Relationship Between Types of Social Support, Coping Strategies, and Psychological Distress in Individuals Living With Congenital Heart Disease

Kim, Mi‐Yeon; Johnson, Joy L.; Sawatzky, Richard

doi:10.1097/jcn.0000000000000531

Cited by 17 publications

(12 citation statements)

References 179 publications

(268 reference statements)

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“…As we expected, COVID-19-specific wishful thinking, a negative EFC strategy, plays a mediating role in the relationship between perceived threat avoidability and psychic anxiety. Consistent with prior findings, we confirm that when individuals perceive a high level of threat avoidability, they will reduce wishful thinking ( 36 ) and experience a low level of anxiety symptoms ( 43 , 64 ). Furthermore, our results support the mediating effect of COVID-19-specific protective behaviors, a positive PFC strategy, in the relationship between perceived threat avoidability and psychic anxiety.…”

Section: Discussionsupporting

confidence: 90%

“…In the context of the COVID-19 pandemic, when people perceive that the threat is avoidable and the harm can be avoided through some measures, they will reduce the use of EFC such as wishful thinking ( 36 ). At the same time, previous studies have shown that wishful thinking negatively affects individuals’ mental health ( 41 ), is predictive of negative emotions ( 34 ), and increases the levels of anxiety ( 42 , 43 ). Based on this, we propose the following hypothesis:…”

Section: Hypotheses Developmentmentioning

confidence: 94%

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The Effect of Perceived Threat Avoidability of COVID-19 on Coping Strategies and Psychic Anxiety Among Chinese College Students in the Early Stage of COVID-19 Pandemic

Zheng

Xiong

et al. 2022

Front. Psychiatry

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BackgroundThe novel coronavirus disease 2019 (COVID-19) outbreak has seriously threatened the mental health of college students. This study intended to invest whether perceived threat avoidability of COVID-19 relates to psychic anxiety among college students during the early stage of the COVID-19 pandemic, as well as the mediating roles of COVID-19-specific wishful thinking and COVID-19-specific protective behaviors in this relationship.MethodsA cross-sectional study was conducted in China, using a random sampling method (February 6–25, 2020). Self-reported questionnaires were conducted online included the Perceived Threat Avoidability of COVID-19 Scale, COVID-19-specific Wishful Thinking Scale, COVID-19-specific Protective Behaviors Scale, and the Hamilton Psychogenic Anxiety Scale. The data were analyzed using Structural equation modeling and Bootstrapping procedure.ResultsA total of 2922 samples were collected in this study. Perceived threat avoidability of COVID-19 is negatively related to psychic anxiety (β = −0.158, p< 0.001), and both COVID-19-specific wishful thinking (β = −0.006, p = 0.029, 95% CI: [−0.012, −0.001]) and protective behaviors (β = −0.029, p< 0.001, 95% CI: [−0.043, −0.018]) mediate this relationship. Also, COVID-19-specific wishful thinking is found to correlate with COVID-19-specific protective behaviors negatively (β = −0.112, p < 0.001).ConclusionPerceived threat avoidability of COVID-19 contributes to psychic anxiety among college students. COVID-19-specific wishful thinking strategy plays a negative mediating role and increases the level of anxiety; COVID-19-specific protective behaviors strategy plays a positive mediating role and reduces the level of anxiety; meanwhile, wishful thinking also suppresses college students from adopting protective behaviors.

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Section: Discussionsupporting

confidence: 90%

Section: Hypotheses Developmentmentioning

confidence: 94%

The Effect of Perceived Threat Avoidability of COVID-19 on Coping Strategies and Psychic Anxiety Among Chinese College Students in the Early Stage of COVID-19 Pandemic

Zheng

Xiong

et al. 2022

Front. Psychiatry

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“…65 Studies from North America, Germany, and France that incorporated structured clinical interviews observed current 3 or lifetime 2,66 prevalence rates of mood or anxiety disorders of ≈50%. Known risk factors for depression and anxiety among adults with congenital heart disease include poorer neurocognitive functioning (eg, executive function), 29 loneliness, 2 limited social support, 67 poorer perceived health status, 2 and sedentary behavior. 68…”

