Predictive and Protective Role of Grit, Internal Locus of Control and Social Support in Mental Health of Cardiac Patients

Protective Role of Grit, Internal Locus of Control and Social Support in Cardiac Patients

Authors

  • Syed Messum Ali Kazmi Higher Education Department, Government of the Punjab, Pakistan
  • Fatima Murtaza Government College University, Lahore, Pakistan
  • Farhan Hashmi Government College University, Lahore, Pakistan
  • Masooma Iftikhar Kinnaird College for Women University, Lahore, Pakistan
  • Muhammad Nasar Iqbal The University of Lahore, Lahore, Pakistan
  • Awais Nasir Rescue 1122 Department, Government of the Punjab, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i04.653

Keywords:

Grit, Social Support, Locus of Control, Mental Health, Cardiovascular Diseases

Abstract

Individuals diagnosed with cardiac diseases often experience poor mental health outcomes. However, grit, social support and internal locus of control can provide protective effects against poor mental health in patients diagnosed with cardiovascular diseases. The purpose of the present study was to assess the predictive and protective role of grit, internal locus of control and social support with regard to mental health of cardiac patients. A total of 250 cardiac patients had been sampled comprising 130 males and 120 females in the age range of 30 to 70 years selected through purposive sampling. Data collection was done using Rotter’s Locus of Control Scale, Multidimensional Scale of Perceived Social Support, Duckworth Grit Scale and DASS-21. Data analysis was done using Pearson correlation and regression analyses using dummy coding. Results showed that among cardiac patients, being a male in the age range of 30 to 45 years of age, being married, having higher levels of education, higher scores on grit with an internal locus of control is associated with improved mental health. It is thus concluded that having an internal locus of control, higher levels of social support and being gritty is associated with improved mental health outcomes in cardiac patients.  

References

Sajid MR, Muhammad N, Zakaria R, Shahbaz A, Nauman A. Associated factors of cardiovascular diseases in Pakistan: Assessment of path analyses using warp partial least squares estimation. Pakistan Journal of Statistics and Operation Research. 2020 May: 265-77. doi: 10.18187/pjsor.v16i2.3075

Volgman AS, Palaniappan LS, Aggarwal NT, Gupta M, Khandelwal A, Krishnan AV, et al. Atherosclerotic cardiovascular disease in South Asians in the United States: epidemiology, risk factors, and treatments: a scientific statement from the American Heart Association. Circulation. 2018 Jul; 138(1): e1-34. doi: 10.1161/CIR.0000000000000600

Nowbar AN, Gitto M, Howard JP, Francis DP, Al-Lamee R. Mortality from ischemic heart disease: Analysis of data from the World Health Organization and coronary artery disease risk factors From NCD Risk Factor Collaboration. Circulation: cardiovascular quality and outcomes. 2019 Jun; 12(6): e005375. doi: 10.1161/CIRCOUTCOMES.118.005375

Ali SM, Iqbal M, Arshid K, Arif MB. Depression, Social Support and Quality of life in Patients with Diabetes: A Cross Sectional Investigation. Pakistan Journal of Medical & Health Sciences. 2022; 16(11): 567. doi: 10.53350/pjmhs20221611567

Duc HN, Oh H, Yoon IM, Kim MS. Association between levels of thiamine intake, diabetes, cardiovascular diseases and depression in Korea: a national cross-sectional study. Journal of nutritional science. 2021; 10: e31. doi: 10.1017/jns.2021.23

Dar T, Radfar A, Abohashem S, Pitman RK, Tawakol A, Osborne MT. Psychosocial stress and cardiovascular disease. Current treatment options in cardiovascular medicine. 2019 May; 21: 1-7. doi: 10.1007/s11936-019-0724-5

Ayyub H, Kazmi SM, Murtaza F. “I Can Beat this Cancer”: Role of Grit, Social Support and Post-traumatic Growth in the Quality of Life of Cancer Patients in Pakistan. Journal of Social Sciences Review. 2022; 2(3): 15-23. doi: 10.54183/jssr.v2i3.55

Zhang L, Bao Y, Tao S, Zhao Y, Liu M. The association between cardiovascular drugs and depression/anxiety in patients with cardiovascular disease: a meta-analysis. Pharmacological Research. 2022 Jan; 175: 106024. doi: 10.1016/j.phrs.2021.106024

Castillo-Mayén R, Luque B, Gutiérrez-Domingo T, Cuadrado E, Arenas A, Rubio S, et al. Emotion regulation in patients with cardiovascular disease: development and validation of the stress and anxiety regulation strategies scale (starts). Anxiety, Stress, & Coping. 2021 May; 34(3): 349-64. doi: 10.1080/10615806.2020.1866173

Sara JD, Ahmad A, Toya T, Suarez Pardo L, Lerman LO, Lerman A. Anxiety disorders are associated with coronary endothelial dysfunction in women with chest pain and nonobstructive coronary artery disease. Journal of the American Heart Association. 2021 Sep; 10(17): e021722. doi: 10.1161/JAHA.121.021722

