Depression, faith-based coping, and short-term postoperative global functioning in adult and older patients undergoing cardiac surgery
Received 26 July 2004; accepted 30 June 2005.
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.
aUniversity of Washington Health Sciences, Seattle, Washington, United States
bSection of Cardiac Surgery and Integrative Medicine, University of Michigan Health System, Ann Arbor, MI, United States
cDepartment of Psychology, University of Michigan, Ann Arbor, MI, United States
dInstitute for Social Research, University of Michigan, Ann Arbor, MI, United States
Corresponding author. University of Washington Health Science, 4101 15th Avenue Northeast, Seattle, WA 98105-6299, USA. Tel.: +1 206 221 7781; fax: +1 206 543 1228.
ABSTRACT