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.
N1 - Funding Information:
This study was funded by National Institute of Nursing Research Grant R01 NR005200 , a grant-in-aid from the College of Nursing, Rush University, intramural funding from the Rush Heart Institute, Rush University Medical Center, Chicago, IL; and intramural funding from Northwestern University, Department of Surgery, Division of Cardiac Surgery.
Publisher Copyright:
© 2016 Elsevier Inc.
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
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U2 - 10.1016/j.hrtlng.2015.09.009
DO - 10.1016/j.hrtlng.2015.09.009
M3 - Article
C2 - 26514074
AN - SCOPUS:84952876049
SN - 0147-9563
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
IS - 1
ER -