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Benefit Finding in Cardiac Patients: Relationships with Emotional Well-Being and Resources after Controlling for Physical Functional Impairment

Published online by Cambridge University Press:  19 September 2016

Pilar Sanjuán*
Affiliation:
Universidad Nacional de Educación a Distancia (Spain)
Cristina García-Zamora
Affiliation:
Universidad Nacional de Educación a Distancia (Spain)
M. Ángeles Ruiz
Affiliation:
Universidad Nacional de Educación a Distancia (Spain)
Beatriz Rueda
Affiliation:
Universidad Nacional de Educación a Distancia (Spain)
Henar Arranz
Affiliation:
Hospital Universitario La Paz-Cantoblanco (Spain)
Almudena Castro
Affiliation:
Hospital Universitario La Paz-Cantoblanco (Spain)
*
*Correspondence concerning this article should be addressed to Dra. Pilar Sanjuán. Facultad de Psicología - Universidad Nacional de Educación a Distancia (UNED). C/ Juan del Rosal, 10. Ciudad Universitaria. 28040. Madrid (Spain). Phone: +34–913986276. E-mail: [email protected]

Abstract

Benefit finding (BF) is defined as the individual’s perception of positive change as a result of coping with an adverse life event. The beneficial effects of BF on well-being could be because BF favors the improvement of resources like self-efficacy, social support and effective coping. The main objective of this longitudinal 8 week study was to explore, in a sample of cardiac patients (n = 51), the combined contribution of BF and these resources to the positive affect. Moreover, we wanted to check whether these resources were derived from BF or, on the contrary, these resources were antecedents of BF. Results showed that after controlling for functional capacity, only effective coping could predict the positive affect at Time 1 (β = .32, p < .05), while the BF predicted it at Time 2 (β = .23, p < .001). Only social support predicted BF (β = .26, p < .05), but not the opposite. We discussed the desirability of promoting these processes to improve the emotional state of cardiac patients.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2016 

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References

Affleck, G., Tennen, H., Croog, S., & Levine, S. (1987). Causal attribution, perceived benefits, and morbidity after a heart attack: An 8-year study. Journal of Consulting and Clinical Psychology, 55, 2935. http://dx.doi.org/10.1037/0022-006X.55.1.29 Google Scholar
Antoni, M., Lehman, J., Kilbourn, K., Boyers, A., Culver, J., Alferi, , … Carver, C. (2001). Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20, 2032. http://dx.doi.org/10.1037/0278-6133.20.1.20 Google Scholar
Arrebola-Moreno, A. L., Garcia-Retamero, R., Catena, A., Marfil-Álvarez, R., Melgares-Moreno, R., & Ramírez-Hernández, J. A. (2014). On the protective effect of resilience in patients with acute coronary syndrome. International Journal of Clinical and Health Psychology, 14, 111119. http://dx.doi.org/10.1016/S1697-2600(14)70044-4 Google Scholar
Baessler, J., & Schwarzer, R. (1996). Evaluación de la autoeficacia: Adaptación española de la escala de autoeficacia general [Evaluation of self-efficacy: Spanish adaptation of the general self-efficacy scale]. Ansiedad y Estrés, 2, 18.Google Scholar
Balady, G. J., Jette, D., Scheer, J., & Downing, J. (1996). Changes in exercise capacity following cardiac rehabilitation in patients stratified according to age and gender: Results of the Massachusetts association of cardiovascular and pulmonary rehabilitation multicenter database. Journal of Cardiopulmonary Rehabilitation, 16, 3846. http://dx.doi.org/10.1097/00008483-199601000-00005 Google Scholar
Barth, J., Schneider, S., & von Känel, R. (2010). Lack of social support in the etiology and the prognosis of coronary heart disease: A systematic review and meta-analysis. Psychosomatic Medicine, 72, 229238. http://dx.doi.org/10.1097/PSY.0b013e3181d01611 CrossRefGoogle ScholarPubMed
