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Factors Associated with Posttraumatic Growth Among Myocardial Infarction Patients: Perceived Social Support, Perception of the Event and Coping

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Abstract

Posttraumatic Growth (PTG) is accepted as positive transformations that are a product of struggling with significant stressors such as chronic illness. A model, conceptualized by Schaefer and Moos (Posttraumatic growth: Positive changes in the aftermath of crisis, pp 99–126, 1998), suggests a relative contribution of environmental and individual resources, perception of the event (PE) and coping in the development of PTG. The aim of the present study was to examine the effect of perceived social support (PSS), PE and coping on PTG. This model was tested in a sample of patients with myocardial infarction (MIP, N = 148) from various hospitals in Turkey. The structural equation analysis of the model revealed that PSS was significantly related to PTG through the effect of coping. While coping was significantly and directly related to PTG, PE was not. The findings are discussed in the context of the theoretical model with suggestions for future research.

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References

  • Affleck, G., Tennen, H., Croog, S., & Levine, S. (1987). Causal attribution, perceived benefits, and morbidity after a heart-attack: An 8-year study. Journal of Consulting and Clinical Psychology, 55, 29–35.

    Article  CAS  PubMed  Google Scholar 

  • Aldwin, C. M., & Sutton, K. J. (1998). A developmental perspective on posttraumatic growth. In R. G. Tedeschi, C. L. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive changes in the aftermath of crisis (pp. 43–64). New Jersey: Lawrence Erlbaum Associates

    Google Scholar 

  • Allan, R., & Scheidt, S. (2006). Empirical basis for cardiac psychology. In S. Scheidt (Ed.), Heart and mind: The practice of cardiac psychology (pp. 1–69). Washington: APA Publications.

    Google Scholar 

  • Arat, N., Gülel, N., & Sabah, İ. (2005). Did death ratio of acute myocardial infarctus decrease in recent years? Unique center results in elder patient: Original article. Journal of Anatolia Cardiology, 5, 101–115.

    Google Scholar 

  • Arbuckle, J. L. (2006). Amos (Version 7.0) [Computer Program]. Chicago: SPSS.

  • Bellizzi, K. M., & Blank, T. O. (2006). Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 25, 47–56. doi:10.1037/0278-6133.25.1.47.

    Article  PubMed  Google Scholar 

  • Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.

    Article  CAS  PubMed  Google Scholar 

  • Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance-structures. Psychological Bulletin, 88, 588–606.

    Article  Google Scholar 

  • Bollen, K. A. (1989). A new incremental fit index for general structural equation models. Sociological Methods and Research, 17, 303–316.

    Article  Google Scholar 

  • Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59, 20–28. doi:10.1037/0003-066X.59.1.20.

    Article  PubMed  Google Scholar 

  • Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. (1998). Cognitive processing, discovery of meaning, CD4 decline, and AIDS-related mortality among bereaved HIV-seropositive men. Journal of Consulting and Clinical Psychology, 66, 979–986.

    Article  CAS  PubMed  Google Scholar 

  • Bozo, O., Gundogdu, E., & Buyukasik-Colak, C. (2009). The moderating role of different sources of perceived social support on the dispositional optimism- posttraumatic growth relationship in postoperative breast cancer patients. Journal of Health Psychology, 14, 1009–1020. doi:10.1177/1359105309342295.

    Article  PubMed  Google Scholar 

  • Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Cadell, S., Regehr, C., & Hemsworth, D. (2003). Factors contributing to posttraumatic growth: A proposed structural equation model. American Journal of Orthopsychiatry, 73, 279–287.

  • Cadell, S., Regehr, C., & Hemsworth, D. (2003). Factors contributing to posttraumatic growth: A proposed structural equation model. American Journal of Orthopsychiatry, 73, 281–289.

    Article  Google Scholar 

  • Calhoun, L. G., Cann, A., Tedeschi, R. G., & McMillan, J. (2000). A correlational test of the relationship between posttraumatic growth, religion, and cognitive processing. Journal of Traumatic Stress, 13, 521–527.

    Article  CAS  PubMed  Google Scholar 

  • Calhoun, L. G., & Tedeschi, R. G. (1998a). Beyond recovery from trauma: Implications for clinical practice and research. Journal of Social Issues, 54, 357–371.

    Article  Google Scholar 

  • Calhoun, L. G., & Tedeschi, R. G. (1998b). Posttraumatic growth: Future directions. In R. G. Tedeschi, C. L. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive changes in the aftermath of crisis (pp. 215–238). New Jersey: Lawrence Erlbaum Associates.

    Google Scholar 

  • Cordova, M. J., Cunningham, L. L. C., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20, 176–185. doi:10.1037//0278-6133.20.3.176.

    Article  CAS  PubMed  Google Scholar 

  • Delon, M. (2006). The patient in the CCU waiting room: In hospital treatment of the cardiac spouse. In R. A & S. Scheidt (Eds.), Heart and mind: The practice of cardiac psychology (pp. 421–433). Washington, DC: APA Publications.

