Gender differences in appraisal of stress and coping 5 years after heart transplantation

Kathleen L Grady*, Adin-Cristian Andrei, Zhi Li, Bruce Rybarczyk, Connie White-Williams, Robert Gordon, Edwin C. McGee

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: We examined whether gender differences exist regarding stress, symptom distress, coping, adherence, and social support 5 years after heart transplantation. Background: Differences exist in health-related quality of life outcomes by gender after heart transplantation; women report poorer outcomes. Methods: Patients (. n = 210, female = 42), were from a prospective, multi-site, study of health-related quality of life long-term after heart transplantation. Patients completed self-report instruments 5 years after heart transplantation (mean = 4.98 ± 0.17 years after transplant). Statistical analyses included two-sample t-tests, Chi-square or Fisher's exact test, and multivariable modeling. Results: Women did not report more overall stress or symptom distress, but reported more difficulty adhering to the transplant regimen, yet more actual adherence than men. Women reported using more negative coping styles, but reported more satisfaction with social support. Conclusions: Gender differences exist regarding appraisal of stress, coping styles, and coping resources long-term after heart transplantation. These differences may guide tailoring therapy regarding stress, poor coping, and lack of resources.

Original languageEnglish (US)
Pages (from-to)41-47
Number of pages7
JournalHeart and Lung: Journal of Acute and Critical Care
Volume45
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Heart Transplantation
Social Support
Quality of Life
Transplants
Chi-Square Distribution
Self Report

Keywords

  • Gender
  • Heart transplant
  • Perceived adherence
  • Social support
  • Stress and coping
  • Symptoms

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Grady, Kathleen L ; Andrei, Adin-Cristian ; Li, Zhi ; Rybarczyk, Bruce ; White-Williams, Connie ; Gordon, Robert ; McGee, Edwin C. / Gender differences in appraisal of stress and coping 5 years after heart transplantation. In: Heart and Lung: Journal of Acute and Critical Care. 2016 ; Vol. 45, No. 1. pp. 41-47.
@article{bf2566d9e65d49408f3b3f4c77680938,
title = "Gender differences in appraisal of stress and coping 5 years after heart transplantation",
abstract = "Objectives: We examined whether gender differences exist regarding stress, symptom distress, coping, adherence, and social support 5 years after heart transplantation. Background: Differences exist in health-related quality of life outcomes by gender after heart transplantation; women report poorer outcomes. Methods: Patients (. n = 210, female = 42), were from a prospective, multi-site, study of health-related quality of life long-term after heart transplantation. Patients completed self-report instruments 5 years after heart transplantation (mean = 4.98 ± 0.17 years after transplant). Statistical analyses included two-sample t-tests, Chi-square or Fisher's exact test, and multivariable modeling. Results: Women did not report more overall stress or symptom distress, but reported more difficulty adhering to the transplant regimen, yet more actual adherence than men. Women reported using more negative coping styles, but reported more satisfaction with social support. Conclusions: Gender differences exist regarding appraisal of stress, coping styles, and coping resources long-term after heart transplantation. These differences may guide tailoring therapy regarding stress, poor coping, and lack of resources.",
keywords = "Gender, Heart transplant, Perceived adherence, Social support, Stress and coping, Symptoms",
author = "Grady, {Kathleen L} and Adin-Cristian Andrei and Zhi Li and Bruce Rybarczyk and Connie White-Williams and Robert Gordon and McGee, {Edwin C.}",
year = "2016",
month = "1",
day = "1",
doi = "10.1016/j.hrtlng.2015.09.009",
language = "English (US)",
volume = "45",
pages = "41--47",
journal = "Heart and Lung: Journal of Acute and Critical Care",
issn = "0147-9563",
publisher = "Mosby Inc.",
number = "1",

}

Gender differences in appraisal of stress and coping 5 years after heart transplantation. / Grady, Kathleen L; Andrei, Adin-Cristian; Li, Zhi; Rybarczyk, Bruce; White-Williams, Connie; Gordon, Robert; McGee, Edwin C.

In: Heart and Lung: Journal of Acute and Critical Care, Vol. 45, No. 1, 01.01.2016, p. 41-47.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Gender differences in appraisal of stress and coping 5 years after heart transplantation

AU - Grady, Kathleen L

AU - Andrei, Adin-Cristian

AU - Li, Zhi

AU - Rybarczyk, Bruce

AU - White-Williams, Connie

AU - Gordon, Robert

AU - McGee, Edwin C.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Objectives: We examined whether gender differences exist regarding stress, symptom distress, coping, adherence, and social support 5 years after heart transplantation. Background: Differences exist in health-related quality of life outcomes by gender after heart transplantation; women report poorer outcomes. Methods: Patients (. n = 210, female = 42), were from a prospective, multi-site, study of health-related quality of life long-term after heart transplantation. Patients completed self-report instruments 5 years after heart transplantation (mean = 4.98 ± 0.17 years after transplant). Statistical analyses included two-sample t-tests, Chi-square or Fisher's exact test, and multivariable modeling. Results: Women did not report more overall stress or symptom distress, but reported more difficulty adhering to the transplant regimen, yet more actual adherence than men. Women reported using more negative coping styles, but reported more satisfaction with social support. Conclusions: Gender differences exist regarding appraisal of stress, coping styles, and coping resources long-term after heart transplantation. These differences may guide tailoring therapy regarding stress, poor coping, and lack of resources.

AB - Objectives: We examined whether gender differences exist regarding stress, symptom distress, coping, adherence, and social support 5 years after heart transplantation. Background: Differences exist in health-related quality of life outcomes by gender after heart transplantation; women report poorer outcomes. Methods: Patients (. n = 210, female = 42), were from a prospective, multi-site, study of health-related quality of life long-term after heart transplantation. Patients completed self-report instruments 5 years after heart transplantation (mean = 4.98 ± 0.17 years after transplant). Statistical analyses included two-sample t-tests, Chi-square or Fisher's exact test, and multivariable modeling. Results: Women did not report more overall stress or symptom distress, but reported more difficulty adhering to the transplant regimen, yet more actual adherence than men. Women reported using more negative coping styles, but reported more satisfaction with social support. Conclusions: Gender differences exist regarding appraisal of stress, coping styles, and coping resources long-term after heart transplantation. These differences may guide tailoring therapy regarding stress, poor coping, and lack of resources.

KW - Gender

KW - Heart transplant

KW - Perceived adherence

KW - Social support

KW - Stress and coping

KW - Symptoms

UR - http://www.scopus.com/inward/record.url?scp=84952876049&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952876049&partnerID=8YFLogxK

U2 - 10.1016/j.hrtlng.2015.09.009

DO - 10.1016/j.hrtlng.2015.09.009

M3 - Article

C2 - 26514074

AN - SCOPUS:84952876049

VL - 45

SP - 41

EP - 47

JO - Heart and Lung: Journal of Acute and Critical Care

JF - Heart and Lung: Journal of Acute and Critical Care

SN - 0147-9563

IS - 1

ER -