Pathways to Postoperative Hostility in Cardiac Patients: Mediation of Coping, Spiritual Struggle and Interleukin-6

Using structural equation modeling, we estimated major pathways from preoperative distress, indicated by anxiety and other factors, to postoperative hostility in cardiac patients. Sequential interviews were conducted before and after surgery. Standardized medical and surgical indices were selected f...

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Bibliographic Details
Published in:Journal of health psychology 2010-03, Vol.15 (2), p.186-195
Main Authors: Ai, Amy Lee, Pargament, Kenneth, Kronfol, Ziad, Tice, Terrence N., Appel, Hoa
Format: Article
Language:English
Subjects:
Adaptation, Psychological - physiology
Adult
Affect - physiology
Aged
Aged, 80 and over
Anger
Anger - physiology
Anxiety
Anxiety - immunology
Anxiety - psychology
Biological and medical sciences
Cardiac surgery
Cardiac Surgical Procedures - psychology
Coping
Female
Fundamental and applied biological sciences. Psychology
Heart disease
Hostility
Humans
Illness and personality
Illness, stress and coping
Indirect effects
Interleukin-6 - blood
Male
Mediation
Middle Aged
Models, Psychological
Patients
Perioperative care
Personality Inventory - statistics & numerical data
Postoperative anxiety
Postoperative Complications - immunology
Postoperative Complications - psychology
Preoperative Period
Psychological distress
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychometrics
Religion
Religion and Psychology
Spirituality
Stress, Psychological - complications
Stress, Psychological - immunology
Stroke Volume - physiology
Survival strategy
Citations: Items that this one cites
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Description
Summary:Using structural equation modeling, we estimated major pathways from preoperative distress, indicated by anxiety and other factors, to postoperative hostility in cardiac patients. Sequential interviews were conducted before and after surgery. Standardized medical and surgical indices were selected from a national database. Results showed that preoperative spiritual struggle mediated indirect effects of anxiety and anger coping on Interleukin-6 (IL-6) immediately before surgery. The link between spiritual struggle and IL-6 further mediated the indirect effects of anxiety and anger coping on postoperative hostility. Anger coping mediated the harmful influence of anxiety and counteracted the protection of positive religious coping on adjustment.
ISSN:1359-1053
1461-7277
DOI:10.1177/1359105309345556