Stress, cognitive appraisal, coping, and event free survival in patients with heart failure

Abdullah S. Alhurani; Rebecca Dekker; Muayyad Ahmad; Jennifer Miller; Khalil M. Yousef; Basel Abdulqader; Ibrahim Salami; Terry A. Lennie; David C. Randall; Debra K. Moser

doi:10.1016/j.hrtlng.2018.03.008

Stress, cognitive appraisal, coping, and event free survival in patients with heart failure

Abdullah S. Alhurani
, Rebecca Dekker
, Muayyad Ahmad
, Jennifer Miller
, Khalil M. Yousef
, Basel Abdulqader
, Ibrahim Salami
, Terry A. Lennie
, David C. Randall
, Debra K. Moser

College of Nursing

Research output: Contribution to journal › Article › peer-review

36 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	205-210
Number of pages	6
Journal	Heart and Lung
Volume	47
Issue number	3
DOIs	https://doi.org/10.1016/j.hrtlng.2018.03.008
State	Published - May 1 2018

Bibliographical note

Publisher Copyright:
© 2018 Elsevier Inc.

Funding

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).

Funders	Funder number
National Institutes of Health (NIH)
National Institute of Health National Institute of Nursing Research	K23 NR013480, R01NR008567, 1 R01 NR009280, 5P20NR010679
National Institute of Health National Institute of Nursing Research

Keywords

Cognitive appraisal
Coping
Event-free survival
Heart failure
Stress

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.hrtlng.2018.03.008

Cite this

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title = "Stress, cognitive appraisal, coping, and event free survival in patients with heart failure",

abstract = "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.",

keywords = "Cognitive appraisal, Coping, Event-free survival, Heart failure, Stress",

author = "Alhurani, \{Abdullah S.\} and Rebecca Dekker and Muayyad Ahmad and Jennifer Miller and Yousef, \{Khalil M.\} and Basel Abdulqader and Ibrahim Salami and Lennie, \{Terry A.\} and Randall, \{David C.\} and Moser, \{Debra K.\}",

note = "Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

year = "2018",

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doi = "10.1016/j.hrtlng.2018.03.008",

language = "English",

volume = "47",

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AU - Alhurani, Abdullah S.

AU - Dekker, Rebecca

AU - Ahmad, Muayyad

AU - Miller, Jennifer

AU - Yousef, Khalil M.

AU - Abdulqader, Basel

AU - Salami, Ibrahim

AU - Lennie, Terry A.

AU - Randall, David C.

AU - Moser, Debra K.

PY - 2018/5/1

Y1 - 2018/5/1

N2 - 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.

AB - 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.

KW - Cognitive appraisal

KW - Coping

KW - Event-free survival

KW - Heart failure

KW - Stress

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Stress, cognitive appraisal, coping, and event free survival in patients with heart failure

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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