Estudio longitudinal de la recuperación psicosocial tras un infarto agudo de miocardio

  1. Permuy, Victoria 1
  2. Risso, Alicia 1
  1. 1 Universidade da Coruña
    info

    Universidade da Coruña

    La Coruña, España

    ROR https://ror.org/01qckj285

Revista:
Revista de estudios e investigación en psicología y educación

ISSN: 2386-7418

Año de publicación: 2019

Volumen: 6

Número: 2

Páginas: 179-188

Tipo: Artículo

DOI: 10.17979/REIPE.2019.6.2.5801 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista de estudios e investigación en psicología y educación

Resumen

The aim of this research was to investigate whether psychological recovery and adjustment after an acute myocardial infarction (AMI) are related to overprotection and social support received, as well as to clarify whether these variables have an impact on depression levels, anxiety and quality of life. In addition, we wanted to find out whether overprotection slows return to work and how it affects self-efficacy. The issues raised were evaluated in a longitudinal study of three phases (hospital convalescence and follow-up at 4 and 18 months) in a sample of 50 patients admitted by AMI. Instruments were used to record overprotection, social support, anxiety, depression, quality of life and self-efficacy. The results of the first phase showed a significant relationship between overprotection and depression and between overprotection and depression and poorer quality of life. In the second phase, overprotection was related to depression and quality of life, but only when it produced a decrease in self-efficacy. In addition, those who had not returned to work reported more overprotection. At 18 months (third phase), overprotection only predicted anxiety. In conclusion, overprotection and the decrease in self-efficacy derived from it are variables of adjustment to illness, in terms of depression, quality of life and anxiety, while social support did not show to have the weight initially expected.

