Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.

Contrada, Richard J.; Boulifard, David A.; Hekler, Eric B.; Idler, Ellen L.; Spruill, Tanya M.; Labouvie, Erich W.; Krause, Tyrone J.

doi:10.1037/0278-6133.27.3.309

Cited by 117Cardiac Health and Mental HealthCancer survivorship and careTotal Knee Arthroplasty Outcomes

Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.

Contrada, Richard J., Boulifard, David A., Hekler, Eric B., Idler, Ellen L., Spruill, Tanya M., Labouvie, Erich W., Krause, Tyrone J.·2008·Health Psychology

DOI 10.1037/0278-6133.27.3.309

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Abstract

OBJECTIVE: Distress and low perceived social support were examined as indicators of psychosocial vulnerability in patients about to undergo heart surgery. DESIGN: A total of 550 study patients underwent heart surgeries, including bypass grafting and valve procedures. Psychosocial interviews were conducted about five days before surgery, and biomedical data were obtained from hospital records. MAIN OUTCOME MEASURES: Sociodemographic, personality, religious, and biomedical factors were evaluated as predictors of psychosocial vulnerability, and all five sets of variables were evaluated as contributors to hospital length of stay (LOS). RESULTS: Patients scoring higher on one or more indicator of presurgical psychosocial vulnerability were younger, more likely to be female, less likely to be married, less well educated, lower in dispositional optimism, higher in trait anger, and lower in religiousness. Older age, depression, low support, and low trait anger each showed an independent, prospective association with greater LOS, and several other predictors had prospective relationships with LOS that were statistically mediated by depression or perceived support. CONCLUSION: Evidence that multiple psychosocial factors may influence adaptation to heart surgery has implications for understanding and ameliorating presurgical distress and for improving postsurgical recovery.

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Authors: Contrada, R. J., Boulifard, D. A., Hekler, E. B., Idler, E. L., Spruill, T. M., Labouvie, E. W., & Krause, T. J.
Affiliations: Rutgers, The State University of New Jersey (US)
Columbia University (US)
University of Medicine and Dentistry of New Jersey (US)
ORCID: Contrada, Richard J.
Hekler, Eric B.
Idler, Ellen L.
Spruill, Tanya M.
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 2008-05
Volume: 27
Issue: 3
Pages: 309-319
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/0278-6133.27.3.309
OpenAlex: W2111002669
Cited by: 117
References: 55
Citations by year: 2026: 1 · 2025: 4 · 2024: 1 · 2023: 43 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 8 · 2015: 4 · 2014: 4 · 2013: 5 · 2012: 8
FWCI: 4.12
Type: journal article
Language: en
Open access: closed
Locations: Health Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (AG15160; AG16750)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
Keywords: psychosocial vulnerability, cardiac surgery, perceived social support, depression, length of hospital stay, dispositional optimism, trait anger, religiosity, heart valve surgery
MeSH terms: Adult, Aged, Aged, 80 and over, Female, Cardiac Surgical Procedures, Heart Valves, Humans, Interviews as Topic, Length of Stay, Male, Middle Aged, Patients, Postoperative Care, Social Support

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Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.

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