Abstract
ObjectivesAs a chronic illness, heart disease usually undermines the patients’ physical, psychosocial and social adjustment. Medical care of these patients is also influenced by all the adjustment problems. The present study aimed to examine the moderating role of ego-strength on the association of worry and anger rumination with adjustment problems to heart disease. MethodsThree hundred and twenty seven individuals suffering from cardiovascular disease (138 women, 189 men) participated in the present study. All participants completed the Ego-Strength Scale (ESS), Penn State Worry Questionnaire (PSWQ), Anger Rumination Scale (ARS), and Adjustment to Illness Scale (AIS) as volunteers. ResultsResults revealed a significant negative correlation between ego-strength and adjustment problems to heart disease. Worry and anger rumination showed a significantly positive association with adjustment problems to heart disease. The results of path analysis indicated that the association of worry and anger rumination with adjustment problems to heart disease was moderated by ego-strength. ConclusionIt can be concluded that more intensive care requires implementation of psychological interventions into the regular medical treatments for patients with heart disease.
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