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0 - Philadelphia College of Osteopathic Medicine

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Biopsychosocial Effects Among Coronary Artery Bypass Grafting Patients 52<br />

Focused Scale and depression scores among CABG patients. Additional examination<br />

with the Pearson's correlation indicated that post-surgical CABG patients who use<br />

emotion focused styles <strong>of</strong> coping such as: the use <strong>of</strong> emotional support, behavioral<br />

disengagement, venting, religion, and substance abuse are significantly more likely to<br />

score higher depression scores and may be clinically depressed. This finding makes sense<br />

when interpreted within the context <strong>of</strong> most research on coping and CABG outcomes.<br />

Individuals who do not take active problem solving approaches to their health care <strong>of</strong>ten<br />

find poorer outcomes and may even suffer complications (Carver, 1997; Sheier, &<br />

Weintraub, 1989; McCabe et aI., 2000). Considering the demographic moderators to this<br />

study, it is not surprising that participants who were able to participate <strong>of</strong>ten came with a<br />

spouse, appeared to be progressing, attended cardiac rehab, and appeared to take an active<br />

CABG recovery approach, clearly supporting this finding( Boudrez & DeBacker, 2001).<br />

Despite the significant findings, examination <strong>of</strong> coping on the Brief Cope­<br />

Emotion Focused Scale and pain (MPQ) revealed no significant relationship. As<br />

supported in the previous literature, individuals who typically have higher pain levels do<br />

not cope as well (Barth, Schumacher & Herrmann-Lingen, 2004). They are also less<br />

likely to attend cardiac rehab, and comply with behavioral changes or medication regimes<br />

(Kimble & Zerwic, 1998). One possible explanation can be that there was not enough<br />

power in the sample to detect a relationship because <strong>of</strong> low participation. Again, another<br />

explanation may be that the sample bias who actually volunteered may have been using<br />

more active coping vs. emotion based coping, therefore reducing reported pain levels.<br />

Descriptive Statistics

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