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Cognitive-personality style as vulnerability to depression in patients with coronary artery disease: roles of sociotropy and autonomy
journal contribution
posted on 2009-01-01, 00:00 authored by L Stafford, H J Jackson, Michael BerkMichael BerkOBJECTIVE: To investigate whether the cognitive-personality styles of sociotropy and autonomy and their component subscales are useful for explaining depressogenic vulnerability in a population of individuals with coronary artery disease (CAD) and to better understand the psychosocial etiology of depression in CAD. Depression occurs commonly in patients with CAD and is associated with substantial disability. METHOD: A prospective study of 193 recently hospitalized CAD patients was conducted. Data were collected from medical records and by self-report at 3 (Time 1, T1) and 9 (Time 2, T2) months post discharge. The association between cognitive-personality styles and depression was tested in hierarchical linear regression equations controlling for clinical and demographic confounders. RESULTS: High levels of autonomy were significantly associated with increased depressive symptomatology at T1 (p < .001) and T2 (p < .001). The association between autonomy and change in depression approached significance (p = .07). Sociotropy was not a significant predictor of depression at any time. The component subscales of the sociotropy and autonomy measures explained more variance in depressive symptomatology at T1 and T2 as well as change in depression than did the composite measures. The perfectionism subscale of autonomy was the most important predictor of depression at T1 and T2 contributing 5.3% and 5.1% of unique variance in depression, respectively. There was a trend for the association between perfectionism and change in depression (p = .06). CONCLUSION: Cognitive-personality characteristics are an important predictor of depression in recently hospitalized patients with CAD. The findings suggest a clinical benefit in early detection of highly autonomous patients, particularly those who exhibit perfectionism, coupled with appropriate cognitive intervention and collaborative treatment planning.
History
Journal
Psychosomatic medicineVolume
71Issue
1Pagination
63 - 69Publisher
Lippincott, Williams & WilkinsLocation
Philadelphia, Pa.Publisher DOI
ISSN
0033-3174eISSN
1534-7796Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2009, The American Psychosomatic SocietyUsage metrics
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Categories
Keywords
AgedAngioplasty, Balloon, CoronaryCognitionCoronary Artery BypassCoronary Artery DiseaseDepressionDisease SusceptibilityExtraversion (Psychology)FemaleHospitalizationHumansMaleMiddle AgedModels, PsychologicalMyocardial InfarctionPersonal AutonomyPersonalityPersonality InventoryPredictive Value of TestsProspective StudiesScience & TechnologySocial SciencesLife Sciences & BiomedicinePsychiatryPsychologyPsychology, Multidisciplinarycognitive-personality styleQUALITY-OF-LIFEMYOCARDIAL-INFARCTIONHOSPITAL ANXIETYSELF-CRITICISMHEART-DISEASERISK-FACTOREVENTSPERFECTIONISMPREDICTORSDEPENDENCY