Dynamics of depression symptoms after myocardial infarction: the importance of changes in hope
| 1 | Szkoła Wyższa Psychologii Społecznej w Warszawie |
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
Submission date: 2013-04-23
Final revision date: 2013-06-15
Acceptance date: 2013-06-18
Publication date: 2013-09-26
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.
RELATED ARTICLE
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.