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Rawlings, GH 
ORCID: https://orcid.org/0000-0003-4962-3551, Thompson, AR, Armstrong, I, Novakova, B and Beail, N,
2022.
Coping styles associated with depression, health anxiety and health-related quality of life in pulmonary hypertension: cross-sectional analysis.
BMJ Open, 12 (8): e062564.
ISSN 2044-6055
Abstract
Objectives: Pulmonary hypertension (PH) is a life-shortening disease associated with early mortality and high morbidity. With advancements in medical treatment, people are living longer with the disease, and research is now needed to explore variables that help to enhance patient-reported outcomes. This study investigated the coping strategies of individuals with PH and examined the relationship between coping, depression, health anxiety and health-related quality of life (HRQoL).
Design: A cross-sectional survey design was used.
Participants: Participants (n=121) were recruited from membership of Pulmonary Hypertension Association (PHA) UK.
Outcome measures: Participants completed a series of questionnaires assessing depression (Patient Health Questionnaire-9), health anxiety (Short Health Anxiety Inventory), HRQoL (emPHasis-10) and coping (Brief COPE). A principal component analysis was used to identify participants’ coping profile. A series of correlational, linear and moderated multiple regression analyses were performed to examine the relationship between coping and health-related outcomes.
Results: Overall, 43% participants met criteria for potential clinical depression. Depression and health anxiety were strongly associated with HRQoL, explaining 37% and 30% of variance respectively (p<0.001). A principal component analysis identified a four-component model of coping. Dimensions were named based on construct items: ‘cognitive and affirmation coping’ (seven items), ‘passive coping’ (four items), ‘external coping’ (seven items) and ‘substance use coping’ (two items). Cognitive and affirmation and external coping moderated the relationship between depression and HRQoL, with high use of these coping strategies reducing the impact of depression on HRQoL. External coping also moderated the effect of health anxiety on HRQoL.
Conclusions: The results uniquely highlight the importance of coping styles and psychological distress in predicting HRQoL in PH. Our findings indicate the importance to assess for psychological distress in this population and suggest the need to offer psychological interventions that take into account coping resources and strategies.
| Item Type: | Journal article |
|---|---|
| Publication Title: | BMJ Open |
| Creators: | Rawlings, G.H., Thompson, A.R., Armstrong, I., Novakova, B. and Beail, N. |
| Publisher: | BMJ |
| Date: | August 2022 |
| Volume: | 12 |
| Number: | 8 |
| ISSN: | 2044-6055 |
| Identifiers: | Number Type 10.1136/bmjopen-2022-062564 DOI 1594232 Other |
| Rights: | © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
| Divisions: | Schools > School of Social Sciences |
| Record created by: | Linda Sullivan |
| Date Added: | 18 Oct 2022 08:12 |
| Last Modified: | 18 Oct 2022 08:12 |
| URI: | https://irep.ntu.ac.uk/id/eprint/47261 |
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