How gender-specific are predictors of post-MI HRQoL? A longitudinal study.

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  • Author(s): Wlodarczyk D;Wlodarczyk D; Zietalewicz U; Zietalewicz U
  • Source:
    Health and quality of life outcomes [Health Qual Life Outcomes] 2020 Jun 26; Vol. 18 (1), pp. 202. Date of Electronic Publication: 2020 Jun 26.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101153626 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-7525 (Electronic) Linking ISSN: 14777525 NLM ISO Abbreviation: Health Qual Life Outcomes Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, c2003-
    • Subject Terms:
      Quality of Life*; Myocardial Infarction/*psychology ; Survivors/*psychology; Adult ; Aged ; Cardiac Rehabilitation/psychology ; Female ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Sex Factors ; Young Adult
    • Abstract:
      Purpose: Extant research shows that health-related quality of life (HRQoL) differs between female and male survivors of myocardial infarction (MI), but the reasons for this are not fully understood. We aimed to examine the predictors of HRQoL in female and male survivors during the first year after MI.
      Methods: At timepoints 1 and 2, the sample comprised 222 MI survivors (59 women and 163 men; mean age 53.84 years, range 24-65) referred for in-patient cardiac rehabilitation. This number dropped to 140 participants (42 women and 98 men) at the third timepoint, approximately one year after the MI. We examined the gender differences in various predictors of physical and mental HRQoL: demographic factors (e.g., age, education, marital status), disease-related factors (pre- and post-MI), personality and coping with stress.
      Results: Initially, both physical and mental HRQoL were lower in women than men, but the differences disappeared at timepoint 3. Stepwise regressions performed separately for men and women revealed that the factors shaping HRQoL were different in both genders; they also changed over time. Substantially fewer factors predicted physical HRQoL in women than in men. Trait anxiety seems to play a similarly negative role in both genders.
      Conclusions: The psychosocial resources that influence HRQoL were different for women and men. There were also differences concerning predictors of HRQoL dimensions. Further studies with a different or broader range of predictors are needed, especially among women.
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    • Grant Information:
      N N106 224438 Narodowe Centrum Nauki
    • Publication Date:
      Date Created: 20200627 Date Completed: 20201021 Latest Revision: 20201021
    • Publication Date:
      20221213
    • Accession Number:
      PMC7318476
    • Accession Number:
      10.1186/s12955-020-01439-4
    • Accession Number:
      32586341