scholarly journals Predictors of Post-traumatic Growth in Patients With Myocardial Infarction

2020 ◽  
Vol 24 (6) ◽  
pp. 520-531
Author(s):  
Seyedeh Zahra Hosseini Golafshani ◽  
◽  
Farshad Taheri ◽  
Hamid Sharif Nia ◽  
Somayeh Minaeimoghaddam ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Social Support ◽  
Regression Analysis ◽  
Linear Regression ◽  
Meaning In Life ◽  
Perceived Social Support ◽  
Linear Regression Analysis ◽  
Life Questionnaire ◽  
Post Traumatic Growth ◽  
Post Traumatic

Background: Some people experience positive psychological changes in various aspects after a stressful event. These positive changes, known as Post-Traumatic Growth (PTG), are often due to people’s need to adapt to the challenges ahead. Objective: This study aims to determine the predictors of PTG in patients with myocardial infarction. Methods: This is a descriptive-correlational study. Participants were 191 patients with myocardial infarction referred to the cardiac clinic of Bu-Ali Sina Hospital in Qazvin, Iran. They were selected using a convenience sampling method and based on inclusion/exclusion criteria. The research instruments were the Post-Traumatic Growth Inventory (PTGI), Multidimensional Perceived Social Support Scale (MSPSS), and the Meaning in Life Questionnaire (MLQ). Collected data were analyzed in SPSS V. 25 software using Pearson correlation test and linear regression analysis. Findings: There was a significant positive relationship between PTG with perceived social support (r=0.47 and P<0.001) and meaning in life (r=0.71 and P<0.001). Based on the results of linear regression analysis, an increase in the scores of MSPSS and MLQ can increase the PTGI score by 0.978 and 1.376, respectively. Conclusion: This study provided important insights into the phenomenon of PTG in patients with myocardial infarction and its predictors, which can help improve PTG in them.

Religiosity, Social Support and Meaning in Life as Predictors of Resilience among Victims of Natural Disaster in Pakistan (Preprint)

2020 ◽  
Author(s):  
Muhammad Saud ◽  
Mazhar Iqbal Bhatti ◽  
Akhlaq Ahmad ◽  
Qaisar Khalid Mahmood
Keyword(s):  
Social Support ◽  
Regression Analysis ◽  
Linear Regression ◽  
Natural Disaster ◽  
Meaning In Life ◽  
Perceived Social Support ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Life Questionnaire ◽  
Meaning In Life Questionnaire

BACKGROUND In natural disasters, religious beliefs help people deal with the devastating events that happen to them. OBJECTIVE To understand the extent to which religiosity, social support and meaning in life played the role to develop resilience among the victims of natural disaster in Pakistan. METHODS We surveyed 400 residents affected by the 2010 Pakistan floods. The multidimensional scale of perceived social support, meaning in life questionnaire, religiosity scale and ego resiliency scale were used in this regard. RESULTS Multiple linear regression analysis was carried out to avail the results. CONCLUSIONS Findings indicated that religiosity was a significant predictor along with social support and meaning in life in explaining resilience among the victims of a natural disaster.

scholarly journals Resilience and Related Factors: A Comparison of Fathers and Mothers of Patients With Cleft Lip and/or Palate in China

2022 ◽  
Vol 12 ◽  
Author(s):  
Lulu Yuan ◽  
Yuqin Gao ◽  
Bochen Pan ◽  
Junyan Wang ◽  
Yanjie Wang ◽  
...  
Keyword(s):  
Social Support ◽  
Regression Analysis ◽  
Linear Regression ◽  
Parenting Stress ◽  
Cleft Lip ◽  
Perceived Social Support ◽  
Linear Regression Analysis ◽  
Influential Factors ◽  
Job Status ◽  
And Coping

