Posttraumatic Growth in Coronary Artery Disease Outpatients: Relationship to Degree of Trauma and Health Service Use

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dc.contributor.authorLeung, Yvonne
dc.contributor.authorAlter, David
dc.contributor.authorPrior, Peter
dc.contributor.authorStewart, Donna Eileen
dc.contributor.authorIrvine, Jane
dc.contributor.authorGrace, Sherry L.
dc.date.accessioned2013-06-24T15:18:02Z
dc.date.available2013-06-24T15:18:02Z
dc.date.issued2012-04
dc.description.abstractObjectives Posttraumatic growth (PTG) is frequently reported after the strike of a serious medical illness. The current study sought to: 1) assess the relationship between degree of cardiac “threat” and PTG one year post-hospitalization; and 2) to explore the association between PTG and healthcare utilization. Methods In a cohort study, 2636 cardiac inpatients from 11 Ontario hospitals completed a sociodemographic survey,; clinical data were extracted from charts. One year later, 1717 of these outpatients completed a postal survey, which assessed PTG and healthcare utilization. Morbidity data were obtained retrospectively through probabilistic linkage to administrative data. The predicted risk of recurrent events for each participant was calculated using a logistic regression model, based on participants’ sociodemographic and clinical characteristics. The relationship among PTG, trauma and health service use was examined with multiple regression models. Results Greater PTG was significantly related to greater predicted risk of recurrent events (p<.001), but not the actual rate of recurrent events (p=.117). Moreover, greater PTG was significantly related to more physician visits (p=.006), and cardiac rehabilitation program enrolment (p=.001) after accounting for predicted risk and sociodemographic variables. PTG was not related to urgent healthcare use. Conclusions Greater PTG was related to greater objective risk of morbidity but not actual morbidity, suggesting that contemplation about the risk of future health problems may spur PTG. Moreover, greater PTG was associated with seeking non-urgent healthcare. Whether this translates to improved health outcomes warrants future study.en_US
dc.description.sponsorshipCanadian Institutes of Health Research Institute of Gender and Health (CIHR) and The Heart and Stroke Foundation of Canada Grant # HOA-80676.
dc.identifier.citationJournal of Psychosomatic Research 72.4 (2012): 293-9.
dc.identifier.urihttp://hdl.handle.net/10315/24294
dc.identifier.urihttps://dx.doi.org/10.1016/j.jpsychores.2011.12.011
dc.language.isoenen
dc.subjectHealth service use
dc.subjectClinical risk
dc.subjectBenefit finding
dc.subjectCoronary artery diseasePosttraumatic growth
dc.titlePosttraumatic Growth in Coronary Artery Disease Outpatients: Relationship to Degree of Trauma and Health Service Use
dc.typeArticle

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