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Journal of Health Psychology, Vol. 13, No. 1, 79-92 (2008)
DOI: 10.1177/1359105307084314

Longitudinal Risk Factors for Adverse Psychological Functioning Six Months after Coronary Artery Bypass Graft Surgery

Melissa Oxlad

Flinders University, South Australia, Melissa.Oxlad{at}cywhs.sa.gov.au

Tracey D. Wade

Flinders University, South Australia

This research aimed to identify modifiable risk factors for poor psychological functioning six months post-operatively, using a chronic illness model to explain the relationships between risk factors. Consecutive elective CABG patients (N = 119) completed self-report measures including optimism, illness representations, self-rated health, social support, coping methods, depression, anxiety and PTSD symptomatology in a repeated measures design. Poor pre-operative psychological functioning was the strongest psychological risk factor for adverse psychological functioning six months post-operatively. Longitudinal support for the chronic illness model examined was limited. Further research to identify modifiable risk factors and pre-operative psychopathology screening to determine individuals at-risk of poor psychological outcome is recommended.

Key Words: anxiety • coronary artery bypass surgery • depression • PTSD • risk factors


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