Background: Resilience has become a hot spot in the field of positive psychology to study life-change events. However, there were little information on resilience among the fathers and mothers of patients with cleft lip and/or palate respectively. The present study aimed to explore and compare the level and potential influential factors associated with resilience among fathers/mothers of patients with cleft lip and/or palate in China.Method: A cross-sectional study was carried out between April 2019 and July 2020 among fathers/mothers of patients with cleft lip and/or palate in two cleft lip and/or palate treatment centers in China. Sixty Nine fathers and 179 mothers of patients with cleft lip and/or palate were interviewed with a questionnaire on demographic variables and the Resilience Scale-14 (RS-14), Herth Hope Index (HHI), Multidimensional Scale of Perceived Social Support (MSPSS), Revised Life Orientation Test (LOT-R), Parenting Stress Index-Short Form (PSI-SF) and Coping Health Inventory for Parents (CHIP). T-test/univariate one-way ANOVA, Pearson's r, hierarchical linear regression analysis were conducted to explore the influential factors of resilience.Results: Fathers of patients with cleft lip and/or palate had a higher level of resilience (77.77 ± 14.18) than mothers (74.52 ± 14.33) though without significance. Resilience was positively associated with hope, perceived social support, optimism and coping and negatively correlated with parenting stress both in the fathers and the mothers. Hierarchical linear regression analysis showed that hope (β = 0.400, P &lt; 0.01), coping (β = 0.281, P &lt; 0.05), job status, medical payments (β = −0.240, P &lt; 0.05) were found to be associated with resilience among the fathers of patients with CL/P, and all four variables in the model could explain 42.8% of the variance in resilience; Hope (β = 0.225, P &lt; 0.05), perceived social support (β = 0.194, P &lt; 0.05), the age of patients (β = 0.189, P &lt; 0.05) were found to be associated with resilience among the mothers, and all three variables in the model could explain 27.6% of the variance in resilience.Conclusion: Our study showed that, in China, fathers of patients with cleft lip and/or palate had a higher level of resilience than mothers though without significance. Hope was the only communal variable strongly associated with resilience among both the fathers and the mothers; besides, coping, job status and medical payments were found to be associated with resilience among the fathers; while perceived social support and the age of patients were found to be associated with resilience among the mothers. The results suggest that enhance hope in parents of patients with cleft lip and/or palate might greatly help improve their resilience. Besides, fathers and mothers need specific intervention to prompt their resilience.

scholarly journals Post-traumatic growth and influencing factors among frontline nurses fighting against COVID-19

2020 ◽  
pp. oemed-2020-106540
Author(s):  
Pan pan Cui ◽  
Pan pan Wang ◽  
Kun Wang ◽  
Zhiguang Ping ◽  
Peng Wang ◽  
...  
Keyword(s):  
Linear Regression ◽  
Multiple Linear Regression ◽  
Influencing Factors ◽  
Psychological Intervention ◽  
Linear Regression Analysis ◽  
Bivariate Analysis ◽  
Related Factors ◽  
Self Confidence ◽  
Post Traumatic Growth ◽  
Post Traumatic

ObjectiveTo explore the level and influencing factors of frontline nurses’ post-traumatic growth (PTG) during COVID-19 epidemic.MethodsA cross-sectional survey was conducted in February 2020 in three hospitals in China. The Post-traumatic Growth Inventory (PTGI) was used to investigate the PTG of frontline nurses. Data on related factors, including demographic characteristics and subjective variables, were collected. The Event-Related Rumination Inventory was used to assess rumination. Pearson’s or Spearman’s correlation was calculated for bivariate analysis. Independent sample t-tests or one-way analysis of variance and multiple linear regression analysis were used to examine the related factors.ResultsA total of 179 frontline nurses were recruited, and 167 were included in the analyses. The mean PTG score was 70.53±17.26. The bivariate analyses showed that deliberate rumination was modestly positively correlated with PTG (r=0.557, p<0.01), while intrusive rumination had a modest negative correlation with PTG (r=−0.413, p<0.01). Multiple linear regression demonstrated that working years, self-confidence in frontline work, awareness of risk, psychological intervention or training during the epidemic and deliberate rumination were the main influencing factors of PTG among frontline nurses and accounted for 42.5% of the variance (F=31.626, p<0.001).ConclusionsThe PTG of frontline nurses was at a medium to high level and was influenced by working years, self-confidence in frontline work, awareness of risk, psychological intervention or training and deliberate rumination. It is necessary to strengthen psychological guidance and training for frontline nurses and promote their deliberate rumination on epidemic events to improve their PTG.

scholarly journals “The inflammation link between periodontal disease and coronary atherosclerosis in patients with acute coronary syndromes - case-control study”.

