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Gepubliceerd in: Journal of Behavioral Medicine 3/2019

06-12-2018

Social support buffers the negative effects of stress in cardiac patients: a cross-sectional study with acute coronary syndrome patients

Auteurs: Simona Wiesmaierova, Dafina Petrova, Antonio Arrebola Moreno, Andrés Catena, José Antonio Ramírez Hernández, Rocio Garcia-Retamero

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2019

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Abstract

Cardiac patients who have social support generally have better prognosis than patients who lack social support. Several theoretical mechanisms have been proposed to explain this protective effect, including the capacity of social support to buffer the negative effects of stress. We tested this buffering effect in a study of patients hospitalized for acute coronary syndrome (ACS) in Spain. Several days after the cardiac event patients answered a questionnaire measuring stressful events during their lifetime, perceived social support around the time of the cardiac event, and depression symptoms in the past week. Results showed that stressful life events were related to depressive symptoms and worse renal function post-ACS only among patients with low perceived social support. Among patients who reported enough social support, lifetime stress was not related to depressive symptoms. No similar effects were observed on other prognostic indicators such as troponin levels or the number of obstructed arteries. These results suggest that social support can buffer the negative effects of stress on the mental and physical well-being of cardiac patients.
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Voetnoten
1
To detect a small effect size (R2 = .05) under the same conditions, 212 participants would have been necessary.
 
2
Per protocol we also extracted peak myoglobin values (another cardiac biomarker similar to troponin). However, recently the hospital stopped using this biomarker for diagnostic or prognostic purposes because of the superiority of new generation high-sensitivity troponin tests. For this reason, we eventually do not report results using myoglobin (which also showed no significant relationships of interest).
 
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Metagegevens
Titel
Social support buffers the negative effects of stress in cardiac patients: a cross-sectional study with acute coronary syndrome patients
Auteurs
Simona Wiesmaierova
Dafina Petrova
Antonio Arrebola Moreno
Andrés Catena
José Antonio Ramírez Hernández
Rocio Garcia-Retamero
Publicatiedatum
06-12-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2019
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-018-9998-4

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