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Relationship Between Forgiveness and Psychological and Physiological Indices in Cardiac Patients

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Abstract

Background

Research suggests that forgiveness is associated with better psychological and physical health and in particular cardiovascular functioning. Despite these findings, most forgiveness studies involve healthy participants.

Purpose

The current study assessed the psychological and physiological correlates of forgiveness in individuals with coronary artery disease (CAD).

Method

Self-reported forgiveness, perceived stress, anxiety, and depression, and physiological data, including triglycerides, total cholesterol, high- (HDL) and low-density lipoprotein (LDL) cholesterol, were obtained from 85 hospitalized CAD patients.

Results

Higher levels of forgiveness were associated with lower levels of anxiety (p < 0.05), depression (p < 0.01), and perceived stress (p < 0.005) as well as lower total cholesterol to HDL and LDL to HDL ratios (both at p < 0.05) after controlling for age and gender. The psychological indices did not mediate the relationship between forgiveness and cholesterol ratios.

Conclusions

Results suggest that the psychological correlates of forgiveness are similar in cardiac patients and healthy individuals. Further, among cardiac patients, forgiveness may be associated with reduced risk for future cardiovascular events.

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References

  1. Worthington EL, Wade NG. The social psychology of unforgiveness and forgiveness and implications for clinical practice. J Soc Clin Psychol. 1999;18:385–418.

    Google Scholar 

  2. Brown RP, Phillips A. Letting bygones be bygones: further evidence for the validity of the Tendency to Forgive Scale. Pers Individ Differ. 2005;38:627–38.

    Article  Google Scholar 

  3. Seybold KS, Hill PC, Neumann JK, Chi DS. Physiological and psychological correlates of forgiveness. J Psychol Christ. 2001;20:250–9.

    Google Scholar 

  4. Thompson LY, Snyder CR, Hoffman L, Michael ST, Rasmussen HN, Billings LS, et al. Dispositional forgiveness of self, others, and situations. J Person. 2005;72:313–60.

    Article  Google Scholar 

  5. Friedberg JP, Suchday S, Shelov DV. The impact of forgiveness on cardiovascular reactivity and recovery. Int J Psychophysiol. 2007;65(2):87–94.

    Article  PubMed  Google Scholar 

  6. Lawler-Row KA, Pifieri RL. The forgiving personality: describing a life well lived? Pers Individ Differ. 2006;41:1009–20.

    Article  Google Scholar 

  7. Maltby J, Macaskill A, Day L. Failure to forgive self and others: a replication and extension of the relationship between forgiveness, personality, social desirability, and general health. Pers Individ Differ. 2001;30:881–5.

    Article  Google Scholar 

  8. Witvliet CV, Phipps KA, Feldman KA, Beckham JC. Posttraumatic mental and physical health correlates of forgiveness and religious coping in military veterans. J Trauma Stress. 2004;17:269–73.

    Article  PubMed  CAS  Google Scholar 

  9. Lawler KA, Younger JW, Piferi RL, Jobe RL, Edmondson KA, Jones WH. The unique effects of forgiveness on health: an exploration of pathways. J Behav Med. 2005;28:157–67.

    Article  PubMed  Google Scholar 

  10. Toussaint LL, Williams DR, Musick MA, Everson SA. Forgiveness and health: age differences in a US probability sample. J Adult Dev. 2001;8:249–57.

    Article  Google Scholar 

  11. Lawler KA, Younger JW, Piferi RL, Billington E, Jobe R, Edmondson K, et al. A change of heart: cardiovascular correlates of forgiveness in response to interpersonal conflict. J Behav Med. 2003;26:373–93.

    Article  PubMed  Google Scholar 

  12. Moseley JV, Linden W. Predicting blood pressure and heart rate change with cardiovascular reactivity and recovery: results from 3-year and 10-year follow up. Psychosom Med. 2006;68:833–43.

    Article  PubMed  Google Scholar 

  13. Tomiyama M, Horio T, Yoshii M, Takiuchi S, Kamide K, Nakamura S, et al. Masked hypertension and target organ damage in treated hypertensive patients. Am J Hypertens. 2006;19(9):880–6.

    Article  PubMed  Google Scholar 

  14. Miller TQ, Smith TW, Turner CW, Guijarro ML, Hallet AJ. A meta-analytic review of research on hostility and physical health. Psychol Bull. 1996;119:322–48.

    Article  PubMed  CAS  Google Scholar 

  15. Pickering TG. Mental stress as a causal factor in the development of hypertension and cardiovascular disease. Curr Hypertens Rep. 2001;3:249–54.

