Medical patients' affective well-being after emergency department admission: The role of personal and social resources and health-related variables.
Adult
Aged
Aged, 80 and over
Comorbidity
Emergencies
/ psychology
Emergency Service, Hospital
Female
Heart Diseases
/ epidemiology
Humans
Longitudinal Studies
Male
Mental Health
/ statistics & numerical data
Middle Aged
Models, Psychological
Patient Admission
Patients
/ psychology
Resilience, Psychological
Respiratory Tract Infections
/ epidemiology
Social Determinants of Health
/ statistics & numerical data
Social Support
Switzerland
/ epidemiology
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
06
01
2018
accepted:
12
02
2019
entrez:
21
3
2019
pubmed:
21
3
2019
medline:
18
12
2019
Statut:
epublish
Résumé
Medical emergency admissions are critical life events associated with considerable stress. However, research on patients' affective well-being after emergency department (ED) admission is scarce. This study investigated the course of affective well-being of medical patients following an ED admission and examined the role of personal and social resources and health-related variables. In this longitudinal survey with a sample of 229 patients with lower respiratory tract infections and cardiac diseases (taken between October 2013 and December 2014), positive and negative affect was measured at ED admission (T1) and at follow-up after 7 days (T2), and 30 days (T3). The role of personal and social resources (emotional stability, trait resilience, affect state, and social support) as well as health-related variables (self-rated health, multimorbidity, and psychological comorbidity) in patients' affective well-being was examined by controlling for demographic characteristics using regression analyses. The strength of the inverse correlation between positive and negative affect decreased over time. In addition to health-related variables, higher negative affect was predicted by higher psychological comorbidity over time (T1-T3). In turn, lower positive affect was predicted by lower self-rated health (T1-T2) and higher multimorbidity (T3). In terms of personal and social resources, lower negative affect was predicted by higher emotional stability (T2), whereas higher positive affect was predicted by stronger social support (T1-T2). Knowledge about psychosocial determinants-personal and social resources and health-related variables-of patients' affective well-being following ED admission is essential for designing more effective routine screening and treatment.
Sections du résumé
BACKGROUND
Medical emergency admissions are critical life events associated with considerable stress. However, research on patients' affective well-being after emergency department (ED) admission is scarce. This study investigated the course of affective well-being of medical patients following an ED admission and examined the role of personal and social resources and health-related variables.
METHODS
In this longitudinal survey with a sample of 229 patients with lower respiratory tract infections and cardiac diseases (taken between October 2013 and December 2014), positive and negative affect was measured at ED admission (T1) and at follow-up after 7 days (T2), and 30 days (T3). The role of personal and social resources (emotional stability, trait resilience, affect state, and social support) as well as health-related variables (self-rated health, multimorbidity, and psychological comorbidity) in patients' affective well-being was examined by controlling for demographic characteristics using regression analyses.
RESULTS
The strength of the inverse correlation between positive and negative affect decreased over time. In addition to health-related variables, higher negative affect was predicted by higher psychological comorbidity over time (T1-T3). In turn, lower positive affect was predicted by lower self-rated health (T1-T2) and higher multimorbidity (T3). In terms of personal and social resources, lower negative affect was predicted by higher emotional stability (T2), whereas higher positive affect was predicted by stronger social support (T1-T2).
CONCLUSION
Knowledge about psychosocial determinants-personal and social resources and health-related variables-of patients' affective well-being following ED admission is essential for designing more effective routine screening and treatment.
Identifiants
pubmed: 30893347
doi: 10.1371/journal.pone.0212900
pii: PONE-D-18-00558
pmc: PMC6426177
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0212900Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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