Depression, faith-based coping, and short-term postoperative global functioning in adult and older patients undergoing cardiac surgery.
OBJECTIVE
This prospective study examined how preoperative depression and faith-based coping, assessed preoperatively and postoperatively, affected short-term postoperative global functioning (SPGF) following a major cardiac surgery.


METHODS
We recruited 481 patients (male, 58%; mean age=62 years, range=35-89) 2 weeks before surgery for three sequential psychosocial interviews using standardized instruments. Of them, 426 completed the second interview, and 335 completed the postoperative follow-up.


RESULTS
Multiple regression analyses showed that depression predicted poor SPGF, controlling for age, preoperative illness impact, and two noncardiac chronic conditions. Preoperative positive religious coping contributed to better SPGF, controlling for preoperative depression and other confounders. However, postoperatively assessed prayer coping was associated with poor SPGF.


CONCLUSIONS
Research should distinguish the longitudinal protection of generally adaptive faith-based coping styles from the increased usage of such coping for immediate distress, mobilized by crisis.
Ai
Amy L
AL
University of Washington Health Sciences, Seattle, Washington 98105-6299, United States. ala1@u.washington.edu
Peterson
Christopher
C
Bolling
Steven F
SF
Rodgers
Willard
W
D000223:Adaptation, Psychological; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012067:Religion; D012944:Social Support; D011795:Surveys and Questionnaires