title: The influence of prayer coping on mental health among cardiac surgery patients: the role of optimism and acute distress.
abstract: To address the inconsistent findings and based on Hegel's dialectic contradictive principle, this study tested a parallel mediation model that may underlie the association of using prayer for coping with cardiac surgery outcomes. Three sequential interviews were conducted with 310 patients who underwent open-heart surgery. A structural equation model demonstrated that optimism mediated the favorable effect of prayer coping. Prayer coping was also related to preoperative stress symptoms, which had a counterbalance effect on outcomes. Age was associated with better preoperative mental health, but age-related chronic conditions were associated with poor outcomes; both of these were mediated through the same mediators.
authors.affiliation: University of Washington, USA. moserr@mail.nih.gov
authors.forename: Amy L
authors.initials: AL
authors.lastname: Ai
authors.forename: Christopher
authors.initials: C
authors.lastname: Peterson
authors.forename: Terrence N
authors.initials: TN
authors.lastname: Tice
authors.forename: Bu
authors.initials: B
authors.lastname: Huang
authors.forename: Willard
authors.initials: W
authors.lastname: Rodgers
authors.forename: Steven F
authors.initials: SF
authors.lastname: Bolling
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D012067:Religion; D013315:Stress, Psychological / Q000517:prevention & control; D013903:Thoracic Surgery; D014481:United States