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Factors Associated with Disability Expectations in Patients Undergoing Heart Surgery

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International Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Background

Heart surgery patients’ expectations have been shown to be related to surgery outcome, independent of medical status. However, it is unclear which factors determine patients’ expectations about disability following heart surgery.

Purpose

Investigating the associations of patients’ disability expectations with demographic, medical, and psychosocial factors as well as other aspects of patients’ expectations might help to tailor psychological interventions more specifically to optimize patient’s expectations.

Methods

Eighty-three patients were invited to a psycho-educational intervention to optimize expectations prior to elective coronary artery bypass graft (CABG). Before the psychological intervention and before surgery, disability expectations, demographical, medical, psychosocial variables as well as patient and treatment related expectations were collected via questionnaires and patients’ files. Associations with disability expectations were assessed using hierarchical linear multiple regression analysis.

Results

Patients self-rated disability (β = 0.50; p < 0.001) and beliefs about treatment efficacy (β = −0.42; p < 0.001) was independently associated with disability expectations. Expectations about the efficacy of patients’ own health behavior as well as demographical variables, psychological distress, perceived social support, and measures of medical morbidity did not explain any additional variance in patients’ disability expectations.

Conclusion

CABG patients seem to form their disability expectations upon their perceptions about their current disability and their expectations about the efficacy of treatment. Patients’ disability expectations appear to be independent from scientifically established risk factors and other psychosocial patient characteristics in heart surgery. Future research is necessary to further determine what factors psychological interventions should focus on to modify patients’ disability expectations.

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Acknowledgments

The development of study design and study content are supported by a grant of the German Research Foundation (DFG) to Dr. Rief (Ri 574/21-1). This study is part of the Transregional DFG Research Unit FOR 1328: “Expectation and Conditioning as basic processes of the placebo and nocebo response—from neurobiology to clinical applications.”

Ethical Standards

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

Conflict of Interest

Johannes AC Laferton, Charlotte J Auer, and Meike C Shedden-Mora declare that they have no conflict of interest. Rainer Moosdorf has received a consultant honorarium from EUSA Pharm. Winfried Rief declares that he has no conflict of interest that could have influenced the content of this manuscript.

Author information

Authors and Affiliations

  1. Department of Clinical Psychology and Psychotherapy, Philipps University of Marburg, Gutenbergstraße 18, 35032, Marburg, Germany

    Johannes A. C. Laferton, Charlotte J. Auer & Winfried Rief

  2. Department of Clinical Psychology and Psychotherapy, University of Hamburg, Hamburg, Germany

    Meike C. Shedden-Mora

  3. Department of Cardiac and Thoracic Vessel Surgery, Heart Center, Philipps University of Marburg, Marburg, Germany

    Rainer Moosdorf

Authors
  1. Johannes A. C. Laferton
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  2. Charlotte J. Auer
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  3. Meike C. Shedden-Mora
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  4. Rainer Moosdorf
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  5. Winfried Rief
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Corresponding author

Correspondence to Johannes A. C. Laferton.

Additional information

Rainer Moosdorf and Winfried Rief contributed equally to this manuscript.

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Laferton, J.A.C., Auer, C.J., Shedden-Mora, M.C. et al. Factors Associated with Disability Expectations in Patients Undergoing Heart Surgery. Int.J. Behav. Med. 22, 85–91 (2015). https://doi.org/10.1007/s12529-014-9434-2

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  • DOI: https://doi.org/10.1007/s12529-014-9434-2

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