Referencias bibliográficas

  • Bäßler, J. & Schwarzer, R. (1996). Evaluación de la autoeficacia: Adaptación española de la escala de autoeficacia general. Ansiedad y Estrés, 2(1), 1-8.
  • Berkman, L.F., Glass, T., Brisette, I. & Seeman, T.E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51, 843-857. https://doi.org/10.1016/S0277-9536(00)00065-4
  • Buunk B.P., Berkhuysen M.A., Sanderman, R., Nieuwland, W. & Ranchor, A.V. (1996). Actieve betrokenheid, bershermend bufferen en overbescherming: Meetinstrumenten voor de rol van de partner bij hartrevalidatie / The role of the partner in heart disease: Active engagement, protective buffering, and overprotection. Gedrag and Gezondheid, 24, 304-313.
  • Cimarolli, V. R., Reinhardt, J. P., & Horowitz, A. (2006). Perceived overprotection: Support gone bad? The Journals of Gerontology: Series B, 61(1), 18-23. https://doi.org/10.1093/geronb/61.1.S18
  • Condon, C. and McCarthy, G. (2006). Lifestyle changes following acute myocardial infarction: Patients’ perspectives. European Journal of Cardiovascular Nursing, 5(1), 37-44.
  • https://doi.org/10.1016/j.ejcnurse.2005.06.005
  • Doehrman, S. R. (1977). Psychosocial aspects of recovery from coronary heart disease: a review. Social Science and Medicine, 11, 199-218.
  • Dunkel-Schetter, C., Feinstein, L., & Call, J. (1986). UCLA social support inventory. Unpublished manuscript, University of California, Los Angeles. Disponible en: https://cds.psych.ucla.edu/documents/UCLASocial
  • SupportInventory.doc
  • Garrity, T. F. (1973). Vocational adjustment after first myocardial infarction: Comparative assessment of several variables suggested in the literature. Social Science and Medicine, 7, 707-717.
  • Holahan, C. J., Moos, R. H., Holahan, C. K. & Brennan, P. L. (1995) Social Support, coping and depressive symptoms in late middle-aged sample of patients reporting cardiac illness. Health Psychology, 14(2), 152-163. https://doi.org/10.1037/0278-6133.14.2.152
  • Hyman, M. D. (1971). Disability and patients´ perceptions of preferential treatment: some preliminary findings. Journal of Chronic Disease, 24(5), 329-342. https://doi.org/10.1016/0021-9681(71)90123-8
  • Ibáñez, E. & Caro, I. (1992). La escala Hospitalaria de ansiedad y depresión. su utilidad práctica en Psicología de la salud. Boletín de Psicología, 36, 43-69.
  • Jiménez-Muro, M., Gómez-Pajuelo, C., Sáenz de la Calzada, C., del Campo-Urbano, S., Lacasa-Rivero, J.L. & Pombo-Jiménez, M. (1999). Calidad de vida y apoyo social en pacientes con infarto agudo de miocardio no complicado. Revista Española de Cardiología, 52(7), 467-474. https://www.revespcardiol.org/es-calidad-vida-apoyo-social-pacientes-articulo-X0300893299001282
  • Joekes, K.J. & Maes, S. & Warrens, M. (2007). Predicting quality of life and self-management from dyadic support and overprotection after myocardial infarction. British Journal of Clinical Psychology, 12(4), 473-489. https://doi.org/10.1348/135910706X118585
  • Joekes, K., Van Elderen.T., Schreurs K (2007) Self-efficacy and overprotection are related to quality of life, psychological well-being and self-management in cardiac patients. Journal of Health Psychology, 12(1), 4-16. https://doi.org/10.1177/1359105306069096
  • King, K.B., Reis, H.T., Porter, L.A. & Norsen, L.H. (1993). Social support and long term recovery from coronary artery surgery: Effects on patients and spouses. Health Psychology, 12(1), 56-63. https://doi.org/10.1037/0278-6133.12.1.56
  • Levine J., Warrenburg, S., Kerns, R., Schwartz, G., Delaney, R., Fontana, A., …Cascione, R. (1987). The role of denial in recovery from coronary heart disease. Psychosomatic medicine, 49(2), 109-117. https://journals.lww.com/psychosomaticmedicine/Citation/1987/03000/The_role_of_denial_in_recovery_from_coronary_heart.1.aspx
  • Lewis, C.E (1966). Factors influencing the return to work of men with congestive heart failure. Journal of Chronic Diseases, 19(11-12), 1193-1209. https://doi.org/10.1016/0021-9681(66)90018-X
  • Luszczynska, A., Scholz, U., & Schwarzer, R. (2005). The general self-efficacy scale: multicultural validation studies. The Journal of Psychology, 139(5), 439-457. https://doi.org/10.3200/JRLP.139.5.439-457
  • Mathur-Marchesani, A.R. (1998).The effects of social support and overprotectiveness on the perception of illness and psychosocial recovery of cardiac rehabilitation patients. George Washington University. Tesis doctoral publicada en 2001 en Ann Arbor, MI: UMI (University Microfilmes International).
  • Mayou, R. (1979). The course and determinants of reactions to myocardial infarction. The British Journal of Psychiatry, 134(6), 588-594. https://doi.org/10.1192/bjp.134.6.588
  • Peinado-Peinado, R., Merino-Llorens, J.L, Roa-Rad, J.H., Macía-Palafox, E. & Quintero-Henson, O. (2008). Calidad de vida y estado psicológico de los pacientes portadores de desfibrilador automático implantable. Revista Española de Cardiología, 8 (Supl. A), 40a-50a. https://www.revespcardiol.org/es-calidad-vida-estado-psicologico-pacientes-articulo-S1131358708735374
  • Permuy, V. & Risso, A. (2014). ¿Es la sobreprotección un constructo diferente del apoyo social? Revista de Estudios e Investigación en Psicología y Educación. 1, 44-54. https://doi.org/10.17979/reipe.2014.1.1.22
  • Scheier, M. F., Matthews, K. A., Owens, J. F., Magovern, G. J., Lefebvre, R. C., Abbott, R. A., & Carver, C. S. (1989). Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being. Journal of Personality and Social Psychology, 57(6), 1024-1040. https://doi.org/10.1037/0022-3514.57.6.1024
  • Thompson, S. C. & Sobolew- Shubin, A. (1993a). Perceptions of overprotection in ill adults. Journal of Applied Social Psychology, 23, 85-97. https://doi.org/10.1111/j.1559-1816.1993.tb01053.x
  • Thompson, S. C., & Sobolew-Shubin, A. (1993b). Overprotective relationships: A non supportive side of social networks. Basic and Applied Social Psychology, 14(3), 363-383. https://doi.org/10.1207/s15324834basp1403_8
  • Thompson, S. C., Galbraith, M., Thomas, C., Swan, J., & Vrungos, S. (2002). Caregivers of stroke patient family members: Behavioral and attitudinal indicators of overprotective care. Psychology and Health, 17, 297–312. https://doi.org/10.1080/08870440290029557
  • Uchino, B. N. (2004). Social support and physical health: Understanding the health consequences of relationships. New Haven, CT: Yale University Press.
  • Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377-387. https://doi.org/10.1007/s10865-006-9056-5
  • Velasco, J. A., Del Barrio, V., Mestre, M. V., Penas, C. & Ridocci, F. (1993). Validation of a new questionnaire to evaluate the quality of life in patients after myocardial infarction. Revista Española de Cardiología, 46(9), 552-558.
  • Waltz M., Badura, B., Pfaff, H. & Schott, T. (1988). Marriage and the psychological consequences of a heart attack: A longitudinal study of adaptation to chronic illness after 3 years. Social Science and Medicine, 27(2), 149- 158. https://doi.org/10.1016/0277-9536(88)90323-1
  • Zigmond, A. S. & Snaith R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinava, 67(6), 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
Fuente de los datos: Dialnet