    Article  PubMed  CAS  Google Scholar 

  16. Kubzansky LD, Kawachi I, Sparrow D. Socioeconomic status, hostility, and risk factor clustering in the Normative Aging Study: any help from the concept of allostatic load? Annals Behav Med 1999;21:330–8.

    Article  CAS  Google Scholar 

  17. McEwen BS. Stress, adaptation, and disease. Allostasis and allostatic load. Ann NY Acad Sci. 1998;840:33–44.

    Article  PubMed  CAS  Google Scholar 

  18. Thoresen CE, Harris AHS, Luskin F. Forgiveness and health: an unanswered question. In: McCullough ME, Pargament KI, Thoresen CE, editors. Forgiveness: theory, research, and practice. New York: Guilford; 2000. p. 254–80.

    Google Scholar 

  19. Worthington EL, Scherer M. Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: Theory, review, and hypotheses. Psychol Health. 2004;19:385–405.

    Article  Google Scholar 

  20. Folkman S, Lazarus RS, Dunkel-Schetter C, DeLongis A, Gruen RJ. Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. J Pers Soc Psychol. 1986;50:992–1003.

    Article  PubMed  CAS  Google Scholar 

  21. Tibbits D, Ellis G, Piramelli C, Luskin F, Lukman R. Hypertension reduction through forgiveness training. J Pastor Care Couns. 2006;60(1–2):27–34.

    Google Scholar 

  22. Mauger PA, Perry JE, Freeman T, Grove DC, McBride AG, McKinney KE. The measurement of forgiveness: preliminary research. J Psychol Christ. 1992;11:170–80.

    Google Scholar 

  23. Macaskill A, Maltby J, Day L. Forgiveness of self and others and emotional empathy. J Soc Psychol. 2002;142:663–5.

    Article  PubMed  Google Scholar 

  24. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.

    Article  PubMed  CAS  Google Scholar 

  25. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.

    Article  PubMed  CAS  Google Scholar 

  26. Williams CM. Lipid metabolism in women. Proc Nutr Soc. 2004;63(1):153–60.

    Article  PubMed  CAS  Google Scholar 

  27. Baron RM, Kenny DA. The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51:1173–82.

    Article  PubMed  CAS  Google Scholar 

  28. Ingelsson E, Schaefer EJ, Contois JH, McNamara JR, Sullivan L, Keyes MJ, et al. Clinical utility of different lipid measures for prediction of coronary heart disease in men and women. J Am Med Assoc. 2007;298:776–85.

    Article  CAS  Google Scholar 

  29. Lawler-Row KA, Karremans JC, Scott C, Edlis-Matityahou M, Edwards L. Forgiveness, physiological reactivity and health: the role of anger. Int J Psychophysiol. 2008;68:51–8.

    PubMed  Google Scholar 

  30. Harris AH, Luskin F, Norman SB, Standard S, Bruning J, Evans S, et al. Effects of a group forgiveness intervention on forgiveness, perceived stress, and trait-anger. J Clin Psychol. 2006;62:715–33.

    Article  PubMed  Google Scholar 

  31. Reed GL, Enright RD. The effects of forgiveness therapy on depression, anxiety, and posttraumatic stress for women after spousal emotional abuse. J Consult Clin Psychol. 2006;74:920–9.

    Article  PubMed  Google Scholar 

  32. Frasure-Smith N, Lesperance F, Talajic M. Depression following myocardial infarction. Impact on 6-month survival. J Am Med Assoc. 1993;270:1819–25.

    Article  CAS  Google Scholar 

  33. Lesperance F, Frasure-Smith N, Juneau M, Theroux P. Depression and 1-year prognosis in unstable angina. Arch Intern Med. 2000;160:1354–60.

    Article  PubMed  CAS  Google Scholar 

  34. Strik JJ, Denollet J, Lousberg R, Honig A. Comparing symptoms of depression and anxiety as predictors of cardiac events and increased health care consumption after myocardial infarction. J Am Coll Cardiol. 2003;42:1801–7.

    Article  PubMed  Google Scholar 

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Correspondence to Jennifer P. Friedberg.

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Friedberg, J.P., Suchday, S. & Srinivas, V.S. Relationship Between Forgiveness and Psychological and Physiological Indices in Cardiac Patients. Int.J. Behav. Med. 16, 205–211 (2009). https://doi.org/10.1007/s12529-008-9016-2

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  • DOI: https://doi.org/10.1007/s12529-008-9016-2

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