping in samples facing elevated levels of stress, such as cancer survivors (Hamilton, Agarwal, Carter, & Crandell, 2011), young adults at risk for substance abuse (Wong et al, 2013), adults facing heightened levels of work-related stress (Astvik & Melin, 2013), and older chronically ill patients (Stecz, Wrzesinska, Tabala, & Nowakowska-Domagala, 2017). These profiles may be more informative than general coping scales because they capture the multidimensionality of coping and indicate that the level and combination of strategies is linked with numerous psychosocial outcomes.…”

Attitudes, perceptions, and behaviours associated with hospital admission avoidance: a qualitative study of high-risk patients in primary care

“…22 Moreover, adaptations in the home, environmental aids, and assistive technology, as mentioned by participants in this study, may help prevent hospital admissions in patients with dementia 23 and patients with a clinical diagnosis of stroke. 24 Acceptance was an important coping strategy to participants in this study, and in the literature less acceptance and high avoidance behaviour have been associated with: readmission of patients with ischaemic heart disease; 25 significantly higher anxiety and stress levels in chronically ill older patients; 26 and greater anxiety and depression in patients living with the risk of serious arrhythmias and sudden cardiac death. 27 Moreover, positivity was used by some patients in this study to cope with their health and positive thinking has been found to be used by the majority of patients before cardiac surgery.…”

Preditores de risco psicológico em Psicologia da Saúde: uma revisão da literatura

“…Quanto às estratégias de enfrentamento utilizadas, coping defensivo/ evitativo foi associado a pior saúde mental (KALTSOLDA et al, 2011) e pior funcionamento físico (EISENBERG et al, 2012). Baixo enfrentamento ativo e alto comportamento evitativo apresentaram significativamente maiores indicadores de estresse e ansiedade (STECZ et al, 2017), enquanto enfrentamento com foco no problema foi vinculado à melhor aceitação da doença (JANOWSKI, STEUDEN e KURYLOWICZ, 2010). Em estudo de Panasiti et al (2019), pacientes apresentaram menor habilidade de regulação emocional em comparação ao grupo controle e também se beneficiaram mais de intervenções com estratégias cognitivas de enfrentamento.…”