Ben-Zur, H. (2009). Coping styles and affect. International Journal of Stress Management, 16, 87101. http://dx.doi.org/10.1037/a0015731 Google Scholar
Boehm, J. E., & Kubzansky, L. (2012). The heart’s content: The association between positive psychological well-being and cardiovascular health. Psychological Bulletin, 138, 655691.Google Scholar
Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. (1998). Cognitive processing, discovery of meaning, CD4 decline, and AIDS related mortality among bereaved HIV-seropositive men. Journal of Consulting and Clinical Psychology, 66, 979986. http://dx.doi.org/10.1037/0022-006X.66.6.979 Google Scholar
Bower, J. E., Moskowitz, J. T., & Epel, E. (2009). Is benefit finding good for your health? Pathways linking positive life changes after stress and physical health outcomes. Current Directions in Psychological Science, 18, 337341. http://dx.doi.org/10.1111/j.1467-8721.2009.01663.x Google Scholar
Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4, 92100. http://dx.doi.org/10.1207/s15327558ijbm0401_6 Google Scholar
Carver, C. S., & Antoni, M. H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis. Health Psychology, 23, 595598. http://dx.doi.org/10.1037/0278-6133.23.6.595 Google Scholar
Cassidy, T., McLaughlin, M., & Giles, M. (2014). Benefit finding in response to general life stress: Measurement and correlates. Health Psychology and Behavioural Medicine, 2, 268282. http://dx.doi.org/10.1080/21642850.2014.889570 Google Scholar
Cavell, S., Broadbent, E., Donkin, L., Gear, K., & Morton, R. P. (2016). Observations of benefit finding in head and neck cancer patients. European Archives of Oto-Rhino-Laryngology, 273, 479485. http://dx.doi.org/10.1007/s00405-015-3527-7 Google Scholar
Chida, Y., & Steptoe, A. (2008). Positive psychological well-being and mortality: A quantitative review of prospective observational studies. Psychosomatic Medicine, 70, 741756. http://dx.doi.org/10.1097/PSY.0b013e31818105ba Google Scholar
Davidson, K. W., Mostofsky, E., & Whang, W. (2010). Don’t worry, be happy: Positive affect and reduced 10-year incident coronary heart disease: The Canadian Nova Scotia health survey. European Heart Journal, 31, 10651070. http://dx.doi.org/10.1093/eurheartj/ehp603 Google Scholar
Diener, E., & Chan, M. Y. (2011). Happy people live longer: Subjective wellbeing contributes to health and longevity. Applied Psychological: Health and Well-Being, 3, 143. http://dx.doi.org/10.1111/j.1758-0854.2010.01045.x Google Scholar
Eisenberg, S. A., Shen, B. J., Schwarz, E. R., & Mallon, S. (2012). Avoidant coping moderates the association between anxiety and patient-rated physical functioning in heart failure patients. Journal of Behavioral Medicine, 35, 253261. http://dx.doi.org/10.1007/s10865-011-9358-0 Google Scholar
Garnefski, N., Kraaij, V., Schroevers, M. J., & Somsen, G. A. (2008). Post-traumatic growth after a myocardial infarction: A matter of personality, psychological health, or cognitive coping? Journal of Clinical Psychology in Medical Settings, 15, 270277. http://dx.doi.org/10.1007/s10880-008-9136-5 Google Scholar
Haber, M. G., Cohen, J. L., Lucas, T., & Baltes, B. B. (2007). The relationship between self-reported received and perceived social support: A meta-analytic review. American Journal of Community Psychology, 39, 133144. http://dx.doi.org/10.1007/s10464-007-9100-9 Google Scholar
Hegelson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797816. http://dx.doi.org/10.1037/0022-006X.74.5.797 Google Scholar
Jansen, L., Hoffmeister, M., Chang-Claude, J., Brenner, H., & Arndt, V. (2011). Benefit finding and post-traumatic growth in long-term colorectal cancer survivors: Prevalence, determinants, and associations with quality of life. British Journal of Cancer, 105, 11581165. http://dx.doi.org/10.1038/bjc.2011.335 CrossRefGoogle ScholarPubMed
Kangas, M., Willians, J., & Smee, R. (2011). Benefit finding in adults treated for benign meningioma brain tumours: Relations with psychosocial wellbeing. Brain Impairment, 12, 105116.Google Scholar
