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A biopsychosocial model for depressive symptoms following acute coronary syndromes

- Di Benedetto, Mirella, Burns, Leonard, Lindner, Helen, Kent, Stephen

  • Authors: Di Benedetto, Mirella , Burns, Leonard , Lindner, Helen , Kent, Stephen
  • Date: 2009
  • Type: Journal article
  • Relation: Psychology & Health Vol. , no. (2009), p.
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  • Description: A partial latent structural regression analysis was used to evaluate the influence of perceived stress and coping resources on depression following acute coronary syndromes (ACS) in a sample of 113 participants (25 females and 88 males with a mean age of 57.61 years (SD = 12.63). Out of them, 55 participants were Australian born and 48 were born elsewhere, with 53 of the patients scoring in the mild to high depression range on the Beck Depression Inventory and the Cardiac Depression Scale. Perceived stress and coping resources, after controlling for age and smoking explained 89% of the variance in the latent variable depression. Higher perceived stress levels and fewer coping resources predicted higher levels of depression. Higher levels of perceived stress predicted fewer coping resources and fewer coping resources predicted higher levels of depression. There was a significant direct and indirect effect of perceived stress through coping on depression. Cognitive and physical coping resources were the best predictors of the depression construct. These results have potential implications for the treatment of depression post-ACS. In particular, cognitive and physical coping mechanisms and perceived stress reduction need to be addressed when treating depression post-ACS.

The emotion self-confidence model of suicidal ideation

- Deeley, Stephanie, Love, Anthony

  • Authors: Deeley, Stephanie , Love, Anthony
  • Date: 2012
  • Type: Text , Journal article
  • Relation: Advances in Mental Health Vol. 10, no. 3 (2012), p. 246-257
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  • Description: Developing and testing theoretical models of suicidal processes is an important step towards designing appropriately targeted interventions. Though numerous correlates of suicidal ideation have been identifi ed, little theory articulates exactly how suicidal ideation arises in such contexts. Drawing on empirical and theoretical literature, we present the rationale for a stress-coping model to explain the development of suicidal ideation within an individual (the emotion self-confi dence model of suicidal ideation). Negative emotionality is viewed as an internal contextual stressor, potentially leading to the coping response of suicidal ideation, depending on how well an individual believes he/she can cope with or change the negative emotionality (emotion self-confi dence). In particular, high levels of negative emotionality coupled with low emotion self-confi dence would be expected to predispose towards thoughts of suicide. We discuss the relationship between emotion self-confi dence and processes associated with suicidal ideation, such as depression and hopelessness, as well as how emotion self-confi dence relates to broader cognitive behavioral constructs involving coping expectations. Accordingly, we outline the benefi ts of conceptualizing the model within Lazarus and Folkman's (1984; Lazarus, 1999) stress-coping framework. © eContent Management Pty Ltd.
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