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Support Groups and Cardiac Rehabilitation: Effects of PartnerParticipation on Anxiety and Depression

Published online by Cambridge University Press:  31 March 2014

Ana Barrón López de Roda ,
Esteban Sánchez Moreno ,
Isabel Varela Montero  and
Steve Churnin
Ana Barrón López de Roda*
Affiliation:
Universidad Complutense (Spain)
Esteban Sánchez Moreno
Affiliation:
Universidad de Tarapacá (Chile)
Isabel Varela Montero
Affiliation:
Universidad Alfonso X El Sabio (Spain)
Steve Churnin
Affiliation:
Universidad Complutense (Spain)
*
*Correspondence concerning this articleshould be addressed to Ana Barrón López de Roda.Departamento de Psicología Social. Facultad de Psicología.Universidad Complutense de Madrid. Campus de Somosaguas. 28223. Madrid (Spain).Phone: +34–625329857. Fax:+34–913942860. E-mail: ana.barron@psi.ucm.es
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Abstract

This study analyzes the effect on levels of patient anxiety and depression of apartner joining a cardiac rehabilitation program support group, also taking intoaccount the sex of the patient. The study was undertaken using a two-groupcomparison design with pre-and post-test measures in non-equivalent groups. Thesample comprised patients in the cardiac rehabilitation program (CRP) at theRamón y Cajal Hospital, Madrid (Spain). Analysis of covariance(ANCOVA) showed direct effects of sex and partner participation in supportgroups on the anxiety trait. Similarly, interaction effects were observedbetween the sex variable and partner participation. These results indicate thepertinence of designing separate groups for patients and partners.

Keywords

cardiac rehabilitationsupport groupsanxietydepressionpartner
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 17 , 2014 , E10
Copyright
Copyright © Cambridge University Press 2014 

