Emotion regulation in patients with cardiovascular disease: development and validation of the stress and anxiety regulation strategies scale (STARTS).
Cardiovascular health
anxiety
emotional regulation
self-care
stress
Journal
Anxiety, stress, and coping
ISSN: 1477-2205
Titre abrégé: Anxiety Stress Coping
Pays: England
ID NLM: 9212242
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
pubmed:
1
1
2021
medline:
30
11
2021
entrez:
31
12
2020
Statut:
ppublish
Résumé
Anxiety and stress influence the onset and prognosis of cardiovascular disease (CVD), but little is known about what CVD patients do when experiencing stress/anxiety. This study aimed to identify the behavioral strategies CVD patients use to regulate these emotions. Instrumental and longitudinal. A theoretically-guided scale, the Stress and Anxiety Regulation Strategies (STARTS), was developed considering the target population's characteristics. CVD patients were recruited at three different points ( At T1 exploratory factor analysis was conducted (random sample 1). The validity of the most parsimonious three-factor solution was subsequently found via confirmatory factor analysis at T1 (random sample 2), T2, and T3, revealing good and stable model fit. The factors represented strategies differentiated by the type and level of activity required (passive, intellectual, and physical strategies). The scale showed good test-retest reliability and internal consistency. Correlation and regression analyses with positive and negative affect, psychological wellbeing (stress, anxiety, depression), and cardiac self-efficacy provided evidence for the validity of STARTS score. Physical and passive strategies showed opposite patterns. The scale shows adequate psychometric properties for assessing the strategies used by CVD patients to regulate stress and anxiety.
Sections du résumé
BACKGROUND AND OBJECTIVES
Anxiety and stress influence the onset and prognosis of cardiovascular disease (CVD), but little is known about what CVD patients do when experiencing stress/anxiety. This study aimed to identify the behavioral strategies CVD patients use to regulate these emotions.
DESIGN
Instrumental and longitudinal.
METHODS
A theoretically-guided scale, the Stress and Anxiety Regulation Strategies (STARTS), was developed considering the target population's characteristics. CVD patients were recruited at three different points (
RESULTS
At T1 exploratory factor analysis was conducted (random sample 1). The validity of the most parsimonious three-factor solution was subsequently found via confirmatory factor analysis at T1 (random sample 2), T2, and T3, revealing good and stable model fit. The factors represented strategies differentiated by the type and level of activity required (passive, intellectual, and physical strategies). The scale showed good test-retest reliability and internal consistency. Correlation and regression analyses with positive and negative affect, psychological wellbeing (stress, anxiety, depression), and cardiac self-efficacy provided evidence for the validity of STARTS score. Physical and passive strategies showed opposite patterns.
CONCLUSIONS
The scale shows adequate psychometric properties for assessing the strategies used by CVD patients to regulate stress and anxiety.
Identifiants
pubmed: 33380227
doi: 10.1080/10615806.2020.1866173
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Validation Study
Langues
eng
Sous-ensembles de citation
IM