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An unbalanced time-perspective profile in cardiac surgery patients as a risk factor for depression

Published online by Cambridge University Press:  13 August 2021

O. Nikolaeva ,
E. Nikolaev ,
S. Petunova ,
N. Grigorieva ,
E. Lazareva  and
D. Hartfelder
O. Nikolaeva
Affiliation:
Cardiosurgery, Republic Cardiology Clinic, Cheboksary, Russian Federation
E. Nikolaev*
Affiliation:
Medical Faculty, Ulianov Chuvash State University, Cheboksary, Russian Federation
S. Petunova
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
N. Grigorieva
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
E. Lazareva
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
D. Hartfelder
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Depression is one of common comorbid states that accompany cardiovascular diseases. Risk of co-morbidity can rise when patients have to undergo heart surgery, which is an additional stress-factor.

Objectives

To specify psychological correlations between depressive manifestations in cardiac surgery patients based on the analysis of their time perspective profile.

Methods

Using the Zimbardo Time Perspective Inventory, we examined 60 cardiac surgery inpatients (80% male, mean age 58.25±10.55). We calculated the statistical estimation of the received data based on the comparison with the norm and the correlation analysis.

Results

The research revealed that cardiac surgery patients’ indices significantly exceeded the norm on three out of five scales – Negative-Past (t=4.405; p=.000), Positive-Past (t=3.536; p=.000), and Future (t=5.008; p=.000). We also identified essential correlations between the level of depression and the indices of Negative-Past (r=.390; p=.002) and Positive-Past (r=-.270; p=.037). We distinguished a positive correlation of the negative attitude to the past with cognitive-affective (r=.369; p=.004) and somatic (r=.338; p=.008) manifestations of depression, and a negative correlation with the level of education (r=-.292; p=.024).

Conclusions

The personal time perspective profile in cardiac surgery patients is unbalanced due to a high level of their negative attitude to the past with an optimal level in other time perspectives. The degree of the Negative-Past attitude correlates in the patients with a low level of education and a high risk of depression in all its manifestations. The given correlations should be taken into account when conducting preventive psychological interventions.

Disclosure

No significant relationships.

Keywords

risk factortime perspectiveDepressioncardiac surgery patients
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S757 - S758
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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