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To specify the psychological mechanism through which faith factors may influence health-related well-being, we followed a sample of middle-aged and older patients for their experiences associated with open-heart surgery. Structural equation modeling analysis in an earlier report demonstrated a parallel-pathway explanatory model in which preoperative optimism and acute stress response functioned as positive and negative mediators, respectively, of the influence of using prayer for coping. This current analysis addresses an additional question: Which styles or types of prayer usage may have potential protection in postoperative outcomes? Three interviews were conducted with 295 patients (age 62±). Items from established instruments were used to assess postoperative mental health, optimism, acute stress, prayer coping, and chronic conditions. Structural equation modeling was used to test a theoretical conceptual model. The major finding was unexpected. Of the four major types, only the use of “petitionary” p...

Little is known about the use of private prayer following coronary artery bypass graft (CABG) surgery. Using information from a computerized database and responses to two questionnaires, this study gathered retrospective information from a sample of CABG patients (N = 151) about post-CABG emotional health, religious activities, social support, and noncardiac chronic conditions. The majority of patients (68%) reported that they used private prayer to cope following CABG. A path model found that the use of prayer to cope was associated with better postoperative emotional health. The predictors of the use of prayer differed across patient age groups. Older patients (over age 65) were more likely to pray if religion were important to them, whereas younger patients (under age 65) were more likely to pray if they had lower incomes, better preoperative health, and more education.

This research examined the role of self-care behavior of 151 patients (aged 40 to 80) on general psychological distress at one year after coronary artery bypass graft (CABG) surgery. A tested hypothesis was that self-care practices would be associated with a lower level of distress one year after surgery. The results supported the beneficial effect of self-care on psychological adjustment, after controlling for the effects of the number of other chronic illnesses and post-CABG depression. The findings suggest that social work in health care and in-home care may help promote the psychosocial recovery process following surgery.

This research investigated gender differences in psychological adjustment among patients (112 males, 39 females) one year after coronary artery bypass graft surgery (CABG). Information regarding post-CABG depression, non-cardiac chronic conditions, and socioeconomic variables were obtained from a survey. Additional cardiac, surgical, and demographic data were retrieved from a hospital computer database. Women were more likely than men to experience postoperative depression, attributable to their poor health. Depression one year post-CABG was predicted by non-cardiac chronic illnesses, postoperative fatigue and shortness of breath and socioeconomic status.