Beziehungen von positivem Affekt und Persönlichkeitsressourcen zu kardiologischen Untersuchungsergebnissen in einem kardiologischen Patientenkollektiv

Relations between positive affect, personality resources and the results of cardiologic examinations

by Beke Zech
Doctoral thesis
Date of Examination:2016-10-25
Date of issue:2016-10-17
Advisor:Prof. Dr. Christoph Herrmann-Lingen
Referee:PD Dr. Mark Hünlich
Referee:Prof. Dr. Martin Oppermann
Persistent Address: http://dx.doi.org/10.53846/goediss-5899

 

 

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Abstract

English

The clinical sample included 1250 outpatients who were collected by the large German project “Research network heart failure” in the year 2005. To enter the study they had to present at least one risk factor for heart failure: hypertension, hyperlipidemia, diabetes, CDH or state after myocardial infarction. They came for a cardiological examination to the university hospital (Goettingen and other participating university hospitals) and additionally fulfilled a psychological questionnaire. The questionnaire included the HADS questionnaire, actually designed to detect anxiety and depression. 6 items of this 14-items-HADS questionnaire were validated reverse, so it was assumed that the result could give a hint about another psychological factor: “positive affect”. The validation of this new scale, the “positive affect scale” (PAS) produced a satisfying Cronbach’s alpha of 0,859. The comparison of the positive affect-scale to results of the physical examination of the patients showed a relation between physical exercise capacity (dyspnoea and 6-minutes-walk-test). Other questionnaires used to operationalize the psychological resources were ESSI (social support), RSQ (attachment patterns) and GKE (percieved self efficacy). Also these three psychological resources were partly related to dyspnoea and the results of the 6-minutes-walk-test. A vice-versa correlation between positive affect-scale and social support, secure attachment pattern and self efficacy was also detected.
Keywords: positive affect; psychosomatic medicine; heart failure; salutogenesis; social support; attachment theory; self-efficacy; HADS (Hospital Anxiety and Depression Scale)
Schlagwörter: Positiver Affekt; Psychosomatik; Herzinsuffizienz; Salutogenese; Soziale Unterstützung; Bindungsforschung; Selbstwirksamkeit; HADS (Hospital Anxiety and Depression Scale)
 
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