Pathways to postoperative hostility in cardiac patients: Mediation of coping, spiritual struggle and Interleukin-6

Amy Lee Ai, Kenneth Pargament, Ziad Kronfol, Terrence N. Tice, Hoa Appel

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Using structural equation modeling, we estimated major pathways from preoperative distress, indicated by anxiety and other factors, to postoperative hostility in cardiac patients. Sequential interviews were conducted before and after surgery. Standardized medical and surgical indices were selected from a national database. Results showed that preoperative spiritual struggle mediated indirect effects of anxiety and anger coping on Interleukin-6 (IL-6) immediately before surgery. The link between spiritual struggle and IL-6 further mediated the indirect effects of anxiety and anger coping on postoperative hostility. Anger coping mediated the harmful influence of anxiety and counteracted the protection of positive religious coping on adjustment.

Original languageEnglish
Pages (from-to)186-195
Number of pages10
JournalJournal of Health Psychology
Volume15
Issue number2
DOIs
Publication statusPublished - Mar 2010
Externally publishedYes

Fingerprint

Hostility
Interleukin-6
Anger
Anxiety
Social Adjustment
Databases
Interviews

Keywords

  • Anger
  • Cardiac disease and open-heart surgery
  • Coping
  • Existential stress
  • Hostility
  • Interleukin-6 (IL-6)
  • Religion and spiritual struggle
  • Stress and mood state

ASJC Scopus subject areas

  • Applied Psychology

Cite this

Pathways to postoperative hostility in cardiac patients : Mediation of coping, spiritual struggle and Interleukin-6. / Ai, Amy Lee; Pargament, Kenneth; Kronfol, Ziad; Tice, Terrence N.; Appel, Hoa.

In: Journal of Health Psychology, Vol. 15, No. 2, 03.2010, p. 186-195.

Research output: Contribution to journalArticle

Ai, Amy Lee ; Pargament, Kenneth ; Kronfol, Ziad ; Tice, Terrence N. ; Appel, Hoa. / Pathways to postoperative hostility in cardiac patients : Mediation of coping, spiritual struggle and Interleukin-6. In: Journal of Health Psychology. 2010 ; Vol. 15, No. 2. pp. 186-195.
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