PDF(Pubmed)
Abstract：
UNASSIGNED: In patients affected by atrial fibrillation (AF) disease-specific knowledge and coping style may be associated with psychosocial well-being. This study aimed to determine if coping style (problem-focused, emotion-focused, avoidance-focused) mediated the relationship between patient knowledge and three psychosocial outcomes (anxiety, depression and life satisfaction).
UNASSIGNED: In 2021 a total of 188 women with reported AF, and ages ranging from 18 to 83 years (mean 48.7, sd 15.5 years), completed an online questionnaire consisting of sociodemographic, clinical and AF knowledge questions and psychosocial instruments (Anxiety and depression, the Hospital Anxiety and Depression (HADS) scale; life satisfaction, Satisfaction With Life Scale (SWLS); and coping style (Brief COPE). Using Jamovi statistical software three individual mediational models (for anxiety, depression and life satisfaction) were constructed assessing the direct and indirect relationships between knowledge, coping style and each psychosocial outcome. Age was a covariate in each model.
UNASSIGNED: The mediation analyses demonstrated significant direct negative associations between AF knowledge and HADS anxiety and depression and positive associations with SWLS. There were also direct associations between each of the three coping styles and the three psychosocial outcomes. There were significant indirect effects of coping style between AF knowledge and each of the three outcomes confirming partial mediation effects.
UNASSIGNED: These findings highlight the crucial role of coping style in mediating the association between AF knowledge and psychosocial outcomes. As such, interventions aimed at increasing patient knowledge of AF may be more effective if adaptive problem-solving coping strategies are also demonstrated to these patients. Additionally, modification of maladaptive coping strategies as part of the psychological management of patients with AF is highly recommended.
UNASSIGNED: In 2021 a total of 188 women with reported AF, and ages ranging from 18 to 83 years (mean 48.7, sd 15.5 years), completed an online questionnaire consisting of sociodemographic, clinical and AF knowledge questions and psychosocial instruments (Anxiety and depression, the Hospital Anxiety and Depression (HADS) scale; life satisfaction, Satisfaction With Life Scale (SWLS); and coping style (Brief COPE). Using Jamovi statistical software three individual mediational models (for anxiety, depression and life satisfaction) were constructed assessing the direct and indirect relationships between knowledge, coping style and each psychosocial outcome. Age was a covariate in each model.
UNASSIGNED: The mediation analyses demonstrated significant direct negative associations between AF knowledge and HADS anxiety and depression and positive associations with SWLS. There were also direct associations between each of the three coping styles and the three psychosocial outcomes. There were significant indirect effects of coping style between AF knowledge and each of the three outcomes confirming partial mediation effects.
UNASSIGNED: These findings highlight the crucial role of coping style in mediating the association between AF knowledge and psychosocial outcomes. As such, interventions aimed at increasing patient knowledge of AF may be more effective if adaptive problem-solving coping strategies are also demonstrated to these patients. Additionally, modification of maladaptive coping strategies as part of the psychological management of patients with AF is highly recommended.
摘要：
■在受心房颤动（AF）影响的患者中，特定的疾病知识和应对方式可能与心理社会幸福感有关。本研究旨在确定应对方式(以问题为中心，以情感为中心，以回避为中心)介导了患者知识与三种心理社会结果(焦虑，抑郁和生活满意度)。
■在2021年，共有188名女性患有房颤，年龄从18岁到83岁(平均48.7岁，标准差15.5岁)，完成了一份由社会人口统计学组成的在线问卷，临床和房颤知识问题和心理社会工具(焦虑和抑郁，医院焦虑抑郁量表(HADS);生活满意度,生活满意度量表(SWLS)；和应对方式(简短COPE)。使用Jamovi统计软件三个个体中介模型(对于焦虑，抑郁和生活满意度)被构建为评估知识之间的直接和间接关系，应对方式和每个心理社会结果。年龄是每个模型中的协变量。
■中介分析表明，房颤知识与HADS焦虑和抑郁之间存在显著的直接负相关，与SWLS之间存在显著的正相关。三种应对方式与三种心理社会结果之间也存在直接关联。应对方式在房颤知识和三个结果中的每一个之间存在显着的间接影响，证实了部分调解作用。
■这些发现强调了应对方式在调节房颤知识与心理社会结果之间的关联中的关键作用。因此，如果还向这些患者证明了适应性问题解决应对策略,则旨在增加患者对房颤知识的干预措施可能更有效.此外,强烈建议将适应不良的应对策略作为房颤患者心理管理的一部分。
■在2021年，共有188名女性患有房颤，年龄从18岁到83岁(平均48.7岁，标准差15.5岁)，完成了一份由社会人口统计学组成的在线问卷，临床和房颤知识问题和心理社会工具(焦虑和抑郁，医院焦虑抑郁量表(HADS);生活满意度,生活满意度量表(SWLS)；和应对方式(简短COPE)。使用Jamovi统计软件三个个体中介模型(对于焦虑，抑郁和生活满意度)被构建为评估知识之间的直接和间接关系，应对方式和每个心理社会结果。年龄是每个模型中的协变量。
■中介分析表明，房颤知识与HADS焦虑和抑郁之间存在显著的直接负相关，与SWLS之间存在显著的正相关。三种应对方式与三种心理社会结果之间也存在直接关联。应对方式在房颤知识和三个结果中的每一个之间存在显着的间接影响，证实了部分调解作用。
■这些发现强调了应对方式在调节房颤知识与心理社会结果之间的关联中的关键作用。因此，如果还向这些患者证明了适应性问题解决应对策略,则旨在增加患者对房颤知识的干预措施可能更有效.此外,强烈建议将适应不良的应对策略作为房颤患者心理管理的一部分。