    Google Scholar 

  • Dirik, G. (2006). Predictor variables of depression, anxiety and posttraumatic growth among rheumatoid arthritis patients. Unpublished doctorate thesis, Middle East Technical University, Ankara.

  • Dirik, G., & Karanci, A. N. (2008). Variables related to posttraumatic growth in Turkish rheumatoid arthritis patients. Journal of Clinical Psychology in Medical Settings, 15, 193–203. doi:10.1007/s10880-008-9115-x.

    Article  PubMed  Google Scholar 

  • Dugmore, L. D. (2007). Cardiac rehabilitation and wellness in the corporate setting. In J. Perk, H. Gohlke, I. Hellemans, P. Sellier, P. Mathes, C. Monpère, H. McGee, & H. Saner (Eds.), Cardiovascular prevention and rehabilitation (pp. 428–434). London: Springer.

    Chapter  Google Scholar 

  • Durak, M., Senol-Durak, E., & Gençoz, T. (in press). Psychometric properties of the Satisfaction with Life Scale (SWLS) among Turkish university students, correctional officers, and elderly adults. Social Indicators Research. doi:10.1007/s11205-010-9589-4.

  • Eker, D., & Arkar, H. (1995). Factorial structure, validity, and reliability of the Multidimensional Scale of Perceived Social Support. Turk Psikoloji Dergisi, 10, 45–55.

    Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219–239.

    Article  CAS  PubMed  Google Scholar 

  • Fortune, D., Richards, H., Griffiths, C., & Main, C. (2005). Adversarial growth in patients undergoing treatment for psoriasis: A prospective study of the ability of patients to construe benefits from negative events. Psychology, Health and Medicine, 10, 44–56. doi:10.1080/13548500512331315352.

    Article  Google Scholar 

  • Gencoz, F., Gencoz, T., & Bozo, O. (2006). Hierarchical dimensions of coping styles: A study conducted with Turkish university students. Social Behavior and Personality, 34, 525–534.

    Article  Google Scholar 

  • Kesimci, A., Goral, F. S., & Gencoz, T. (2005). Determinants of stress-related growth: Gender, stressfulness of the event, and coping strategies. Current Psychology, 24, 68–75.

    Article  Google Scholar 

  • Kim, H. S., Sherman, D. K., & Taylor, S. E. (2008). Culture and social support. American Psychologist, 63, 518–526. doi:10.1037/0003-066X.

    Article  PubMed  Google Scholar 

  • Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.

    Google Scholar 

  • Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11–21.

    Article  PubMed  Google Scholar 

  • Maercker, A., & Herrle, J. (2003). Long-term effects of the Dresden bombing: Relationships to control beliefs, religious belief, and personal growth. Journal of Traumatic Stress, 16, 579–587.

    Article  PubMed  Google Scholar 

  • McVeigh, S. D. (2005). The effects of time and challenge on stress related growth. Unpublished doctorate thesis, University of North Carolina, South Carolina.

  • Milam, J. (2006). Posttraumatic growth and HIV disease progression. Journal of Consulting and Clinical Psychology, 74, 817–827. doi:10.1037/0022-006X.74.5.817.

    Article  PubMed  Google Scholar 

  • Neufeld, R. W. J. (1999). Dynamic differentials of stress and coping. Psychological Review, 106, 385–397.

    Article  Google Scholar 

  • O’Leary, V. E., Alday, C. S., & Ickovics, J. R. (1998). Models of life change and posttraumatic growth. In R. G. Tedeschi, C. L. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive changes in the aftermath of crisis (pp. 127–152). New Jersey: Lawrence Erlbaum Associates.

    Google Scholar 

  • Pakenham, K. I. (2005). Benefit finding in multiple sclerosis, and associations with positive and negative outcomes. Health Psychology, 24, 123–132. doi:10.1037/0278-6133.24.1.123.

    Article  PubMed  Google Scholar 

  • Park, C. L., & Helgeson, V. S. (2006). Introduction to the special section: Growth following highly stressful life events-current status and future directions. Journal of Consulting and Clinical Psychology, 74, 791–796. doi:10.1037/0022-006X.74.5.791.

    Article  PubMed  Google Scholar 

  • Paul, S., & Sneed, N. V. (2004). Strategies for behavior change in patients with heart failure. American Journal of Critical Care, 13, 305–313.

    PubMed  Google Scholar 

  • Rohrbaugh, M. J., Cranford, J. A., Shoham, V., Nicklas, J. M., Sonnega, J. S., & Coyne, J. C. (2002). Couples coping with congestive heart failure: Role and gender differences in psychological distress. Journal of Family Psychology, 16, 3–13. doi:10.1037//0893-3200.16.1.3.

    Article  PubMed  Google Scholar 

  • Rosamond, W., Flegal, K., Furie, K., Go, A., Greenlund, K., Haase, N., et al. (2008). Heart disease and stroke statistics—2008 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 117, E25–E146. doi:10.1161/CIRCULATIONAHA.107.187998.

