Resilience is strongly associated with health-related quality of life but does not buffer work-related stress in employed persons 1 year after acute myocardial infarction

PURPOSE: Resilience may facilitate the adaptation after experiencing a severe disease such as acute myocardial infarction (AMI) and attenuate the negative effects of stress on health-related quality of life (HRQOL). However, it is unclear so far whether resilience moderates a negative association between work-related stress and HRQOL in employed patients after AMI.

METHODS: Patients with confirmed AMI and regular paid employment admitted to a hospital in the study region of the MONICA/KORA Myocardial Infarction Registry, Germany (04/2014-06/2017) were included and completed questionnaires during their hospital stay and 6 and 12 months after discharge. The Resilience Questionnaire (RS-11) and the Effort-Reward Imbalance (ERI) Questionnaire were used to assess trait resilience and ERI, respectively. HRQOL was measured by the Short Form 36 Health Survey (SF-36) mental and physical component summary scales. Generalized estimating equations (GEE) adjusted for relevant potential confounding variables (demographic, social, stress-related, and clinical) were used to determine the association between resilience and HRQOL in the study course.

RESULTS: From the 346 patients enrolled in the study, 270 patients (78.0%) had completed all surveys. High baseline trait resilience was significantly and independently associated with high physical HRQOL (ß = 0.15, p < 0.0001) and high mental HRQOL (ß = 0.37, p < 0.0001) 1 year post AMI. No significant interaction effects between trait resilience and ERI were found in the physical HRQOL GEE model (ß = 0.05, p = 0.7241) and in the mental HRQOL model (ß = 0.05, p = 0.3478).

CONCLUSIONS: The results demonstrated that trait resilience is independently and strongly related with post-AMI HRQOL but does not moderate the association between ERI and HRQOL.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation - 29(2020), 2 vom: 20. Feb., Seite 391-401

Sprache:

Englisch

Beteiligte Personen:

Kirchberger, Inge [VerfasserIn]
Burkhardt, Katrin [VerfasserIn]
Heier, Margit [VerfasserIn]
Thilo, Christian [VerfasserIn]
Meisinger, Christine [VerfasserIn]

Links:

Volltext

Themen:

Health-related quality of life
Job-related stress
Journal Article
Myocardial infarction
Psychological resilience

Anmerkungen:

Date Completed 06.04.2020

Date Revised 08.04.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11136-019-02306-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM301493693