2020 ◽  
Author(s):  
Agnieszka Wojtkowska ◽  
Tomasz Zapolski ◽  
Joanna Wysokinska-Miszczuk ◽  
Andrzej P. Wysokinski
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Heart Disease ◽  
Regression Analysis ◽  
Heart Disease ◽  
Linear Regression ◽  
Periodontal Disease ◽  
Coronary Atherosclerosis ◽  
Linear Regression Analysis ◽  
Pocket Depth

Abstract Background Coronary atherosclerosis and periodontal disease, due to their prevalence, are a serious epidemiological problem. Pathophysiological evidence points to their possible common inflammatory etiopathological background. The aim of the study was to analyze the relationship between the presence and severity of periodontitis, systemic inflammation and selected parameters of myocardial injury and heart function in patients with acute myocardial infarction. Methods The study group consisted of 71 patients 54.22(7.05) - year - old hospitalized due to acute myocardial infarction. The patients underwent a coronary angiographic examination and echocardiography. The following laboratory parameters were determined: blood morphology, hsCRP (high sensitivity C-reactive protein), ESR (erythrocyte sedimentation rate), fibrinogen, troponin I, CK-MB (creatine kinase myocardial band), BNP (brain natriuretic peptide), lipidogram, glucose, creatinine, GFR (glomerular filtration rate), TSH (thyroid stymulating hormone), HbA1c (glikolize hemoglobin). Dental assessment of the patients was performed and the following indicators were included: the number of teeth preserved, approximal plaque index (API), bleeding on probing (BoP), pocket depth (PD), the number of bleeding periodontal pockets ≥ 4 mm in depth (NoPD≥4 mm), the percentage of bleeding periodontal pockets ≥ 4 mm in depth (%PD≥4 mm), clinical attachment loss (CAL). The control consisted of 40 patients 52 (± 8.43)- year-old without a history of coronary heart disease. These patients were subjected to a periodontal examination using the above parameters and classification methods. The following statistical tests were implemented: Shapiro-Wilk test, Levene's test, Mann Whitney's U analysis, Univariate Analysis of Variance (ANOVA); the post-hoc analysis was performed with the use of Tukey's honest significant difference test (HSD), Kruskal-Wallis's non-parametric test, Spearman's rank correlation, logistic regression analysis, linear regression analysis and ROC analysis. Results The BI (bleeding index) significantly correlated with fibrynogen (R-0,36; p-0,006). All indices regarding the pocket depth correlated significantly with the number of leukocytes: PD (R-0,27; p-0,02), NoPD≥4mm (R- 0,28, p-0,02),% PD4≥mm (R-0,27; p-0,02). PD (R-0,28; p-0,01) and NoPD≥4mm (R-0,24; p-0,04) were also associated significantly with the level of hsCRP. The BI is correlated closely with the levels of BNP (R-0,29, p-0,02). The multifactorial analysis showed that significant predictors of myocardial infarction are API and BI. The analysis showed that API and BI are important predictors of troponin levels. Linear regression analysis showed that only CAL is a significant predictor of BNP. Conclusions Patients with acute myocardial infarction have worse periodontal status compared to people without coronary heart disease. Higher severity of periodontal disease, poorer oral hygiene and increased activity of the periodontitis leads to greater manifestation of systemic inflammation in patients with acute myocardial infarction. Periodontitis is a risk factor for myocardial infarction and also affects the degree of post-infarction left ventricular damage, which means that there is an inflammatory link between these two diseases.

scholarly journals The inflammation link between periodontal disease and coronary atherosclerosis in patients with acute coronary syndromes: case–control study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Agnieszka Wojtkowska ◽  
Tomasz Zapolski ◽  
Joanna Wysokińska-Miszczuk ◽  
Andrzej P. Wysokiński
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Heart Disease ◽  
Regression Analysis ◽  
Heart Disease ◽  
Linear Regression ◽  
Coronary Atherosclerosis ◽  
Linear Regression Analysis ◽  
Pocket Depth ◽  
Bleeding On Probing

