Dynamics of depression symptoms after myocardial infarction: the importance of changes in hope

Aleksandra Kroemeke

Abstract

Aim. 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.
Author Aleksandra Kroemeke (Wydział Psychologii)
Aleksandra Kroemeke,,
- Wydział Psychologii
Journal seriesPsychiatria Polska, ISSN 0033-2674, e-ISSN 2391-5854 , (A 15 pkt)
Issue year2013
Vol47
No5
Pages799-810
Publication size in sheets0.55
Keywords in Englishcoping, depression, hope
ASJC Classification2738 Psychiatry and Mental health; 2700 General Medicine
Languageen angielski
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ENGverKroemekePsychiatrPol5-2013-1.pdf of 14-09-2015
94.37 KB
Score (nominal)15
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2014 = 0.617; WoS Impact Factor: 2013 = 0.753 (2) - 2013=0.489 (5)
Citation count*7 (2020-06-19)
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Dorobek Naukowy - Preview URLhttp://dn.swps.edu.pl/Podglad.aspx?WpisID=13840
Dorobek Naukowy - Approve URLhttp://dn.swps.edu.pl/Biuro/ZatwierdzanieWpisu.aspx?WpisID=13840
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* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
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