Karapolat, H., Eyigor, S., Durmaz, B., Yagdi, T., Nalbartgil, S., & Karakula, S. (2007). The relationship between depressive symptoms and anxiety and quality of life and functional capacity in heart transplant patients. Clinical Research in Cardiology, 96, 593599. http://dx.doi.org/10.1007/s00392-007-0536-6 Google Scholar
Kim, Y., Schulz, R., & Carver, C. S. (2007). Benefit finding in the cancer caregiving experience. Psychosomatic Medicine, 69, 283291. http://dx.doi.org/10.1097/PSY.0b013e3180417cf4 Google Scholar
Kinsinger, D. P., Penedo, F. J., Antoni, M. H., Dahn, J. R., Lechner, S., & Schneiderman, N. (2006). Psycho-social and sociodemographic correlates of benefit-finding in men treated for localized prostate cancer. Psycho-Oncology, 15, 954961. http://dx.doi.org/10.1002/pon.1028 Google Scholar
Lechner, S., Tennen, H., & Affleck, G. (2009). Benefit-finding and growth. In Lopez, S. & Snyder, C. (Eds.), Oxford handbook of positive psychology (pp. 633640). New York, NY: Oxford University Press.Google Scholar
Leung, Y. W., Gravely-Witte, S., MacPherson, A., Irvine, J., Stewart, D., & Grace, S. L. (2010). Post-traumatic growth among cardiac outpatients: Degree comparison with other chronic illness samples and correlates. Journal of Health Psychology, 15, 10491063. http://dx.doi.org/10.1177/1359105309360577 Google Scholar
Littlewood, R. A., Vanable, P. A., Carey, M. P., & Blair, D. C. (2008). The association of benefit finding to psychosocial and health behavior adaptation among HIV+ men and women. Journal of Behavioral Medicine, 31, 145155. http://dx.doi.org/10.1007/s10865-007-9142-3 Google Scholar
Luszczynska, A., Mohamed, N. E., & Schwarzer, R. (2005). Self-efficacy and social support predict benefit finding 12 months after cancer surgery: The mediating role of coping strategies. Psychology, Health & Medicine, 10, 365375. http://dx.doi.org/10.1080/13548500500093738 Google Scholar
McGregor, B. A., & Antoni, M. H. (2009). Psychological intervention and health outcomes among women treated for breast cancer: A review of stress pathways and biological mediators. Brain, Behavior, and Immunity, 23, 159166. http://dx.doi.org/10.1016/j.bbi.2008.08.002 Google Scholar
McKee, G., Kerins, M., Fitzgerald, G., Spain, M., & Morrison, K. (2013). Factors that influence obesity, functional capacity, anxiety and depression outcomes following a phase III cardiac rehabilitation programme. Journal of Clinical Nursing, 22, 27582767. http://dx.doi.org/10.1111/jocn.12233 Google Scholar
Medrano Albero, M. J., Boix Martínez, R., Cerrato Crespán, E., & Ramírez Santa-Pau, M. (2006). Incidencia y prevalencia de cardiopatía isquémica y enfermedad cerebrovascular en España: Revisión sistemática de la literatura [Incidence and prevalence of ischemic heart disease and cerebrovascular disease in Spain: Systematic review of the literatura]. Revista Española de Salud Pública, 80, 515. http://dx.doi.org/10.1590/S1135-57272006000100002 Google Scholar
Milam, J. (2004). Posttraumatic growth among HIV/AIDS patients. Journal of Applied Social Psychology, 34, 23532376. http://dx.doi.org/10.1111/j.1559-1816.2004.tb01981.x Google Scholar
Pakenham, K. I., & Cox, S. (2009). The dimensional structure of benefit finding in multiple sclerosis and relations with positive and negative adjustment: A longitudinal study. Psychology & Health 24, 373393. http://dx.doi.org/10.1080/08870440701832592 Google Scholar
Roohafza, H., Talaei, M., Pourmoghaddas, Z., Rajabi, F., & Sadeghi, M. (2012). Association of social support and coping strategies with acute coronary syndrome: A case–control study. Journal of Cardiology, 59, 154159. http://dx.doi.org/10.1016/j.jjcc.2011.12.001 Google Scholar
Ruiz, M. A., & Baca, E. (1993). Design and validation of the quality of life questionnaire: A generic health-related quality of life instrument. European Journal of Psychological Assessment, 9, 1932.Google Scholar
Sandin, B., Chorot, P., Lostao, L., Joiner, T., Santed, M., & Valiente, R. (1999). PANAS scales of positive and negative affect: Factorial validation and cross-cultural convergence. Psicothema, 11, 3751.Google Scholar
