Protective positive psychology factors and emotional distress after cardiac arrest
There is a critical need to identify factors that can prevent emotional distress post-cardiac arrest (CA). CA survivors have previously described benefitting from utilizing positive psychology constructs (mindfulness, existential well-being, resilient coping, social support) to cope with distress. H...
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| Veröffentlicht in: | Resuscitation 2023-07, Vol.188, p.109846-109846, Article 109846 |
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| container_title | Resuscitation |
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| creator | Presciutti, Alexander M. Flickinger, Katharyn L. Coppler, Patrick J. Ratay, Cecelia Doshi, Ankur A. Perman, Sarah M. Vranceanu, Ana-Maria Elmer, Jonathan |
| description | There is a critical need to identify factors that can prevent emotional distress post-cardiac arrest (CA). CA survivors have previously described benefitting from utilizing positive psychology constructs (mindfulness, existential well-being, resilient coping, social support) to cope with distress. Here, we explored associations between positive psychology factors and emotional distress post-CA.
We recruited CA survivors treated from 4/2021–9/2022 at a single academic medical center. We assessed positive psychology factors (mindfulness [Cognitive and Affective Mindfulness Scale-Revised], existential well-being [Meaning in Life Questionnaire Presence of Meaning subscale], resilient coping [Brief Resilient Coping Scale], perceived social support [ENRICHD Social Support Inventory]) and emotional distress (posttraumatic stress [Posttraumatic Stress Checklist-5], anxiety and depression symptoms [PROMIS Emotional Distress – Anxiety and Depression Short Forms 4a]) just before discharge from the index hospitalization. We selected covariates for inclusion in our multivariable models based on an association with any emotional distress factor (p |
| doi_str_mv | 10.1016/j.resuscitation.2023.109846 |
| format | Article |
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We recruited CA survivors treated from 4/2021–9/2022 at a single academic medical center. We assessed positive psychology factors (mindfulness [Cognitive and Affective Mindfulness Scale-Revised], existential well-being [Meaning in Life Questionnaire Presence of Meaning subscale], resilient coping [Brief Resilient Coping Scale], perceived social support [ENRICHD Social Support Inventory]) and emotional distress (posttraumatic stress [Posttraumatic Stress Checklist-5], anxiety and depression symptoms [PROMIS Emotional Distress – Anxiety and Depression Short Forms 4a]) just before discharge from the index hospitalization. We selected covariates for inclusion in our multivariable models based on an association with any emotional distress factor (p < 0.10). For our final, multivariable regression models, we individually tested the independent association of each positive psychology factor and emotional distress factor.
We included 110 survivors (mean age 59 years, 64% male, 88% non-Hispanic White, 48% low income); 36.4% of survivors scored above the cut-off for at least one measure of emotional distress. In separate adjusted models, each positive psychology factor was independently associated with emotional distress (β: −0.20 to −0.42, all p < 0.05).
Higher levels of mindfulness, existential well-being, resilient coping, and perceived social support were each associated with less emotional distress. Future intervention development studies should consider these factors as potential treatment targets.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2023.109846</identifier><identifier>PMID: 37207872</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adaptation, Psychological ; Anxiety - psychology ; Cardiac arrest ; Depression - psychology ; Emotional distress ; Female ; Humans ; Male ; Middle Aged ; Mindfulness ; Positive psychology ; Psychological Distress ; Psychology, Positive ; Resilience ; Social support ; Stress, Psychological - etiology ; Stress, Psychological - psychology ; Survivorship</subject><ispartof>Resuscitation, 2023-07, Vol.188, p.109846-109846, Article 109846</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c383t-affb4220fabd35d7d6e8badbb0a9c2f12b2ac2c0858ccaac9bedfe41d956ac43</citedby><cites>FETCH-LOGICAL-c383t-affb4220fabd35d7d6e8badbb0a9c2f12b2ac2c0858ccaac9bedfe41d956ac43</cites><orcidid>0000-0002-5911-6142</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0300957223001594$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37207872$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Presciutti, Alexander M.</creatorcontrib><creatorcontrib>Flickinger, Katharyn L.</creatorcontrib><creatorcontrib>Coppler, Patrick J.</creatorcontrib><creatorcontrib>Ratay, Cecelia</creatorcontrib><creatorcontrib>Doshi, Ankur A.</creatorcontrib><creatorcontrib>Perman, Sarah M.</creatorcontrib><creatorcontrib>Vranceanu, Ana-Maria</creatorcontrib><creatorcontrib>Elmer, Jonathan</creatorcontrib><title>Protective positive psychology factors and emotional distress after cardiac arrest</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>There is a critical need to identify factors that can prevent emotional distress post-cardiac arrest (CA). CA survivors have previously described benefitting from utilizing positive psychology constructs (mindfulness, existential well-being, resilient coping, social support) to cope with distress. Here, we explored associations between positive psychology factors and emotional distress post-CA.
