Objective:

Biological and psychological factors contribute to coronary artery disease (CAD). The purpose of this study was to investigate the relationship between spiritual well-being and CAD severity and determine the mediating effects of anger rumination and worry on this relationship.

Design:

Descriptive, cross-sectional survey.

Setting:

Afshar Hospital in Yazd, Iran.

Method:

Participants were 327 patients with CAD (138 women, 189 men). Spiritual well-being, anger rumination, worry and CAD severity were measured using demographic and medical information questionnaires, the Spiritual Well-Being Scale, the Anger Rumination Scale, the Penn State Worry Questionnaire and Gensini method. Mediation analysis was conducted using the PROCESS macro.

Results:

CAD severity was negatively correlated with spiritual well-being (r = –.62, p < .01) and positively correlated with anger rumination (r = .58, p < .01) and worry (r = .33, p < .01). The relationship between spiritual well-being and CAD severity was mediated by anger rumination. The direct effect of spiritual well-being on CAD severity was statistically significant (β = –.06, 95% confidence interval [CI] [–.09, –.04]). We find a significant indirect effect of spiritual well-being on CAD severity through anger rumination (β = –.03, 95% CI [–.05, –.02]).

Conclusion:

These results highlight the potential benefits of spiritual well-being for patients with CAD to help them reduce anger rumination and, consequently, CAD severity.

中文翻译：

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精神健康和冠状动脉疾病严重程度：愤怒反省和忧虑的中介作用

目的：

生物和心理因素导致冠状动脉疾病（CAD）。这项研究的目的是调查精神健康与CAD严重程度之间的关系，并确定愤怒反省和忧虑对这种关系的中介作用。

设计：

描述性横断面调查。

设置：

伊朗亚兹德的Afshar医院。

方法：

参加者为327例CAD患者（138名女性，189名男性）。使用人口统计学和医学信息调查表，精神健康量表，愤怒沉思量表，宾州州忧虑调查表和Gensini方法测量精神健康，愤怒反省，忧虑和CAD严重程度。使用PROCESS宏进行中介分析。

结果：

CAD严重程度与精神健康程度呈负相关（r  = –.62，p  <.01），与愤怒反刍（r  = .58，p  <.01）和忧虑（r  = .33，p  <。）呈正相关。 01）。精神上的幸福与CAD严重程度之间的关系是通过愤怒反省来实现的。精神健康对CAD严重程度的直接影响具有统计学意义（β= –.06，95％置信区间[CI] [–.09，–.04]）。我们发现通过愤怒反刍，精神健康对CAD严重性具有显着的间接影响（β= –.03，95％CI [–.05，–。02]）。

结论：

这些结果凸显了CAD患者精神健康的潜在益处，可帮助他们减少愤怒反刍，从而减轻CAD严重程度。