Dynamics of depression symptoms after myocardial infarction: the importance of changes in hope
1
Szkoła Wyższa Psychologii Społecznej w Warszawie
Submission date: 2013-04-23
Final revision date: 2013-06-15
Acceptance date: 2013-06-18
Publication date: 2013-09-26
Corresponding author
Aleksandra Kroemeke
Szkoła Wyższa Psychologii Społecznej w Warszawie, Chodakowska 19/31, 03-815 Warszawa, Polska
Szkoła Wyższa Psychologii Społecznej w Warszawie, Chodakowska 19/31, 03-815 Warszawa, Polska
Psychiatr Pol 2013;47(5):799–810
KEYWORDS
TOPICS
ABSTRACT
Objectives:
The mechanism of dynamics of depression symptoms after myocardial infarction (MI) during six months was examined with reference to (a) whether the changes in coping strategies mediate the effect of changes in cognitive appraisal on changes in the level of depression, and (b) whether this mediation is moderated by the changes in hope.
Methods:
Cognitive appraisal (threat/harm, challenge), hope, coping strategies (problem-, emotion- and avoidance-focused) and depression were assessed two times among 173 cardiac patients: a few days after first MI and then six months later.
Results:
Only emotion-focused coping partly mediated the relationship between changes in threat/harm appraisal and changes in depression (both direct and indirect effects were positive). The effect of changes in challenge appraisal on depression was only direct and negative. Both direct effects were moderated by the level of changes in hope: the associations between changes in appraisal and depression were significant only when hope do not change or decreased in time.
Conclusions:
Associations between dynamics of appraisal and depression during six months after MI were more direct and depended on changes in hope.
The mechanism of dynamics of depression symptoms after myocardial infarction (MI) during six months was examined with reference to (a) whether the changes in coping strategies mediate the effect of changes in cognitive appraisal on changes in the level of depression, and (b) whether this mediation is moderated by the changes in hope.
Methods:
Cognitive appraisal (threat/harm, challenge), hope, coping strategies (problem-, emotion- and avoidance-focused) and depression were assessed two times among 173 cardiac patients: a few days after first MI and then six months later.
Results:
Only emotion-focused coping partly mediated the relationship between changes in threat/harm appraisal and changes in depression (both direct and indirect effects were positive). The effect of changes in challenge appraisal on depression was only direct and negative. Both direct effects were moderated by the level of changes in hope: the associations between changes in appraisal and depression were significant only when hope do not change or decreased in time.
Conclusions:
Associations between dynamics of appraisal and depression during six months after MI were more direct and depended on changes in hope.
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Project no. RCN/SN/0610/2021/1 implemented from 2022 to 2024
Total value of the project: PLN 490 000
Amount funded by the MEiN: PLN 100 000
Aims of the project: Publication in Open Access mode on the Internet of English and Polish language versions of 12 consecutive issues of the journal Psychiatria Polska (years 2022-2024). Modernization and redesign of the journal’s website. Financing of the Editorial System. Copy editing and proofreading of journal issues. Counteracting scientific misinformation. Submission of electronic versions of the journal to the National Digital Library Polona and the Digital Library of Scientific Publications Academica.
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