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dc.contributor.author Ai, A. L.
dc.contributor.author Peterson, C.
dc.contributor.author Cook, C. A.
dc.contributor.author Shearer, M.
dc.contributor.author Koenig, H. G.
dc.contributor.author Ladd, Kevin L.
dc.date.accessioned 2019-08-13T17:57:20Z
dc.date.available 2019-08-13T17:57:20Z
dc.date.issued 2010
dc.identifier.uri http://hdl.handle.net/2022/23363
dc.description.abstract Purpose: Despite the growing evidence for effects of religious factors on cardiac health in general populations, findings are not always consistent in sicker and older populations. We previously demonstrated that short-term negative outcomes (depression and anxiety) among older adults following open heart surgery are partially alleviated when patients employ prayer as part of their coping strategy. The present study examines multifaceted effects of religious factors on long-term postoperative adjustment, extending our previous findings concerning prayer and coping with cardiac disease. Design and Methods: Analyses capitalized on a preoperative survey and medical variables from the Society of Thoracic Surgeons’ National Database of patients undergoing open heart surgery. The current participants completed a mailed survey 30 months after surgery. Two hierarchical regressions were performed to evaluate the extent to which religious factors predicted depression and anxiety, after controlling for key demographics, medical indices, and mental health. Results: Predicting lower levels of depression at the follow-up were preoperative use of prayer for coping, optimism, and hope. Predicting lower levels of anxiety at the follow-up were subjective religiousness, marital status, and hope. Predicting poorer adjustment were reverence in religious contexts, preoperative mental health symptoms, and medical comorbidity. Including optimism and hope in the model did not eliminate effects of religious factors. Several other religious factors had no long-term influences. Implications: The influence of religious factors on the long-term postoperative adjustment is independent and complex, with mediating factors yet to be determined. Future research should investigate mechanisms underlying religion-health relations. en
dc.language.iso en en
dc.publisher The Gerontologist, Vol. 50, No. 6, 798-809 en
dc.subject Depression en
dc.subject Anxiety en
dc.subject Cardiovascular diseases and surgery en
dc.subject Religion, faith, and spirituality en
dc.subject Intended use of private prayer for coping en
dc.subject Reverence en
dc.subject Optimism and hope en
dc.subject Heart--Diseases--Patients--Rehabilitation en
dc.subject Heart--Surgery en
dc.subject Cardiovascular system--Surgery en
dc.subject Cardiovascular system--Diseases--Treatment en
dc.subject Medicine--Religious aspects en
dc.title Long-term Adjustment After Surviving Open Heart Surgery: The Effect of Using Prayer for Coping Replicated in a Prospective Design en
dc.type Article en


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