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Biopsychosocial Effects Among Coronary Artery Bypass Grafting Patients 49<br />

CHAPTER IV: DISCUSSION<br />

This research proposal had two main Pl11110ses. The first purpose was to see if a<br />

negative correlation existed between social support and depression, to measure a<br />

correlational relationship between social support levels and levels <strong>of</strong> perceived pain, and<br />

to find a positive relationship between social support and health related quality <strong>of</strong> life.<br />

The second main outcome examined was to assess a correlational relationship between<br />

dimensions <strong>of</strong>coping and pain levels, dimensions <strong>of</strong> coping and depression, and to find a<br />

correlation between coping and health related quality <strong>of</strong> life.<br />

The literature suggests that social support is a powerful psychological tool in<br />

combating stress. Social support is found to serve as a protective factor among medical<br />

patients and to reduce depression levels (Albee, 1968; Rhodes, 2000). It has even been<br />

found that social support can mitigate outcomes when CABG patients are supported by a<br />

spouse or partner (Stenlund, Lindstrom, Granlund, & Burell, 2005). Although the current<br />

study did not find a significant relationship between social support and depression, the<br />

correlation approached significance. One possible reason for this may be that the study<br />

did not have the power to detect a relationship because <strong>of</strong> a small sample size.<br />

Another possible reason for the finding may be that depression scores are higher<br />

for medical patients; therefore, that might be a limitation in some findings (Bruce et aI.,<br />

2003). An important mediating variable may be within the sample <strong>of</strong>participants who<br />

volunteered. Those who had support and were able to find transportation to the cardiac<br />

suite may indeed show less depressive symptoms. Patients with little instrumental support<br />

may have been unable to receive transportation; therefore, they were left out <strong>of</strong> data<br />

collection indicating a sampling bias.

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