title: [Coping styles in patients with systolic heart failure].
abstract: BACKGROUND
  Inadequate coping with stress, in the course of severe disease (e.g. heart failure, HF), promotes the development of depressive symptoms and disadvantageous behaviours (e.g. non-compliance).
  
  
  METHODS
  We examined coping styles in men with systolic HF (n=46, age: 60+/-12 years), and related them to clinical status and depressive symptoms. Patients filled-in Coping Inventory for Stressful Situations (CISS) distinguishing: task-oriented (ZA), emotional (EM) and avoidance (UN) styles of coping. Style 'UN' has two subtypes: engaging in alternative activities (ACZ) or seeking for social contacts (PKT).
  
  
  RESULTS
  59% of patients showed a tendency towards all 3 styles of coping. There were the following prevalences of domination of particular coping styles: ZA (35%), UN (28%), EM (7%). 30% of cases did not show domination of any style. The higher tendency to EM style was accompanied by the greater severity of depressive symptoms, both affective-cognitive and somatic ones (p<0.05).
  
  
  CONCLUSIONS
  Assessment of coping styles may be helpful in educational programs or psychotherapy addressed to patients with HF experiencing psychological burden due to chronic physical illness.
authors.affiliation: Ośrodek Chorób Serca, Klinika Kardiologii, 4 Wojskowy Szpital Kliniczny z Poliklinika, Wrocław. agnieszka.rydlewska@am.wroc.pl
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Rydlewska
authors.forename: Justyna
authors.initials: J
authors.lastname: Krzysztofik
authors.forename: Julia
authors.initials: J
authors.lastname: Libergal
authors.forename: Agata
authors.initials: A
authors.lastname: Rybak
authors.forename: Jacek
authors.initials: J
authors.lastname: Rydlewski
authors.forename: Waldemar
authors.initials: W
authors.lastname: Banasiak
authors.forename: Piotr
authors.initials: P
authors.lastname: Ponikowski
authors.forename: Ewa A
authors.initials: EA
authors.lastname: Jankowska
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017281:Cost of Illness; D003863:Depression / Q000209:etiology / Q000517:prevention & control*; D054143:Heart Failure, Systolic / Q000150:complications* / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control*; D055815:Young Adult