We recruited CA survivors treated from 4/2021–9/2022 at a single academic medical center. We assessed positive psychology factors (mindfulness [Cognitive and Affective Mindfulness Scale-Revised], existential well-being [Meaning in Life Questionnaire Presence of Meaning subscale], resilient coping [Brief Resilient Coping Scale], perceived social support [ENRICHD Social Support Inventory]) and emotional distress (posttraumatic stress [Posttraumatic Stress Checklist-5], anxiety and depression symptoms [PROMIS Emotional Distress – Anxiety and Depression Short Forms 4a]) just before discharge from the index hospitalization. We selected covariates for inclusion in our multivariable models based on an association with any emotional distress factor (p < 0.10). For our final, multivariable regression models, we individually tested the independent association of each positive psychology factor and emotional distress factor.
We included 110 survivors (mean age 59 years, 64% male, 88% non-Hispanic White, 48% low income); 36.4% of survivors scored above the cut-off for at least one measure of emotional distress. In separate adjusted models, each positive psychology factor was independently associated with emotional distress (β: −0.20 to −0.42, all p < 0.05).
Higher levels of mindfulness, existential well-being, resilient coping, and perceived social support were each associated with less emotional distress. Future intervention development studies should consider these factors as potential treatment targets.</description><subject>Adaptation, Psychological</subject><subject>Anxiety - psychology</subject><subject>Cardiac arrest</subject><subject>Depression - psychology</subject><subject>Emotional distress</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mindfulness</subject><subject>Positive psychology</subject><subject>Psychological Distress</subject><subject>Psychology, Positive</subject><subject>Resilience</subject><subject>Social support</subject><subject>Stress, Psychological - etiology</subject><subject>Stress, Psychological - psychology</subject><subject>Survivorship</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1LJDEQhoMoOqv-BWnYi5ce8zHd6cbTIq4rCLuI91BdqWiGnsmYZIT595uhVfDmqYqqt-qtehj7KfhccNFeLeeR0jahz5B9WM8ll6p0-m7RHrCZ6LSqRaP5IZtxxXndN1qesB8pLTnnqun1MTtRWnLdaTljj_9iyITZv1G1CclPSdrhSxjD865ygDnEVMHaVrQKe0MYK-tTLkeUsssUK4RoPWAFsRTzGTtyMCY6f4-n7On37dPNn_rh7939za-HGlWncg3ODQspuYPBqsZq21I3gB0GDj1KJ-QgASXyrukQAbAfyDpaCNs3LeBCnbLLae0mhtdt8TUrn5DGEdYUtsnITrS6bSRvi_R6kmIMKUVyZhP9CuLOCG72TM3SfGFq9kzNxLRMX7wbbYcV2c_ZD4hFcDsJqHz75imasojWSNbHgtbY4L9l9B-F0JQQ</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Presciutti, Alexander M.</creator><creator>Flickinger, Katharyn L.</creator><creator>Coppler, Patrick J.</creator><creator>Ratay, Cecelia</creator><creator>Doshi, Ankur A.</creator><creator>Perman, Sarah M.</creator><creator>Vranceanu, Ana-Maria</creator><creator>Elmer, Jonathan</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5911-6142</orcidid></search><sort><creationdate>202307</creationdate><title>Protective positive psychology factors and emotional distress after cardiac arrest</title><author>Presciutti, Alexander M. ; Flickinger, Katharyn L. ; Coppler, Patrick J. ; Ratay, Cecelia ; Doshi, Ankur A. ; Perman, Sarah M. ; Vranceanu, Ana-Maria ; Elmer, Jonathan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-affb4220fabd35d7d6e8badbb0a9c2f12b2ac2c0858ccaac9bedfe41d956ac43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adaptation, Psychological</topic><topic>Anxiety - psychology</topic><topic>Cardiac arrest</topic><topic>Depression - psychology</topic><topic>Emotional distress</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mindfulness</topic><topic>Positive psychology</topic><topic>Psychological Distress</topic><topic>Psychology, Positive</topic><topic>Resilience</topic><topic>Social support</topic><topic>Stress, Psychological - etiology</topic><topic>Stress, Psychological - psychology</topic><topic>Survivorship</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Presciutti, Alexander M.