Sex and Psychosocial Differences in Acute Stress Symptoms Prior to Open-Heart Surgery.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

International Journal of Behavioral Medicine Pub Date : 2024-05-10 DOI:10.1007/s12529-024-10287-1

Amy L Ai, Hoa B Appel, Chyongchiou J Lin

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Abstract

Background: Acute stress symptoms can occur while cardiac patients await open-heart surgery (OHS). The distress leads to poor outcomes. This study aimed to investigate the association of sex and psychosocial factors (quality-of-life and character strengths).

Method: Our study cohort included 481 pre-OHS patients (female 42%; mean age 62 years). Medical indices/factors were obtained from the Society of Thoracic Surgeon's national database. Multiple regression analyses were performed following pre-planned steps and adjusting medical factors.

Results: Our findings revealed that sex differences in trauma-related symptoms were associated with poor mental well-being, alongside comorbidities. Both mental well-being and comorbidity factors were directly related to acute stress symptoms, while dispositional optimism had an inverse association with this outcome.

Conclusion: To improve OHS outcomes, our findings suggest healthcare providers be attentive to pre-OHS acute stress symptoms, pay greater attention to the emotional well-being of their female patients, and develop supportive interventions to enhance personality strengths.

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开胸手术前急性应激症状的性别和社会心理差异。

背景：心脏病患者在等待开胸手术（OHS）时可能会出现急性应激症状。这种痛苦会导致不良预后。本研究旨在调查性别与社会心理因素（生活质量和性格优势）之间的关系：我们的研究队列包括 481 名 OHS 术前患者（女性占 42%；平均年龄 62 岁）。医疗指数/因素来自胸外科医师协会的国家数据库。按照预先计划的步骤进行了多元回归分析，并对医疗因素进行了调整：结果：我们的研究结果表明，创伤相关症状的性别差异与精神状况不佳以及合并症有关。心理健康和合并症因素都与急性应激症状直接相关，而性格乐观与这一结果呈反向关系：为了改善职业健康与安全的结果，我们的研究结果建议医疗服务提供者关注职业健康与安全前的急性应激症状，更多地关注女性患者的情绪健康，并制定支持性干预措施以增强人格力量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.