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References

Abbey, S. E., & Stewart, D. E. (2000). Gender and psychosomatic aspects of ischemic heart disease. Journal of Psychosomatic Research, 48, 417–423. http://dx.doi.org/10.1016%2FS0022-3999%2899%2900112-9 CrossRefGoogle ScholarPubMed
Albus, C. (2010). Psychological and social factors in coronary heart disease. Annals of Medicine, 42, 487–494. http://dx.doi.org/10.3109%2F07853890.2010.515605 CrossRefGoogle ScholarPubMed
Almeida, O. P., Alfonso, H., Flicker, L., Hankey, G. J., & Norman, P. E. (2012). Cardiovascular disease, depression and mortality: The health in men study. American Journal of Geriatric Psychiatry, 20, 433–440. http://dx.doi.org/10.1097%2FJGP.0b013e318211c1ed CrossRefGoogle ScholarPubMed
Antonucci, T. C., Fuhrer, R., & Dartigues, J. (1997). Social relations and depressive symptomatology in a sample of community-dwelling French older adults. Psychology and Aging, 12, 189–195. http://dx.doi.org/10.1037%2F%2F0882-7974.12.1.189 CrossRefGoogle Scholar
Avison, W. R., & Turner, R. J. (1988). Stressful life events and depressive symptoms: Disaggregating the effects of acute stressors and chronic strains. Journal of Health and Social Behaviour, 29, 253–264. http://dx.doi.org/10.2307%2F2137036 CrossRefGoogle ScholarPubMed
Barth, J., Schneider, S., & Von Känel, R. (2010). Lack of social support in the etiology and prognosis of coronary heart disease: A systematic review and meta-analysis. Psychosomatic Medicine, 72, 229–238. http://dx.doi.org/10.1097%2FPSY.0b013e3181d01611 CrossRefGoogle ScholarPubMed
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II. Beck Depression Inventory-Second Edition. Manual. San Antonio, TX: The Psychological Corporation.Google Scholar
Benyamini, Y., Medalion, B., & Garfinkel, D. (2007). Patient and spouse perceptions of the patient’s heart disease and their associations with received and provided social support and undermining. Psychology and Health, 22, 765–785. http://dx.doi.org/10.1080%2F14768320601070639 CrossRefGoogle Scholar
Bermúdez, J. (1978). Análisis funcional de la ansiedad [Functional analysis of anxiety]. Revista de Psicología General y Aplicada, 33, 617–634.Google Scholar
Berkman, L. F. (1995). The role of social relations in health promotion. Psychosomatic Medicine, 57, 245–254.CrossRefGoogle ScholarPubMed
Brown, G. W., & Harris, T. (1978). Social origins of depression. A study of psychiatric disorder in women. London, UK: Tavistock.Google Scholar
Carney, R. M., & Freedland, K. E. (2003). Depression, mortality, and medical morbidity in patients with coronary heart disease. Biological Psychiatry, 54, 241–247. http://dx.doi.org/10.1016%2FS0006-3223%2803%2900111-2 CrossRefGoogle ScholarPubMed
Carney, R. M., & Freedland, K. E. (2008). Depression in patients with coronary heart disease. American Journal of Medicine, 121, S20–S27. http://dx.doi.org/10.1016%2Fj.amjmed.2008.09.010 CrossRefGoogle ScholarPubMed
Clark, A. M., Hartling, L., Vandermeer, B., & McAlister, F. A. (2005). Meta-analysis: Secondary prevention programs for patients with coronary artery disease. Annals of Internal Medicine, 143, 659–672. http://dx.doi.org/10.7326/0003-4819-143-9-200511010-00010 CrossRefGoogle ScholarPubMed
Cohen, S. (1988). Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology, 7, 269–297. http://dx.doi.org/10.1037%2F%2F0278-6133.7.3.269 CrossRefGoogle ScholarPubMed
Coyne, J. C., & DeLongis, A. (1986). Going beyond social support: The role of social relationships in adaptation. Journal of Consulting and Clinical Psychology, 54, 454–460. http://dx.doi.org/10.1037%2F%2F0022-006X.54.4.454 CrossRefGoogle ScholarPubMed
Coyne, J. C., Ellard, J. H., & Smith, A. F. (1990). Social support, interdependence and the dilemmas of helping. In Sarason, B. R., Sarason, I. G., & Pierce, G. P.. (Eds.), Social support: An interactional view (pp 129–149). New York, NY: Wiley.Google Scholar
D’Amico, E. J., Neilands, T. B., & Zanbarano, R. (2001). Power analysis for multivariate and repeated measures designs: A flexible approach using the SPSS MANOVA procedure. Behaviour Research Methods, Instruments, & Computers, 33, 479–484. http://dx.doi.org/10.3758/BF03195405 CrossRefGoogle ScholarPubMed
Dracup, K. (1994). Cardiac rehabilitation. The role of social support in recovery and compliance. In Shumaker, S. A., & Czajkoeski, S. M. (Eds.), Social Support and cardiovascular disease (pp. 333–354). New York, NY: Plenum Press.CrossRefGoogle Scholar
Ell, K. (1996). Social networks, social support and coping with serious illness: The family connection. Social Science and Medicine, 42, 173–183. http://dx.doi.org/10.1016%2F0277-9536%2895%2900100-X CrossRefGoogle ScholarPubMed