Sanjuán, P., Arranz, H., & Castro, A. (2014). Effect of negative attributions on depressive symptoms of patients with coronary heart disease after controlling for physical functional impairment. British Journal of Health Psychology, 19, 380392. http://dx.doi.org/10.1111/bjhp.12044 Google Scholar
Sanjuán, P., & García-Zamora, C. (2013, July). Spanish adaptation of the benefit finding scale: Study of its psychometric properties and relationships with well-being. Paper presented at the 12th European Conference on Psychological Assessment for the European Association of Psychological Assessment. San Sebastian, Spain.Google Scholar
Sanjuán, P., García-Zamora, C., Bermúdez, J., Ruiz, A., Pérez-García, A., & Arranz, H. (2016). Benefit finding scale for cardiac patients. (Manuscript submitted for publication).Google Scholar
Sanjuán, P., Magallares, A., Ávila, M., & Arranz, H. (2016). Effective and ineffective coping strategies: Psychometric properties of a reduced version of Brief-COPE for heart patients. (Manuscript submitted for publication).Google Scholar
Sanjuán, P., Pérez-García, A., & Bermúdez, J. (2000). General self-efficacy scale: Preliminary psychometric data of Spanish adaptation. Psicothema, 12, 509513.Google Scholar
Sarkar, U., Ali, S., & Whooley, M. A. (2009). Self-efficacy as a marker of cardiac function and predictor of heart failure hospitalization and mortality in patients with stable coronary heart disease: Findings from the Heart and Soul Study. Health Psychology, 28, 166173. http://dx.doi.org/10.1037/a0013146 Google Scholar
Scholz, U., Kliegel, M., Luszczynska, A., & Knoll, N. (2012). Associations between received social support and positive and negative affect: Evidence for age differences from a daily-diary study. European Journal of Ageing, 9, 361371. http://dx.doi.org/10.1007/s10433-012-0236-6 Google Scholar
Stanton, A. L., Revenson, T. A., & Tennen, H. (2007). Health psychology: Psychological adjustment to chronic disease. Annual Review of Psychology, 58, 565592. http://dx.doi.org/10.1146/annurev.psych.58.110405.085615 Google Scholar
Tedeschi, R. G., & Calhoun, L. G. (1996). The post-traumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455471. http://dx.doi.org/10.1007/BF02103658 CrossRefGoogle ScholarPubMed
Tomich, P. L., & Helgeson, V. S. (2004). Is finding something good in the bad always good? Benefit finding among women with breast cancer. Health Psychology, 23, 1623. http://dx.doi.org/10.1037/0278-6133.23.1.16 Google Scholar
Urcuyo, K. R., Boyers, A. E., Carver, C. S., & Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychology and Health, 20, 175192. http://dx.doi.org/10.1080/08870440512331317634 Google Scholar
van der Wende, J. (2000). Coping, benefit-finding, and neuropsychological factors in multiple sclerosis. Dissertation Abstracts International, 61, 2226.Google Scholar
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect. The PANAS scales. Journal of Personality and Social Psychology, 54, 10631070. http://dx.doi.org/10.1037/0022-3514.54.6.1063 Google Scholar
Weaver, K. E., Llabre, M. M., Lechner, S. C., Panedo, F., & Antoni, M. H. (2008). Comparing unidimensional and multidimensional models of benefit finding in breast and prostate cancer. Quality of Life Research, 17, 771781. http://dx.doi.org/10.1007/s11136-008-9348-z CrossRefGoogle ScholarPubMed
World Health Organization (2008). World health report: Mortality statistics. Geneve, Switzerland: Author.Google Scholar
World Health Organization (2014). The 10 leading causes of death in the world, 2000 and 2012. Geneve, Switzerland: Author. Retrieved from http://www.who.int/mediacentre/factsheets/fs310/en/ Google Scholar
Yeung, N. C. Y., & Lu, Q. (2014). Affect as a mediator between self-efficacy and quality of life among Chinese cancer survivors in China. European Journal of Cancer Care, 23, 149155. http://dx.doi.org/10.1111/ecc.12123 Google Scholar