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首页> 外文期刊>The British journal of psychiatry : >Psychological coping and recurrent major adverse cardiac events following acute coronary syndrome
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Psychological coping and recurrent major adverse cardiac events following acute coronary syndrome

机译：急性冠状动脉综合征后的心理应对和主要心脏不良事件的复发

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Background Depressed mood and stress are associated with recurrent adverse outcomes following acute coronary syndrome (ACS), but the impact of psychological coping style has not been evaluated in detail. Aims We tested the relationship between task-oriented coping and event-free survival following ACS. Method We followed 158 patients with ACS for an average of 59.8 months for major adverse cardiac outcomes. Psychological coping was assessed with the Coping Inventory of Stressful Situations. Results Compared with patients in the lower half of the distribution, those reporting higher task-oriented coping had a reduced hazard of adverse cardiac events (hazard ratio (HR) = 0.28, 95% CI 0.11a€“0.68, P = 0.005) independently of demographic, clinical and behavioural covariates. The combination of low task-oriented coping and high depressive symptoms showed a strong association with adverse outcomes (HR = 6.25, 95% CI 1.88a€“20.82, P = 0.003). Conclusions The tendency to cope using task-oriented strategies may promote event-free survival following ACS.
机译：背景情绪低落和压力与急性冠状动脉综合征（ACS）后复发的不良后果相关，但尚未详细评估心理应对方式的影响。目的我们测试了ACS后面向任务的应对与无事件生存之间的关系。方法我们对158例ACS患者进行了平均59.8个月的主要不良心脏预后评估。心理应对能力通过压力状况应对能力表进行评估。结果与分布较低部分的患者相比，那些报告较高任务导向应对方式的患者心脏不良事件的危险性降低（危险比（HR）= 0.28，95％CI 0.11a？0.68，P = 0.005）人口统计学，临床和行为协变量。低任务导向应对和高抑郁症状的结合显示出与不良后果的强烈关联（HR = 6.25，95％CI 1.88a-20.82，P = 0.003）。结论采用面向任务策略的趋势可能会促进ACS后无事件生存。

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