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Gepubliceerd in:

01-02-2015

Socioeconomic status, cognitive-emotional factors, and health status following myocardial infarction: testing the Reserve Capacity Model

Auteurs: Kymberley K. Bennett, Donna M. Buchanan, Philip G. Jones, John A. Spertus

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2015

Abstract

Health disparities by socioeconomic status (SES) exist for many outcomes, including patients’ subjective health status after myocardial infarction (MI). The Reserve Capacity Model (RCM), a theoretical means to understand such disparities, was tested to examine the possible mediating effects of cognitive-emotional factors on the association between SES and health status. Data from 2,348 post-MI patients in PREMIER were used. Indicators of SES were collected during hospitalization via personal interviews, while participants completed measures of stress and reserves at 1 month, depressive symptoms at 6 months, and health status at 1 year through telephone interviews. Structural equation model results provide partial support for the RCM, as cognitive-emotional factors partially mediated the association between SES and mental health status. For physical health status, results supported direct rather than indirect effects of SES. Findings suggest psychosocial interventions with patients of low SES will have their greatest effects on appraisals of psychological health status.

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Previous studies using PREMIER have found dyspnea to be cross-sectionally associated with similar outcomes, so an exploratory structural model with it as a baseline covariate was estimated. In this exploratory analysis, model fit changed only minimally (RMSEA = .04 vs .04; CFI = .95 vs. .94; NNFI = .89 vs. .88), no path coefficient changed by more than ±.006, and in no case did statistical significance change.

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Titel: Socioeconomic status, cognitive-emotional factors, and health status following myocardial infarction: testing the Reserve Capacity Model
Auteurs: Kymberley K. Bennett
Donna M. Buchanan
Philip G. Jones
John A. Spertus
Publicatiedatum: 01-02-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-014-9583-4

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