Socioeconomic status, cognitive-emotional factors, and health status following myocardial infarction: testing the Reserve Capacity Model

Health disparities by socioeconomic status (SES) exist for many outcomes, including patients’ subjective health status after myocardial infarction (MI). The Reserve Capacity Model (RCM), a theoretical means to understand such disparities, was tested to examine the possible mediating effects of cogni...

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Bibliographic Details
Published in:Journal of behavioral medicine 2015-02, Vol.38 (1), p.110-121
Main Authors: Bennett, Kymberley K., Buchanan, Donna M., Jones, Philip G., Spertus, John A.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Attitude
Cardiovascular disease
Cognition
Coronary vessels
Depression - complications
Depression - psychology
Emotions
Family Medicine
Female
General Practice
Health aspects
Health disparities
Health informatics
Health Psychology
Health Status
Heart attack
Heart attacks
Hospitalization
Humans
Internal-External Control
Male
Medicine
Medicine & Public Health
Metabolic syndrome
Middle Aged
Models, Psychological
Mortality
Myocardial Infarction - psychology
Psychological aspects
Quality of life
Risk factors
Self esteem
Social classes
Social Support
Socioeconomic Factors
Stress
Stress, Psychological - complications
Stress, Psychological - psychology
Young Adult
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Summary:Health disparities by socioeconomic status (SES) exist for many outcomes, including patients’ subjective health status after myocardial infarction (MI). The Reserve Capacity Model (RCM), a theoretical means to understand such disparities, was tested to examine the possible mediating effects of cognitive-emotional factors on the association between SES and health status. Data from 2,348 post-MI patients in PREMIER were used. Indicators of SES were collected during hospitalization via personal interviews, while participants completed measures of stress and reserves at 1 month, depressive symptoms at 6 months, and health status at 1 year through telephone interviews. Structural equation model results provide partial support for the RCM, as cognitive-emotional factors partially mediated the association between SES and mental health status. For physical health status, results supported direct rather than indirect effects of SES. Findings suggest psychosocial interventions with patients of low SES will have their greatest effects on appraisals of psychological health status.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-014-9583-4