Abstract Background Coronary atherosclerosis and periodontal disease, due to their prevalence, are a serious epidemiological problem. Pathophysiological evidence points to their possible common inflammatory etiopathological background. The aim of the study was to analyze the relationship between the presence and severity of periodontitis, systemic inflammation and selected parameters of myocardial injury and heart function in patients with acute myocardial infarction. Methods The study group consisted of 71 patients 54.22 (7.05)-year-old hospitalized due to acute myocardial infarction. The patients underwent a coronary angiographic examination and echocardiography. The following laboratory parameters were determined: blood morphology, high sensitivity C-reactive protein (hsCRP), erythrocyte sedimentation rate (ESR), fibrinogen, troponin I, creatine kinase myocardial band (CK-MB), brain natriuretic peptide (BNP), lipidogram, glucose, creatinine, glomerular filtration rate (GFR), thyroid stymulating hormone (TSH), glycated hemoglobin (HbA1c). Dental assessment of the patients was performed and the following indicators were included: the number of teeth preserved, approximal plaque index (API), bleeding on probing (BoP), pocket depth (PD), the number of bleeding periodontal pockets ≥ 4 mm in depth (NoPD ≥ 4 mm), the percentage of bleeding periodontal pockets ≥ 4 mm in depth (%PD ≥ 4 mm), clinical attachment loss (CAL). The control consisted of 40 patients 52 (± 8.43)-year-old without a history of coronary heart disease. These patients were subjected to a periodontal examination using the above parameters and classification methods. The following statistical tests were implemented: Shapiro–Wilk test, Levene's test, Mann Whitney's U analysis, Univariate Analysis of Variance (ANOVA); the post-hoc analysis was performed with the use of Tukey's honest significant difference test (HSD), Kruskal–Wallis's non-parametric test, Spearman's rank correlation, logistic regression analysis, linear regression analysis and ROC analysis. Results The BoP (bleeding on probing) significantly correlated with fibrynogen (R-0.36; p-0.006). All indices regarding the pocket depth correlated significantly with the number of leukocytes: PD (R-0.27; p-0.02), NoPD ≥ 4 mm (R-0.28, p-0.02), %PD ≥ 4 mm (R-0.27; p-0.02). PD (R-0.28; p-0.01) and NoPD ≥ 4 mm (R-0.24; p-0.04) were also associated significantly with the level of hsCRP. The BoP is correlated closely with the levels of BNP (R-0.29, p-0.02). The multifactorial analysis showed that significant predictors of myocardial infarction are API and BoP. The analysis showed that API and BoP are important predictors of troponin levels. Linear regression analysis showed that only CAL is a significant predictor of BNP. Conclusions Patients with acute myocardial infarction have worse periodontal status compared to people without coronary heart disease. Greater severity of periodontitis, plaque accumulation and bleeding on probing are associated with acute myocardial infarction. Periodontitis is a risk factor for myocardial infarction and also affects the degree of post-infarction left ventricular damage, which means that there is an inflammatory link between these two diseases.

scholarly journals Post-Traumatic Growth among Patients with Gastrointestinal Cancer and Its Association with Social Support and Hope

2021 ◽  
pp. 46-58
Keyword(s):  
Social Support ◽  
Regression Analysis ◽  
Multiple Regression Analysis ◽  
Cancer Patients ◽  
Multiple Regression ◽  
Gastrointestinal Cancer ◽  
Care Providers ◽  
Post Traumatic Growth ◽  
Post Traumatic ◽  
The Mean

Background: Diagnosis of cancer is a traumatic experience. But cancer patients may have some positive experiences that are called post traumatic growth (PTG). The aim of this study was to determine the rate of post-traumatic growth in cancer patients and its relationship with social support and hope. Materials and Methods: The present descriptive correlational study was conducted during May-August 2018 in Shiraz, Iran. Population included of 112 all adult patients with gastrointestinal cancer who referred to medical centers affiliated to Shiraz University of Medical Sciences. Data collection instruments included a demographic information form, post-traumatic growth inventory, social support appraisals scale, and Miller hope scale. The data were analyzed by SPSS software (version 23.0). P<0.05 was considered statistically significant. Analytical data were analyzed using the Pearson correlation coefficient, sample t test, one-way analysis of variance independent and multiple regression analysis. In the case of non-normal distribution, the equivalent nonparametric analysis was used. Results: The mean score (SD (for PTG was 81.37)15.64(which is considered as high level. The mean score (SD) for hope, and SS was 195.20 (24.92), and 97.39 (11.37), respectively. A significant positive correlation was found between PTG and both hope (r=0.687, P˂0.05) and SS (r=0.636, P˂0.05). The results of the multiple regression analysis showed a significant relationship between PTG, SS, and hope (P˂0.05). According to multiple regression analysis hope had a higher effect on PTG (ẞ=0.613) compared to SS (ẞ=0.192). Conclusion: The results showed a good level of PTG among the cancer patients. Regarding the association between PTG with the perceived SS and hope, health care providers can help their patient by hope instillation and providing social support.

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