Psychosocial Factors in Heart Surgery

Presurgical Vulnerability and Postsurgical Recovery

Richard J. Contrada, David A. Boulifard, Eric B. Hekler, Ellen L. Idler, Tanya M. Spruill, Erich W. Labouvie, Tyrone J. Krause

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Objective: Distress and low perceived social support were examined as indicators of psychosocial vulnerability in patients about to undergo heart surgery. Design: A total of 550 study patients underwent heart surgeries, including bypass grafting and valve procedures. Psychosocial interviews were conducted about five days before surgery, and biomedical data were obtained from hospital records. Main Outcome Measures: Sociodemographic, personality, religious, and biomedical factors were evaluated as predictors of psychosocial vulnerability, and all five sets of variables were evaluated as contributors to hospital length of stay (LOS). Results: Patients scoring higher on one or more indicator of presurgical psychosocial vulnerability were younger, more likely to be female, less likely to be married, less well educated, lower in dispositional optimism, higher in trait anger, and lower in religiousness. Older age, depression, low support, and low trait anger each showed an independent, prospective association with greater LOS, and several other predictors had prospective relationships with LOS that were statistically mediated by depression or perceived support. Conclusion: Evidence that multiple psychosocial factors may influence adaptation to heart surgery has implications for understanding and ameliorating presurgical distress and for improving postsurgical recovery.

Original languageEnglish (US)
Pages (from-to)309-319
Number of pages11
JournalHealth Psychology
Volume27
Issue number3
DOIs
StatePublished - May 2008
Externally publishedYes

Fingerprint

Thoracic Surgery
Length of Stay
Psychology
Anger
Depression
Hospital Records
Ambulatory Surgical Procedures
Social Support
Personality
Outcome Assessment (Health Care)
Interviews

Keywords

  • coronary artery bypass surgery
  • distress
  • hospital length of stay
  • psychosocial factors
  • valve surgery

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Contrada, R. J., Boulifard, D. A., Hekler, E. B., Idler, E. L., Spruill, T. M., Labouvie, E. W., & Krause, T. J. (2008). Psychosocial Factors in Heart Surgery: Presurgical Vulnerability and Postsurgical Recovery. Health Psychology, 27(3), 309-319. https://doi.org/10.1037/0278-6133.27.3.309

Psychosocial Factors in Heart Surgery : Presurgical Vulnerability and Postsurgical Recovery. / Contrada, Richard J.; Boulifard, David A.; Hekler, Eric B.; Idler, Ellen L.; Spruill, Tanya M.; Labouvie, Erich W.; Krause, Tyrone J.

In: Health Psychology, Vol. 27, No. 3, 05.2008, p. 309-319.

Research output: Contribution to journalArticle

Contrada, RJ, Boulifard, DA, Hekler, EB, Idler, EL, Spruill, TM, Labouvie, EW & Krause, TJ 2008, 'Psychosocial Factors in Heart Surgery: Presurgical Vulnerability and Postsurgical Recovery', Health Psychology, vol. 27, no. 3, pp. 309-319. https://doi.org/10.1037/0278-6133.27.3.309
Contrada RJ, Boulifard DA, Hekler EB, Idler EL, Spruill TM, Labouvie EW et al. Psychosocial Factors in Heart Surgery: Presurgical Vulnerability and Postsurgical Recovery. Health Psychology. 2008 May;27(3):309-319. https://doi.org/10.1037/0278-6133.27.3.309
Contrada, Richard J. ; Boulifard, David A. ; Hekler, Eric B. ; Idler, Ellen L. ; Spruill, Tanya M. ; Labouvie, Erich W. ; Krause, Tyrone J. / Psychosocial Factors in Heart Surgery : Presurgical Vulnerability and Postsurgical Recovery. In: Health Psychology. 2008 ; Vol. 27, No. 3. pp. 309-319.
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