Depression, faith-based coping, and short-term postoperative global functioning in adult and older patients undergoing cardiac surgery
Abstract
Objectives This prospective study examined how preoperative depression and faith-based coping, assessed preoperatively and postoperatively, affected short-term postoperative global functioning (SPGF) following a major cardiac surgery.Methods We recruited 481 patients (male, 58%; mean age=62 years, range=35-89) 2 weeks before surgery for three sequential psychosocial interviews using standardized instruments. Of them, 426 completed the second interview, and 335 completed the postoperative follow-up.Results Multiple regression analyses showed that depression predicted poor SPGF, controlling for age, preoperative illness impact, and two noncardiac chronic conditions. Preoperative positive religious coping contributed to better SPGF, controlling for preoperative depression and other confounders. However, postoperatively assessed prayer coping was associated with poor SPGF.Conclusion Research should distinguish the longitudinal protection of generally adaptive faith-based coping styles from the increased usage of such coping for immediate distress, mobilized by crisis.
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Considering the 33 highest quality studies, 13 (39%) reported significantly better physical functioning among those who were more R/S (including one study at a trend level).
“Considering the 33 highest quality studies, 13 (39%) reported significantly better physical functioning among those who were more R/S (including one study at a trend level) [483–495], six (18%) found worse functioning [496–501], and five studies (15%) reported mixed results [82, 124, 502–504] (significant positive and negative associations, depending on R/S characteristic).”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [491]
Although cancer is not thought to be as sensitive as cardiovascular disorders to psychosocial stressors, psychosocial influences on cancer incidence and outcome are present.
“Although cancer is not thought to be as sensitive as cardiovascular disorders to psychosocial stressors, psychosocial influences on cancer incidence and outcome are present (discussions over this are ongoing [481, 482]).”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [481]
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Self-citation
- Authors
- Ai, A. L., Peterson, C., Bolling, S. F., & Rodgers, W.
- Affiliations
- University of Washington (US)
- University of Michigan (US)
- Michigan Medicine (US)
- Corresponding author
- Ai, Amy L.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2006-01
- Volume
- 60
- Issue
- 1
- Pages
- 21-28
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2037223412
- Cited by
- 103
- References
- 48
- Citations by year
- 2026: 1 · 2023: 43 · 2022: 2 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 1 · 2014: 7 · 2013: 2 · 2012: 7
- FWCI
- 4.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- John Templeton Foundation
- University of Michigan
- U.S. Public Health Service (1 R03 AGO 15686-01)
- National Institute on Aging
- National Center for Complementary and Integrative Health (P50-AT 00011, P50AT000011)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- preoperative depression, religious coping, cardiac surgery, psychosocial factors, elderly patients, adult patients, postoperative recovery
- MeSH terms
- Adaptation, Psychological, Adult, Age Factors, Aged, Aged, 80 and over, Depression, Female, Health Status, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Postoperative Period, Surveys and Questionnaires, Religion, Social Support
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