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Quality of Life Research

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Open Access 01-10-2016

Changes in well-being after myocardial infarction: Does coping matter?

Author: Aleksandra Kroemeke

Published in: Quality of Life Research | Issue 10/2016

Abstract

Purpose

This study explores changes in emotional component of subjective well-being (SWB) of patients after their first myocardial infarction (MI) and two kinds of mechanisms: attribution of positive (PA) and negative (NA) affect and a mediation effect of coping.

Methods

Affect and coping strategies (problem-, emotion-, and avoidance-focused) were assessed in 121 male patients (age 52.26 ± 7.08 years) a few days after the first MI and then 1 and 6 months later. The indicator of emotional SWB was affect balance, calculated as the ratio of PA to NA. Mediation was tested using the PROCESS macro.

Results

The affect balance changed over time, from a predominance of negativity a few days post-MI to more positive 1 and 6 months later (F _{2, 119} = 21.87, p < 0.001). The results of parallel multiple mediation showed a mediating effect of emotion-focused coping on the changes in affect balance over time. Separate analyses for PA and NA showed the same results for NA. Problem-focused coping mediated PA changes in the early post-hospitalization period.

Conclusions

Myocardial infarction may activate PA alongside the NA, but the predominance of PA over NA in both early and late post-hospitalization period was minimal. Affect balance appeared to be largely dependent on NA and its changes. Coping strategies partly mediated the changes in well-being, providing a basis for practical interventions.

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Title: Changes in well-being after myocardial infarction: Does coping matter?
Author: Aleksandra Kroemeke
Publication date: 01-10-2016
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 10/2016
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-016-1286-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Changes in well-being after myocardial infarction: Does coping matter?

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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