title: Depressive symptom trajectories over a 6-year period following myocardial infarction: predictive function of cognitive appraisal and coping.
abstract: The association between distinct patterns of depression and coping variables in myocardial infarction (MI) survivors over the long-term is unclear. The study aims to evaluate depressive trajectories and their covariates, including coping and cognitive appraisal, following MI over a period of 6 years. Depressive symptoms were assessed in 200 patients a few days after the first MI, and 1 month, 6 months and 6 years later. Cognitive appraisal and coping were assessed during the first three time points. Three latent depressive trajectories were identified: chronic (high; increasing then decreasing; n = 49), rising (moderate; decreasing then increasing; n = 121) and low (low; decreasing then stabilizing; n = 30). The chronic trajectory was associated with higher negative appraisal and emotion-focused coping. The findings clarify the long-term longitudinal trajectories of post-MI depressive symptoms and their association with coping variables, revealing the unfavorable impact of negative cognition and palliative coping.
authors.affiliation: Department of Psychology, University of Social Sciences and Humanities, Chodakowska Street 19/31, 03-815, Warsaw, Poland. akroemeke@swps.edu.pl.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Kroemeke
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001364:Awareness; D002908:Chronic Disease; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology*; D012803:Sick Role
keywords: Cognitive appraisal; Coping; Depression; Growth mixture modeling; Longitudinal study; Myocardial infarction