Frasure-Smith, N. (1991). In-hospital symptoms of psychological stress as predictors of long-term outcome after acute myocardial infarction in men. American Journal of Cardiology, 67, 121–127. http://dx.doi.org/10.1016%2F0002-9149%2891%2990432-K CrossRefGoogle ScholarPubMed
Frasure-Smith, N., & Lespérance, F. (2008). Depression and anxiety as predictors of 2-year cardiac events in patients with stable coronary artery disease. Archives of General Psychiatry, 65, 62–71. http://dx.doi.org/10.1001%2Farchgenpsychiatry.2007.4 CrossRefGoogle ScholarPubMed
Garvey, C. (2012). Depression in patients with chronic obstructive pulmonary disease. Postgraduate Medicine, 124, 101–109. http://dx.doi.org/10.3810%2Fpgm.2012.05.2553 CrossRefGoogle ScholarPubMed
Gorkin, L., Follick, M. J., Wilkin, D. L., & Niaura, R. (1994). Social support and the progression and treatment of cardiovascular disease. In Shumaker, S. A. & Czajkoeski, S. M. (Eds.), Social Support and cardiovascular disease (pp 281–300). New York, NY: Plenum Press.CrossRefGoogle Scholar
Grace, S. L., Abbey, S. E., Pinto, R., Shnek, Z. M., Irvine, J., & Stewart, D. E. (2005). Longitudinal course of depressive symptomatology after a cardiac event: Effects of gender and cardiac rehabilitation. Psychosomatic Medicine, 67, 52–58. http://dx.doi.org/10.1097%2F01.psy.0000151486.28349.70 CrossRefGoogle ScholarPubMed
Helgeson, V. S., Cohen, S., Schulz, R., & Yasko, J. (2000). Group support interventions for women with Breast Cancer: Who benefits from what?. Health Psychology, 19, 107–114. http://dx.doi.org/10.1037%2F%2F0278-6133.19.2.107 CrossRefGoogle Scholar
Holt-Lunstad, J., & Smith, T. B. (2012). Social relationships and mortality. Social and Personality Psychology Compass, 6, 41–53. http://dx.doi.org/10.1111%2Fj.1751-9004.2011.00406.x CrossRefGoogle Scholar
Jackson, A. M., Gregory, S., & McKinstry, B. (2009). Self-help groups for patients with coronary heart disease as a resource for rehabilitation and secondary prevention—what is the evidence?. Heart & Lung: The Journal of Acute and Critical Care, 38, 192–200. http://dx.doi.org/10.1016%2Fj.hrtlng.2009.01.009 CrossRefGoogle ScholarPubMed
Kärner, A. M., Dahlgren, M. A., & Bergdahl, B. (2004). Rehabilitation after coronary heart disease: Spouses’ views of support. Journal of Advanced Nursing, 46, 204–211. http://dx.doi.org/10.1111%2Fj.1365-2648.2003.02980.x CrossRefGoogle ScholarPubMed
Maroto, J. M., Artigao, R., Morales, M. D., De Pablo, C., & Abraira, V. (2005). Cardiac rehabilitation in patients with myocardial infarction: A 10-year follow-up study. Revista Española de Cardiología (English edition), 58, 1181–1187. http://dx.doi.org/10.1016%2FS1885-5857%2806%2960397-6 CrossRefGoogle Scholar
Mookadam, F., & Arthur, H. M. (2004). Social support and its relationship to morbidity and mortality after acute myocardial infarction. Archives of Internal Medicine, 164, 1514–1518. http://dx.doi.org/10.1001%2Farchinte.164.14.1514 CrossRefGoogle ScholarPubMed
Moore, S. M. (1996). Women’s views of cardiac rehabilitation programs. Journal of Cardiopulmonary Rehabilitation, 16, 123–129. http://dx.doi.org/10.1097%2F00008483-199603000-00007 CrossRefGoogle ScholarPubMed
Orth-Gomer, K. (1994). International epidemiological evidence for a relationship between social support and cardiovascular disease. In Shumaker, S. A. & Czajkoeski, S. M. (Eds.), Social Support and cardiovascular disease (pp 97–118). New York, NY: Plenum Press.CrossRefGoogle Scholar
Orth-Gomer, K., Rosengren, A., & Wilhelmsen, L. (1993). Lack of social support and incidence of coronary heart disease in middle-aged Swedish men. Psychosomatic Medicine, 55, 37–43.CrossRefGoogle ScholarPubMed
Pajak, A., Jankowski, P., Kotseva, K., Heidrich, J., de Smedt, D., & De Bacquer, D. (2013). Depression, anxiety, and risk factor control in patients after hospitalization for coronary heart disease: The EUROASPIRE III Study. European Journal of Preventive Cardiology, 20, 331–340. http://dx.doi.org/10.1177%2F2047487312441724 CrossRefGoogle ScholarPubMed
Peuler, J. D., Scotti, M. A., Phelps, L. E., McNeal, N., & Grippo, A. J. (2012). Chronic social isolation in the prairie vole induces endothelial dysfunction: Implications for depression and cardiovascular disease. Physiology & Behaviour, 106, 476–484. http://dx.doi.org/10.1016%2Fj.physbeh.2012.03.019 CrossRefGoogle ScholarPubMed
Pistrang, N., Barker, C., & Humphreys, K. (2008). Mutual help groups for mental health problems: A review of effectiveness studies. American Journal of Community Psychology, 42, 110–121. http://dx.doi.org/10.1007%2Fs10464-008-9181-0 CrossRefGoogle ScholarPubMed
Regitz-Zagrosek, V., Lehmkuhl, E., & Weickert, M. O. (2006). Gender differences in the metabolic syndrome and their role for cardiovascular disease. Clinical Research in Cardiology, 95, 136–147. http://dx.doi.org/10.1007%2Fs00392-006-0351-5 CrossRefGoogle ScholarPubMed
