Abstract
Psychological and social wellbeing of patients diagnosed with coronary heart disease is an important component in patients’ recovery. The purpose of this study is to explore the psychological and social factors among individuals diagnosed with coronary artery disease. Methods: 164 patients diagnosed with CHD filled and returned a self administered. Data were collected in regard to stress, depression, perceived social support, and coping. Results: The analysis showed that patients who have moderate level of stress, perceived social support, mild level of depression, have more tendencies to use effective coping strategies. Also the analysis showed that cope, psychological distress, and perceived social support were significant predictors of high level of depression (F = 5.2, p < .001), and that perceived social support from others was the most significant protective factors against depression (F =12.7, p < .001). Conclusion: Mental health care providers need to consider their patients’ psychological wellbeing and sources of social support as part of their routine care and assessment.
Highlights
Coronary heart disease (CHD) is a prevalent chronic disease worldwide and the first leading cause of death (WHO, 2010)
Previous studies showed that psychological factors such as depression, anxiety, and stress play significant role in the etiology, development, duration, and clinical outcomes of CHD (Albus, 2010; KhayyamNekouei et al, 2013)
The results showed that the patients who diagnosed with CHD has a moderate psychological distress, mild depressive symptoms, moderate perceived social support, and more likely using effective coping strategies
Summary
Coronary heart disease (CHD) is a prevalent chronic disease worldwide and the first leading cause of death (WHO, 2010). Previous studies showed that psychological factors such as depression, anxiety, and stress play significant role in the etiology, development, duration, and clinical outcomes of CHD (Albus, 2010; KhayyamNekouei et al, 2013). The literature has emphasized the role of social factors such as social support and family life and coping in predicting CHD (Albus, 2010). While coping strategies found to enhance wellbeing and decrease the negative feeling that associated with the disease process (Yu et al, 2011), and mediate the effect of anxiety and depression in developing chronic disease (Zhang et al, 2008; Yu et al, 2011). Coping strategies enhance wellbeing and decrease the negative feeling that associated with the disease process (Yu et al, 2011)
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