Section: Psychological Outcomes Across the Life Spanmentioning

confidence: 99%

Psychological Outcomes and Interventions for Individuals With Congenital Heart Disease: A Scientific Statement From the American Heart Association

Kovacs¹,

Brouillette²,

Ibeziako³

et al. 2022

Circ: Cardiovascular Quality and Outcomes

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Although resilience and high quality of life are demonstrated by many individuals with congenital heart disease, a range of significant psychological challenges exists across the life span for this growing patient population. Psychiatric disorders represent the most common comorbidity among people with congenital heart disease. Clinicians are becoming increasingly aware of the magnitude of this problem and its interplay with patients’ physical health, and many seek guidance and resources to improve emotional, behavioral‚ and social outcomes. This American Heart Association scientific statement summarizes the psychological outcomes of patients with congenital heart disease across the life span and reviews age-appropriate mental health interventions, including psychotherapy and pharmacotherapy. Data from studies on psychotherapeutic, educational‚ and pharmacological interventions for this population are scarce but promising. Models for the integration of mental health professionals within both pediatric and adult congenital heart disease care teams exist and have shown benefit. Despite strong advocacy by patients, families‚ and health care professionals, however, initiatives have been slow to move forward in the clinical setting. It is the goal of this scientific statement to serve as a catalyst to spur efforts for large-scale research studies examining psychological experiences, outcomes, and interventions tailored to this population and for integrating mental health professionals within congenital heart disease interdisciplinary teams to implement a care model that offers patients the best possible quality of life.

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“…Furthermore, coping style, such as seeking advice from others, is positively associated with subjective and utilization of support. The buffering effects of social support on emotional distress are often mediated by the coping behaviors ( 41 ). For instance, research on pregnant women demonstrated that positive coping and subjective and utilization of support acted as chain mediators on the link of neuroticism and depressive symptoms after earthquake ( 42 ) as well as on the link of childhood abuse and emotional distress among them ( 43 ).…”

Section: Introductionmentioning

confidence: 99%

Personality Characteristics and Emotional Distress Among Chinese Pregnant Women: A Moderated Mediation Model

Wenjiao

Hou

et al. 2021

Front. Psychiatry

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Previous studies have suggested that certain personality characteristics are associated with emotional distress during pregnancy. However, the underlying mechanism of this association is rarely understood. The current study investigated the links between personality and pregnant women's emotional distress (depressive and anxiety symptoms), tested the chain mediating effects of two resilience factors—social support and positive coping, and explored whether socioeconomic status (SES) could moderate the effects (including direct and/or indirect effects) of personality on their emotional distress. Results of a relatively large sample of pregnant women in China (N = 1157) showed positive associations for psychoticism and neuroticism with depressive and anxiety symptoms as well as negative associations for extraversion with depression and anxiety. After controlling for four important variables (the first pregnancy or not, having adverse pregnancy experience or not, being pregnant as planned or not, and number of weeks of pregnancy), social support and positive coping acted as chain mediators on the associations of personality with depressive symptoms as well as of personality with anxiety. Overall, the association of personality and depressive symptoms demonstrated invariance across socioeconomic status (SES). However, SES moderated the relationship between personality and anxiety. Specifically, the negative association of positive coping with anxiety symptoms was weaker for low SES women than for high SES ones. Results highlight the importance of social support and positive coping to decrease personality-related depressive and anxiety symptom among pregnant women. Furthermore, identifying other resilience factors that alleviate anxiety in women with low SES is urgently called for.

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Relationship Between Types of Social Support, Coping Strategies, and Psychological Distress in Individuals Living With Congenital Heart Disease

Abstract: Thank you for taking my side even when I was at fault….

Cited by 17 publications

References 179 publications

The Effect of Perceived Threat Avoidability of COVID-19 on Coping Strategies and Psychic Anxiety Among Chinese College Students in the Early Stage of COVID-19 Pandemic

The Effect of Perceived Threat Avoidability of COVID-19 on Coping Strategies and Psychic Anxiety Among Chinese College Students in the Early Stage of COVID-19 Pandemic

Psychological Outcomes and Interventions for Individuals With Congenital Heart Disease: A Scientific Statement From the American Heart Association

Personality Characteristics and Emotional Distress Among Chinese Pregnant Women: A Moderated Mediation Model

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