PMID- 27391913 OWN - NLM STAT- MEDLINE DCOM- 20170428 LR - 20170817 IS - 1897-4279 (Electronic) IS - 0022-9032 (Linking) VI - 74 IP - 11 DP - 2016 TI - A study to evaluate the prevalence and determinants of stress coping strategies in heart failure patients in Poland (CAPS-LOCK-HF sub-study). PG - 1327-1331 LID - 10.5603/KP.a2016.0109 [doi] AB - BACKGROUND AND AIM: We aimed to evaluate the prevalence and determinants of different stress coping strategies in Polish patients suffering from heart failure with reduced ejection fraction (HFREF). METHODS: This manuscript is a sub-study of the CAPS-LOCK-HF multicentre psychological status assessment of patients with HFREF. Patients with > six-month history of HFREF and clinical stability for >/= three months and left ventricular ejection fraction (LVEF) < 45% were enrolled in the study. Demographic and clinical variables were obtained from medical records, while a standardised Coping Inventory for Stressful Situations (CISS) was applied to all subjects. RESULTS: The study comprised 758 patients (599 men; 79%) with a median age of 64 years (IQR 58-71). Median LVEF was 33% (25-40). Subjects most commonly used task-oriented coping strategies (median CISS score 55 points; IQR 49-61), followed by avoidance (45 points; 39-50) and emotion-oriented coping strategies (41 points; 34-48). Distraction-based avoidance coping strategies (20 points; 16-23) were more pronounced than social diversion strategies (16 points; 14-19). Multiple regression analysis showed that higher New York Heart Association (NYHA) class and lower systolic blood pressure were independent predictors of task-oriented style. Emotion-oriented coping was more common among females and higher NYHA classes, and in patients who did not take angiotensin-converting enzyme inhibitors. Patients who used avoidance-oriented strategies were more frequently those in sinus rhythm on assessment and those who had less history of neoplastic disease. CONCLUSIONS: Patients with HFREF most commonly use favourable task-oriented coping strategies. However, female patients and those with higher NYHA classes tend to use potentially detrimental emotion-oriented coping strategies. FAU - Krzych, Lukasz J AU - Krzych LJ FAU - Wybraniec, Maciej T AU - Wybraniec MT AD - I Katedra i Klinika Kardiologii Slaski Uniwersytet Medyczny w Katowicach. wybraniec@os.pl. FAU - Siennicka, Agnieszka AU - Siennicka A FAU - Lees, Belinda AU - Lees B FAU - Goscinska-Bis, Kinga AU - Goscinska-Bis K FAU - Wojcik, Maciej AU - Wojcik M FAU - Blaszczyk, Robert AU - Blaszczyk R FAU - Szymanski, Filip M AU - Szymanski FM FAU - Orszulak, Michal AU - Orszulak M FAU - Michalski, Blazej AU - Michalski B FAU - Kaminski, Karol AU - Kaminski K FAU - Kopec, Grzegorz AU - Kopec G FAU - Hrynkiewicz-Szymanska, Anna AU - Hrynkiewicz-Szymanska A FAU - Jankowska, Ewa A AU - Jankowska EA LA - eng PT - Journal Article PT - Multicenter Study DEP - 20160708 PL - Poland TA - Kardiol Pol JT - Kardiologia polska JID - 0376352 SB - IM MH - *Adaptation, Psychological MH - Aged MH - Female MH - Heart Failure/*epidemiology/psychology MH - Humans MH - Male MH - Middle Aged MH - Poland/epidemiology MH - Prevalence MH - Sex Factors OTO - NOTNLM OT - CISS OT - HFREF OT - coping inventory for stressful situations OT - heart failure OT - stress coping EDAT- 2016/07/09 06:00 MHDA- 2017/04/30 06:00 CRDT- 2016/07/09 06:00 PHST- 2016/04/20 00:00 [received] PHST- 2016/06/21 00:00 [accepted] PHST- 2016/06/07 00:00 [revised] PHST- 2016/07/09 06:00 [pubmed] PHST- 2017/04/30 06:00 [medline] PHST- 2016/07/09 06:00 [entrez] AID - VM/OJS/KP/10453 [pii] AID - 10.5603/KP.a2016.0109 [doi] PST - ppublish SO - Kardiol Pol. 2016;74(11):1327-1331. doi: 10.5603/KP.a2016.0109. Epub 2016 Jul 8.