Objectives: To describe self-reported stress level, cognitive appraisal and coping among patients with heart failure (HF), and to examine the association of cognitive appraisal and coping strategies with event-free survival. Methods: This was a prospective, longitudinal, descriptive study of patients with chronic HF. Assessment of stress, cognitive appraisal, and coping was performed using Perceived Stress Scale, Cognitive Appraisal Health Scale, and Brief COPE scale, respectively. The event-free survival was defined as cardiac rehospitalization and all-cause death. Results: A total of 88 HF patients (mean age 58 ± 13 years and 53.4% male) participated. Linear and cox regression showed that harm/loss cognitive appraisal was associated with avoidant emotional coping (β = -0.28; 95% CI: -0.21 – 0.02; p = 0.02) and event free survival (HR = 0.53; 95% CI: 0.28 – 1.02; p = 0.05). Conclusions: The cognitive appraisal of the stressors related to HF may lead to negative coping strategies that are associated with worse event-free survival.
|Number of pages||6|
|Journal||Heart and Lung|
|State||Published - May 1 2018|
Bibliographical noteFunding Information:
Funding: This work was supported by the National Institutes of Health , National Institute of Nursing Research [NIH, NINR P20 Center funding 5P20NR010679 ; NIH, NINR 1 R01 NR009280 (Terry Lennie PI) and R01 NR008567 (Debra Moser, PI)], and K23 NR013480 (Rebecca Dekker).
© 2018 Elsevier Inc.
- Cognitive appraisal
- Event-free survival
- Heart failure
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine
- Cardiology and Cardiovascular Medicine