Sánchez, E., & Barrón, A. (2003). Social psychology of mental health: The social structure and personality perspective. The Spanish Journal of Psychology, 6, 3–11.Google Scholar
Sanz, J., Perdigón, A. L., & Vázquez, C. (2003). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): 2. Propiedades psicométricas en población general [Spanish Adaptation of the Beck-II Depression Inventory (BDI-II): 2. Psychometric properties in the general population]. Clínica y Salud, 14, 249–280.Google Scholar
Schokker, M. C., Links, T. P., Luttik, M. L., & Hagedoom, M. (2010). The association between regulatory focus and distress in patients with a chronic disease: The moderating role of partner support. British Journal of Health Psychology, 15, 63–78. http://dx.doi.org/10.1348%2F135910709X429091 CrossRefGoogle ScholarPubMed
Shnek, Z. M., Irvine, J., Stewart, D. E., & Abbey, S. E. (2001). Psychological factors and depressive symptoms in ischemic heart disease. Health Psychology, 20, 141–145. http://dx.doi.org/10.1037%2F%2F0278-6133.20.2.141 CrossRefGoogle ScholarPubMed
Spanish National Statistics Institute (2012). Deaths by cause of death. Madrid, Spain: Author. Retrieved from http://www.ine.es/jaxi/menu.do?type=pcaxis&path=%2Ft15%2Fp417&file=inebase&L=1 Google Scholar
Spielberger, C. D. (1989). State–Trait Anxiety Inventory: A comprehensive bibliography. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). STAI: manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Stansfeld, S., Fuhrer, R., Shipley, M., & Marmot, M. (2002). Psychological distress as a risk factor for coronary heart disease in the Whitehall II study. International Journal of Epidemiology, 31, 248–255. http://dx.doi.org/10.1093%2Fije%2F31.1.248 CrossRefGoogle ScholarPubMed
Steptoe, A. (2000). Stress, social support and cardiovascular activity over the working day. International Journal of Psychophysiology, 37, 299–308. http://dx.doi.org/10.1016%2FS0167-8760%2800%2900109-4 CrossRefGoogle ScholarPubMed
Stern, M. J., & Pascale, L. (1979). Psychosocial adaptation to post-myocardial infarction: The spouse’s dilemma. Journal of Psychosomatic Research, 23, 83–87. http://dx.doi.org/10.1016%2F0022-3999%2879%2990076-X CrossRefGoogle ScholarPubMed
Stewart, M., Davidson, K., Meade, D., Hirth, A., & Weld-Viscount, P. (2001). Group support for couples coping with a cardiac condition. Journal of Advanced Nursing, 33, 190–199. http://dx.doi.org/10.1111%2Fj.1365-2648.2001.01652.x CrossRefGoogle ScholarPubMed
Suls, J., & Bunde, J. (2005). Anger, anxiety, and depression as risk factors for cardiovascular disease: The problems and implications of overlapping affective dispositions. Psychological Bulletin, 131, 260–300. http://dx.doi.org/10.1037%2F0033-2909.131.2.260 CrossRefGoogle ScholarPubMed
Taylor, C. B., Bandura, A., Ewart, C. K., Miller, N. H., & DeBusk, R. F. (1985). Exercise testing to enhance wives’ confidence in their husbands’ cardiac capability soon after clinically uncomplicated acute myocardial infarction. American Journal of Cardiology, 55, 635–638. http://dx.doi.org/10.1016%2F0002-9149%2885%2990127-4 CrossRefGoogle ScholarPubMed
Thoits, P. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behaviour, 52, 145–161. http://dx.doi.org/10.1177%2F0022146510395592 CrossRefGoogle ScholarPubMed
Uchino, B. N. (2004). Social support and physical health. Understanding the health consequences of relationships. New Haven, UK: Yale University Press.CrossRefGoogle Scholar
Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioural Medicine, 29, 377–387. http://dx.doi.org/10.1007%2Fs10865-006-9056-5 CrossRefGoogle Scholar
Uchino, B. N., Uno, D., & Holt-Lunstad, J. (1999). Social support, physiological processes and health. Current Directions in Psychological Science, 8, 145–148. http://dx.doi.org/10.1111/1467-8721.00034 CrossRefGoogle Scholar
Udell, J. A., Steg, P. G., Scirica, B. M., Smith, S. C., Ohman, E. M., Eagle, K. A., … Bhatt, D. L. (2012). Living alone and cardiovascular risk in outpatients at risk of or with Atherothrombosis. Archives of Internal Medicine, 172, 1086–1095.Google ScholarPubMed
Wakefield, J. R. H., Bickley, S., & Sani, F. (2013). The effect of identification with a support group on the mental health of people with multiple sclerosis. Journal of Psychosomatic Research, 74, 420–426. http://dx.doi.org/10.1016/j.jpsychores.2013.02.002 CrossRefGoogle ScholarPubMed
Wielgosz, A. T., & Nolan, R. P. (2000). Biobehavioral factors in the context of ischemic cardiovascular diseases. Journal of Psychosomatic Research, 48, 339–345. http://dx.doi.org/10.1016%2FS0022-3999%2899%2900093-8 CrossRefGoogle ScholarPubMed
Wilkinson, R., & Marmot, M. (2003). Social determinants of health. The solid facts (2 nd Ed.). Copenhagen, Denmark: WHO Regional Office for Europe.Google Scholar