</creatorcontrib><creatorcontrib>Flickinger, Katharyn L.</creatorcontrib><creatorcontrib>Coppler, Patrick J.</creatorcontrib><creatorcontrib>Ratay, Cecelia</creatorcontrib><creatorcontrib>Doshi, Ankur A.</creatorcontrib><creatorcontrib>Perman, Sarah M.</creatorcontrib><creatorcontrib>Vranceanu, Ana-Maria</creatorcontrib><creatorcontrib>Elmer, Jonathan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Presciutti, Alexander M.</au><au>Flickinger, Katharyn L.</au><au>Coppler, Patrick J.</au><au>Ratay, Cecelia</au><au>Doshi, Ankur A.</au><au>Perman, Sarah M.</au><au>Vranceanu, Ana-Maria</au><au>Elmer, Jonathan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Protective positive psychology factors and emotional distress after cardiac arrest</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2023-07</date><risdate>2023</risdate><volume>188</volume><spage>109846</spage><epage>109846</epage><pages>109846-109846</pages><artnum>109846</artnum><issn>0300-9572</issn><eissn>1873-1570</eissn><abstract>There is a critical need to identify factors that can prevent emotional distress post-cardiac arrest (CA). CA survivors have previously described benefitting from utilizing positive psychology constructs (mindfulness, existential well-being, resilient coping, social support) to cope with distress. Here, we explored associations between positive psychology factors and emotional distress post-CA.
We recruited CA survivors treated from 4/2021–9/2022 at a single academic medical center. We assessed positive psychology factors (mindfulness [Cognitive and Affective Mindfulness Scale-Revised], existential well-being [Meaning in Life Questionnaire Presence of Meaning subscale], resilient coping [Brief Resilient Coping Scale], perceived social support [ENRICHD Social Support Inventory]) and emotional distress (posttraumatic stress [Posttraumatic Stress Checklist-5], anxiety and depression symptoms [PROMIS Emotional Distress – Anxiety and Depression Short Forms 4a]) just before discharge from the index hospitalization. We selected covariates for inclusion in our multivariable models based on an association with any emotional distress factor (p < 0.10). For our final, multivariable regression models, we individually tested the independent association of each positive psychology factor and emotional distress factor.
We included 110 survivors (mean age 59 years, 64% male, 88% non-Hispanic White, 48% low income); 36.4% of survivors scored above the cut-off for at least one measure of emotional distress. In separate adjusted models, each positive psychology factor was independently associated with emotional distress (β: −0.20 to −0.42, all p < 0.05).
Higher levels of mindfulness, existential well-being, resilient coping, and perceived social support were each associated with less emotional distress. Future intervention development studies should consider these factors as potential treatment targets.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>37207872</pmid><doi>10.1016/j.resuscitation.2023.109846</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-5911-6142</orcidid></addata></record> |
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| subjects | Adaptation, Psychological Anxiety - psychology Cardiac arrest Depression - psychology Emotional distress Female Humans Male Middle Aged Mindfulness Positive psychology Psychological Distress Psychology, Positive Resilience Social support Stress, Psychological - etiology Stress, Psychological - psychology Survivorship |
| title | Protective positive psychology factors and emotional distress after cardiac arrest |
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