Matters of the heart : the dyadic effects of psychological resilience and coping on psychological distress and relationship satisfaction among couples undergoing open heart surgery
Notice bibliographique
Résumé
Cardiac surgeries are among the most commonly performed surgical interventions worldwide. Despite goals of improved survival and enhanced quality of life, the process of undergoing cardiac surgery is physically and psychologically demanding. Elevated levels of psychological distress and relationship strain have been documented in both cardiac surgery patients and their spouses prior to undergoing cardiac surgery. Psychological resilience is a well-established protective factor for individuals facing adversity. Yet, research on resilience in the context of dyads, as well as research that investigates how and why psychological resilience helps individuals and couples adapt to stressful situations is scarce. The overarching goal of the current research was to investigate the extent to which psychological resilience is related to emotional and relationship outcomes in patients scheduled for open heart surgery and their spouses. A sample of 71 patient-spouse dyads were recruited and each participant completed a battery of standardized psychosocial questionnaires. Using actor-partner interdependence models, actor effects emerged, suggesting that resilience may serve as a protective factor against psychological distress and relationship strain among patients as well as their spouses. Partner effects were also identified, suggesting that patient resilience may have implications for spouse levels of relationship satisfaction. A secondary goal of the current research was to assess the extent to which resilience influences outcomes through ways of adaptive coping (i.e., collaboratively coping to manage stress) and maladaptive coping (i.e., catastrophizing pain). Using actor-partner interdependence mediation models it was found that the extent to which couples collaborated to manage stressors together mediated the relationship between their own resilience and their own sense of relationship satisfaction. As well, a partner effect emerged whereby greater psychological resilience in the patient was associated with greater relationship satisfaction in the spouse via higher levels of the spouse’s common dyadic coping. Additionally, psychological resilience was related to lower psychological distress for both patients and their spouses, and this was explained in part by the fact that they engaged in lower levels of pain catastrophizing. The theoretical and clinical implications of this research are expanded upon, including the potential utility of individual and couples rehabilitation prior to cardiac surgery.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,002 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».