"The Relationships between Coping Mechanisms, Depression, Anxiety and Sleep Disorders in Cardiovascular Patients"

IF 0.8 4区心理学 Q4 PSYCHOLOGY, CLINICAL

Journal of Evidence-Based Psychotherapies Pub Date : 2021-03-01 DOI:10.24193/JEBP.2021.1.3

A. Mustață

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引用次数: 2

Abstract

"Depression, anxiety and sleep disorders are psychological risk factors that could impact the quality of life in cardiovascular patients. In this study, a theoretical model on the complex relationships between coping mechanisms, depression, anxiety and sleep disorders was studied in a sample of 274 cardiovascular patients. The maladaptive cognitive-emotional coping strategies that appeared to be correlated with these negative emotional pathologies were self-blaming, ruminating and catastrophizing, and the adaptive ones were positive refocusing, refocusing on planning and positive reassessment. A theoretical model that explains these relationships at a process level appears to have statistical significance and to have adequate goodness of fit. In this model, there are statistically significant direct effects of maladaptive and adaptive coping mechanisms on depression and anxiety, a significant effect of anxiety on depression, as well as statistically significant positive effects of depression and anxiety on sleep disorders. The age has been controlled for in the model and the severity of the illness appears to have a moderating role in this context, with a stronger effect of anxiety on depression for patients with more severe illnesses. The practical implications of these results in psychological counselling addressed to cardiovascular patients are discussed."

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心血管病患者的应对机制、抑郁、焦虑和睡眠障碍之间的关系

抑郁症、焦虑症和睡眠障碍是影响心血管患者生活质量的心理危险因素。本研究以274名心血管患者为样本，研究了应对机制、抑郁、焦虑和睡眠障碍之间复杂关系的理论模型与这些负面情绪病理相关的是自责、沉思和灾难，而适应性的是积极的重新聚焦、重新聚焦于计划和积极的评估。在过程水平上解释这些关系的理论模型似乎具有统计学意义，并且具有足够的拟合度。在该模型中，适应不良和适应性应对机制对抑郁和焦虑有统计学显著的直接影响，焦虑对抑郁有统计学显著影响，抑郁和焦虑对睡眠障碍有统计学显著积极影响。模型中的年龄已经得到了控制，在这种情况下，疾病的严重程度似乎起到了调节作用，对病情更严重的患者来说，焦虑对抑郁的影响更大。讨论了这些结果在心血管患者心理咨询中的实际应用。“

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

Journal of Evidence-Based Psychotherapies PSYCHOLOGY, CLINICAL-

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： The journal is devoted to the advancement of the clinical theory and practice of evidence-based psychotherapies (EBP) (e.g., evidence-based psychological assessments, evidence-based psychological treatments). The journal publishes original papers dealing with EBP and psychology, psychiatry, the medical and mental specialties, and allied areas of science.