Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model
Background: Conducted researches show that psychological factors may have a very important role in the etiology, continuity and consequences of coronary heart diseases. This study has drawn the psychological risk and protective factors and their effects in patients with coronary heart diseases (CHD)...
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| Aineistotyyppi: | Artikkeli |
| Kieli: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Sarja: | Journal of Research in Medical Sciences |
| Aiheet: | |
| Linkit: | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=2;spage=90;epage=98;aulast=Nekouei |
| _version_ | 1828917760843841536 |
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| author | Zohreh Khayyam Nekouei Alireza Yousefy Hamid Taher Neshat Doost Gholamreza Manshaee Masoumeh Sadeghei |
| author_facet | Zohreh Khayyam Nekouei Alireza Yousefy Hamid Taher Neshat Doost Gholamreza Manshaee Masoumeh Sadeghei |
| author_sort | Zohreh Khayyam Nekouei |
| collection | DOAJ |
| description | Background: Conducted researches show that psychological factors may have a very important role in the etiology, continuity and consequences of coronary heart diseases. This study has drawn the psychological risk and protective factors and their effects in patients with coronary heart diseases (CHD) in a structural model. It aims to determine the structural relations between psychological risk and protective factors with quality of life in patients with coronary heart disease. Materials and Methods: The present cross-sectional and correlational studies were conducted using structural equation modeling. The study sample included 398 patients of coronary heart disease in the university referral Hospital, as well as other city health care centers in Isfahan city. They were selected based on random sampling method. Then, in case, they were executed the following questionnaires: Coping with stressful situations (CISS- 21), life orientation (LOT-10), general self-efficacy (GSE-10), depression, anxiety and stress (DASS-21), perceived stress (PSS-14), multidimensional social support (MSPSS-12), alexithymia (TAS-20), spiritual intelligence (SQ-23) and quality of life (WHOQOL-26). Results: The results showed that protective and risk factors could affect the quality of life in patients with CHD with factor loadings of 0.35 and −0.60, respectively. Moreover, based on the values of the framework of the model such as relative chi-square (CMIN/DF = 3.25), the Comparative Fit Index (CFI = 0.93), the Parsimony Comparative Fit Index (PCFI = 0.68), the Root Mean Square Error of Approximation (RMSEA = 0.07) and details of the model (significance of the relationships) it has been confirmed that the psychocardiological structural model of the study is the good fitting model. Conclusion: This study was among the first to research the different psychological risk and protective factors of coronary heart diseases in the form of a structural model. The results of this study have emphasized the necessity of noticing the psychological factors in primary prevention by preventive programs and in secondary prevention by rehabilitation centers to improve the quality of life of the people with heart diseases. |
| first_indexed | 2024-12-13T20:57:12Z |
| format | Article |
| id | doaj.art-87e14f3f4fec464fa91c1c2d21c5576b |
| institution | Directory Open Access Journal |
| issn | 1735-1995 1735-7136 |
| language | English |
| last_indexed | 2024-12-13T20:57:12Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Research in Medical Sciences |
| spelling | doaj.art-87e14f3f4fec464fa91c1c2d21c5576b2022-12-21T23:31:42ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362014-01-011929098Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology modelZohreh Khayyam NekoueiAlireza YousefyHamid Taher Neshat DoostGholamreza ManshaeeMasoumeh SadegheiBackground: Conducted researches show that psychological factors may have a very important role in the etiology, continuity and consequences of coronary heart diseases. This study has drawn the psychological risk and protective factors and their effects in patients with coronary heart diseases (CHD) in a structural model. It aims to determine the structural relations between psychological risk and protective factors with quality of life in patients with coronary heart disease. Materials and Methods: The present cross-sectional and correlational studies were conducted using structural equation modeling. The study sample included 398 patients of coronary heart disease in the university referral Hospital, as well as other city health care centers in Isfahan city. They were selected based on random sampling method. Then, in case, they were executed the following questionnaires: Coping with stressful situations (CISS- 21), life orientation (LOT-10), general self-efficacy (GSE-10), depression, anxiety and stress (DASS-21), perceived stress (PSS-14), multidimensional social support (MSPSS-12), alexithymia (TAS-20), spiritual intelligence (SQ-23) and quality of life (WHOQOL-26). Results: The results showed that protective and risk factors could affect the quality of life in patients with CHD with factor loadings of 0.35 and −0.60, respectively. Moreover, based on the values of the framework of the model such as relative chi-square (CMIN/DF = 3.25), the Comparative Fit Index (CFI = 0.93), the Parsimony Comparative Fit Index (PCFI = 0.68), the Root Mean Square Error of Approximation (RMSEA = 0.07) and details of the model (significance of the relationships) it has been confirmed that the psychocardiological structural model of the study is the good fitting model. Conclusion: This study was among the first to research the different psychological risk and protective factors of coronary heart diseases in the form of a structural model. The results of this study have emphasized the necessity of noticing the psychological factors in primary prevention by preventive programs and in secondary prevention by rehabilitation centers to improve the quality of life of the people with heart diseases.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=2;spage=90;epage=98;aulast=NekoueiCoronary heart diseaseprotectivePsycho-CardiologyPsychological risk factorsstructural model |
| spellingShingle | Zohreh Khayyam Nekouei Alireza Yousefy Hamid Taher Neshat Doost Gholamreza Manshaee Masoumeh Sadeghei Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model Journal of Research in Medical Sciences Coronary heart disease protective Psycho-Cardiology Psychological risk factors structural model |
| title | Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model |
| title_full | Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model |
| title_fullStr | Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model |
| title_full_unstemmed | Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model |
| title_short | Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model |
| title_sort | structural model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease a psychocardiology model |
| topic | Coronary heart disease protective Psycho-Cardiology Psychological risk factors structural model |
| url | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=2;spage=90;epage=98;aulast=Nekouei |
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