    Article  PubMed  Google Scholar 

  • Schaefer, J. A., & Moos, R. H. (1998). The context for posttraumatic growth: Life crises, individual and social resources, and coping. In R. G. Tedeschi, C. L. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive changes in the aftermath of crisis (pp. 99–126). New Jersey: Lawrence Erlbaum Associates.

    Google Scholar 

  • Schumacker, R. E., & Lomax, R. G. (2008). A beginner’s guide to structural equation modeling. New Jersey: Lawrence Erlbaum Associates.

    Google Scholar 

  • Senol-Durak, E., & Ayvasik, H. B. (in press). Factors associated with posttraumatic growth among the spouses of myocardial infarction patients. Journal of Health Psychology. doi:10.1177/1359105309342472.

  • Senol-Durak, E., Durak, M., & Elagöz, F. Ö. (in press). Testing the psychometric properties of the Ways of Coping Questionnaire (WCQ) in Turkish university students and community samples. Clinical Psychology and Psychotherapy. doi:10.1002/cpp.677.

  • Senol-Durak, E., Durak, M., & Gencoz, T. (2006). Development of Work Stress Scale for correctional officers. Journal of Occupational Rehabilitation, 16, 157–168. doi:10.1007/s10926-005-9006-z.

    Article  PubMed  Google Scholar 

  • Senol-Durak, E., & Gencoz, F. (in press). Factors associated with the symptoms of depression and anxiety among male Turkish prisoners: A life crisis and personal growth model perspective. Journal of Forensic Psyhiatry and Psychology. doi:10.1080/14789941003624106.

  • Shakespeare-Finch, J., Gow, K., & Smith, S. (2005). Personality, coping and posttraumatic growth in emergency ambulance personnel. Traumatology, 11, 325–334. doi:10.1177/153476560501100410.

    Article  Google Scholar 

  • Sheikh, A. I. (2004). Posttraumatic growth in the context of heart disease. Journal of Clinical Psychology in Medical Settings, 11, 265–273.

    Article  Google Scholar 

  • Sheikh, A. I., & Marotta, S. A. (2008). Best practices for counseling in cardiac rehabilitation settings. Journal of Counseling and Development, 86, 111–119.

    Google Scholar 

  • Siegel, K., Schrimshaw, E. W., & Pretter, S. (2005). Stress-related growth among women living with HIV/AIDS: Examination of an explanatory model. Journal of Behavioral Medicine, 28, 403–414.

    Article  PubMed  Google Scholar 

  • Siva, N. A. (1991). Coping with stress, learned helplessness and depression in infertility. Unpublished doctoral thesis, Hacettepe University, Ankara.

  • Streiner, D. L. (2006). Building a better model: An introduction to structural equation modelling. Canadian Journal of Psychiatry-Revue Canadienne de Psychiatrie, 51, 317–324.

    PubMed  Google Scholar 

  • Tabachnik, B. G., & Fidell, L. S. (1996). Using multivariate statistics. New York: Harper Collins College.

    Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.

    Article  CAS  PubMed  Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (2003). Routes to posttraumatic growth through cognitive processing. In D. Paton, J. M. Volanti, & L. M. Smith (Eds.), Promoting capabilities to manage posttraumatic stress (pp. 12–26). Springfield: H. Thomas.

    Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.

    Article  Google Scholar 

  • Tokgözoğlu, L. (2004). Definition identification of the risk of acute coronary syndrome. Turkish Clinics of Cardiology, 1, 72–75.

    Google Scholar 

  • Walton, K. G., Schneider, R. H., Salerno, J. W., & Nidich, S. I. (2005). Psychosocial stress and cardiovascular disease part 3: Clinical and policy implications of research on the transcendental meditation program. Behavioral Medicine, 30, 173–183.

    Article  PubMed  Google Scholar 

  • Weiss, T. (2004a). Correlates of posttraumatic growth in husbands of breast cancer survivors. Psycho-Oncology, 13, 260–268. doi:10.1002/pon.735.

    Article  PubMed  Google Scholar 

  • Weiss, T. (2004b). Correlates of posttraumatic growth in married breast cancer survivors. Journal of Social and Clinical Psychology, 23, 733–746.

    Article  Google Scholar 

  • Widows, M. R., Jacobsen, P. B., Booth-Jones, M., & Fields, K. K. (2005). Predictors of posttraumatic growth following bone marrow transplantation for cancer. Health Psychology, 24, 266–273. doi:10.1037/0278-6133.24.3.26.

    Article  PubMed  Google Scholar 

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Correspondence to Emre Senol-Durak.

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Senol-Durak, E., Ayvasik, H.B. Factors Associated with Posttraumatic Growth Among Myocardial Infarction Patients: Perceived Social Support, Perception of the Event and Coping. J Clin Psychol Med Settings 17, 150–158 (2010). https://doi.org/10.1007/s10880-010-9192-5

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