Factors associated with disability expectations in patients undergoing heart surgery

TY - JOUR

T1 - Factors associated with disability expectations in patients undergoing heart surgery

AU - Laferton, Johannes A C

AU - Auer, Charlotte J

AU - Shedden-Mora, Meike C

AU - Moosdorf, Rainer

AU - Rief, Winfried

PY - 2015/2

Y1 - 2015/2

N2 - BACKGROUND: Heart surgery patients' expectations have been shown to be related to surgery outcome, independent of medical status. However, it is unclear which factors determine patients' expectations about disability following heart surgery.PURPOSE: Investigating the associations of patients' disability expectations with demographic, medical, and psychosocial factors as well as other aspects of patients' expectations might help to tailor psychological interventions more specifically to optimize patient's expectations.METHODS: Eighty-three patients were invited to a psycho-educational intervention to optimize expectations prior to elective coronary artery bypass graft (CABG). Before the psychological intervention and before surgery, disability expectations, demographical, medical, psychosocial variables as well as patient and treatment related expectations were collected via questionnaires and patients' files. Associations with disability expectations were assessed using hierarchical linear multiple regression analysis.RESULTS: Patients self-rated disability (β = 0.50; p < 0.001) and beliefs about treatment efficacy (β = -0.42; p < 0.001) was independently associated with disability expectations. Expectations about the efficacy of patients' own health behavior as well as demographical variables, psychological distress, perceived social support, and measures of medical morbidity did not explain any additional variance in patients' disability expectations.CONCLUSION: CABG patients seem to form their disability expectations upon their perceptions about their current disability and their expectations about the efficacy of treatment. Patients' disability expectations appear to be independent from scientifically established risk factors and other psychosocial patient characteristics in heart surgery. Future research is necessary to further determine what factors psychological interventions should focus on to modify patients' disability expectations.

AB - BACKGROUND: Heart surgery patients' expectations have been shown to be related to surgery outcome, independent of medical status. However, it is unclear which factors determine patients' expectations about disability following heart surgery.PURPOSE: Investigating the associations of patients' disability expectations with demographic, medical, and psychosocial factors as well as other aspects of patients' expectations might help to tailor psychological interventions more specifically to optimize patient's expectations.METHODS: Eighty-three patients were invited to a psycho-educational intervention to optimize expectations prior to elective coronary artery bypass graft (CABG). Before the psychological intervention and before surgery, disability expectations, demographical, medical, psychosocial variables as well as patient and treatment related expectations were collected via questionnaires and patients' files. Associations with disability expectations were assessed using hierarchical linear multiple regression analysis.RESULTS: Patients self-rated disability (β = 0.50; p < 0.001) and beliefs about treatment efficacy (β = -0.42; p < 0.001) was independently associated with disability expectations. Expectations about the efficacy of patients' own health behavior as well as demographical variables, psychological distress, perceived social support, and measures of medical morbidity did not explain any additional variance in patients' disability expectations.CONCLUSION: CABG patients seem to form their disability expectations upon their perceptions about their current disability and their expectations about the efficacy of treatment. Patients' disability expectations appear to be independent from scientifically established risk factors and other psychosocial patient characteristics in heart surgery. Future research is necessary to further determine what factors psychological interventions should focus on to modify patients' disability expectations.

KW - Aged

KW - Coronary Artery Bypass

KW - Coronary Disease

KW - Cross-Sectional Studies

KW - Disability Evaluation

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Perception

KW - Questionnaires

KW - Risk Factors

KW - Treatment Outcome

U2 - 10.1007/s12529-014-9434-2

DO - 10.1007/s12529-014-9434-2

M3 - SCORING: Journal article

C2 - 25187112

VL - 22

SP - 85

EP - 91

JO - INT J BEHAV MED

JF - INT J BEHAV MED

SN - 1070-5503

IS - 1

ER -