Sense of coherence as a mediator between hostility and health-related quality of life among coronary heart disease patients

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• 作者：Barbora Silarova ; PhD^a ; ¹ ; ^{silarova.barbora@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Iveta Nagyova ; PhD^a ; ^b ; Jaroslav Rosenberger ; PhD ; MD^a ; Jitse P. van Dijk ; PhD^a ; ^c ; Sijmen A. Reijneveld ; PhD ; MD^c
• 关键词：Coronary heart disease ; Health-related quality of life ; Hostility ; Mediation analysis ; Sense of coherence
• 刊名：Heart & Lung: The Journal of Acute and Critical Care
• 出版年：2016
• 出版时间：March-April 2016
• 年：2016
• 卷：45
• 期：2
• 页码：126-131
• 全文大小：314 K

文摘

To explore the association between hostility and health-related quality of life (HRQoL) among coronary heart disease (CHD) patients, and whether these associations are mediated by sense of coherence (SOC).

Background

Intervention research has shown that a decrease in levels of hostility leads to an increase of HRQoL among individuals with CHD. However, the mechanisms that link hostility and HRQoL in CHD patients are not clear.

Methods

509 CHD patients (mean age 58.8 ± 7.3, 29.3% female) were examined.

Results

Hostility was associated with poorer mental HRQoL. Adding SOC to the model weakened the strength of the association between hostility and mental HRQoL. The effect of hostility on mental HRQoL was explained for 61.9% by SOC. Neither hostility nor SOC was associated with physical HRQoL.

Conclusions

Our findings indicate that low SOC may partially explain the adverse effect of hostility on low mental HRQoL in CHD patients.