Psychology, 2018, 9, 2591-2607
http://www.scirp.org/journal/psych
ISSN Online: 2152-7199
ISSN Print: 2152-7180
DOI: 10.4236/psych.2018.911148 Oct. 31, 2018 2591 Psychology
Modification of the Coping and the Emotional
Comorbidity in Patients Candidates
to Cardiac Surgery
Carlos Figueroa-López
1
, Daniela Méndez-Rodríguez
1
, Yesenia Sharai Robledo-Martínez
1
,
Bertha Ramos-Del Río
1
, Ana Karen Talavera-Peña
1
, Carlos Riera-Kinkel
2*
1
Psychology Faculty, FES Zaragoza UNAM, México
2
Division Cardiothoracic Surgery, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro
Social, Mexico City, Mexico
Abstract
Objective: To evaluate the effectiveness of a program of psychological prepa-
ration for invasive procedures in patients with heart disease, candidates for
cardiac surgery, to reduce emotional morbidity and improve perception of
health related quality of life. Methods: A Quasi-experimental design was
used. The study included a non-probabilistic randomized sample of 110 pa-
tients treated in the Division of Cardiac Surgery Centro Medico Nacional
Siglo XXI Instituto Mexicano del Seguro Social IMSS. They were divided in
two groups: Experimental group (n = 44) and Control group (n = 66). In-
struments: CHIP Coping Questionnaire, HADS Anxiety and Depression
Hospital Scale, Health Related Quality of Life Questionnaire and a Visual
Analogue Scale (VAS) to measure postoperative pain. Results: The experi-
mental group showed an increase in instrumental coping style compared to
pre (M = 24.55) and post evaluation (M = 25.93); statistically significant dif-
ferences were found in the variables of stress (p = 0.042), anxiety (p = 0.001),
depression (p = 0.056) and health related quality of life (p = 0.000); while in
the control group, the distraction coping style (pre M = 25.80, post M =
26.73) is the one that increased; there were no statistically significant differ-
ences in the variables stress (p = 0.274), anxiety (p = 0.671) and depression (p
= 0.850), except for the health related quality of life (p = 0.000). This study is
the first in Mexico to manage emotional comorbidity in this type of popula-
tion.
Keywords
Coping, Emotional Comorbidity, Stress, Anxiety, Depression, Heart Disease
How to cite this paper: Figueroa-López,
C., Méndez-Rodríguez, D., Robledo-Martínez,
Y. S., Ramos-Del Río, B., Talavera-Peña, A.
K., & Riera-Kinkel, C. (2018). Modification
of the Coping and the Emotional Comor-
bidity in Patients Candidates to Cardiac
Surgery. Psychology, 9, 2591-2607.
https://doi.org/10.4236/psych.2018.911148
Received: September 27, 2018
Accepted: October 26, 2018
Published: October 31, 2018
Copyright © 2018 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access