Connelly PJ, Azizi Z, Alipour P, Delles C, Pilote L, Raparelli V. The importance of gender to understand sex differences in cardiovascular disease. Canadian Journal of Cardiology. 2021 May; 37(5): 699-710. doi: 10.1016/j.cjca.2021.02.005

Jóźwik S, Cieślik B, Gajda R, Szczepańska-Gieracha J. Evaluation of the impact of virtual reality-enhanced cardiac rehabilitation on depressive and anxiety symptoms in patients with coronary artery disease: a randomised controlled trial. Journal of Clinical Medicine. 2021 May; 10(10): 2148. doi: 10.3390/jcm10102148

Hu J, Fitzgerald SM, Owen AJ, Ryan J, Joyce J, Chowdhury E, et al. Social isolation, social support, loneliness and cardiovascular disease risk factors: A cross‐sectional study among older adults. International Journal of Geriatric Psychiatry. 2021 Nov; 36(11): 1795-809. doi: 10.1002/gps.5601

Heaney CA and Israel BA. Social networks and social support. Health behavior and health education: Theory, research, and practice. Health Behavior and Health Education: Theory, Research, and Practice. 2008: 189-210.

Akinosun AS, Polson R, Diaz-Skeete Y, De Kock JH, Carragher L, Leslie S, et al. Digital technology interventions for risk factor modification in patients with cardiovascular disease: systematic review and meta-analysis. JMIR mHealth and uHealth. 2021 Mar; 9(3): e21061. doi: 10.2196/21061

Polsook R and Aungsuroch Y. A cross-sectional study of factors predicting readmission in Thais with coronary artery disease. Journal of Research in Nursing. 2021 Jun; 26(4): 293-304. doi: 10.1177/1744987120946792

Uchino BN, Cronan S, Scott E, Landvatter J, Papadakis M. Social support and stress, depression, and cardiovascular disease. InCardiovascular implications of stress and depression 2020 Jan (pp. 211-223). Academic Press. doi: 10.1016/B978-0-12-815015-3.00009-X

Amedro P, Gavotto A, Legendre A, Lavastre K, Bredy C, De La Villeon G, et al. Impact of a centre and home-based cardiac rehabilitation program on the quality of life of teenagers and young adults with congenital heart disease: The QUALI-REHAB study rationale, design and methods. International journal of cardiology. 2019 May; 283: 112-8. doi: 10.1016/j.ijcard.2018.12.050

Kazmi SM, Chattha AH, Afzal H, Karim R, Akhtar H. Living with Epilepsy: Psychosocial and Clinical Determinants of Quality of Life in Patients with Epilepsy: Psychosocial and Clinical Determinants in Epilepsy. Pakistan Journal of Health Sciences. 2023 Jan: 175-9. doi: 10.54393/pjhs.v4i01.337

Cowden RG, Davis EB, Counted V, Chen Y, Rueger SY, VanderWeele TJ, et al. Suffering, mental health, and psychological well-being during the COVID-19 pandemic: A longitudinal study of US adults with chronic health conditions. Wellbeing, Space and Society. 2021 Jan; 2: 100048. doi: 10.1016/j.wss.2021.100048

Sharkey K and Gillam L. Should patients with self-inflicted illness receive lower priority in access to healthcare resources? Mapping out the debate. Journal of medical ethics. 2010 Nov; 36(11): 661-5. doi: 10.1136/jme.2009.032102

Shin N and Kang Y. The relationships among health locus of control and resilience, social support and health promoting behavior in patients with newly diagnosed coronary artery diseases. Korean Journal of Adult Nursing. 2015 Jun; 27(3): 294-303. doi: 10.7475/kjan.2015.27.3.294

Neylon A, Canniffe C, Anand S, Kreatsoulas C, Blake GJ, Sugrue D, et al. A global perspective on psychosocial risk factors for cardiovascular disease. Progress in cardiovascular diseases. 2013 May; 55(6): 574-81. doi: 10.1016/j.pcad.2013.03.009

Besharat MA, Hosseini SA, Jahed HA, Bahrami Ehsan H, Dortaj F. Introduce a new intervention model based on Islamic lifestyle for decreasing the risk of cardiovascular disease in people at risk: A comparative study. Journal of Religion and Health. 2021 Apr; 60: 736-51. doi: 10.1007/s10943-020-00996-8

Bucciarelli V, Caterino AL, Bianco F, Caputi CG, Salerni S, Sciomer S, et al. Depression and cardiovascular disease: The deep blue sea of women's heart. Trends in cardiovascular medicine. 2020 Apr; 30(3): 170-6. doi: 10.1016/j.tcm.2019.05.001

Massari DJ and Rosenblum DC. Locus of control, interpersonal trust and academic achievement. Psychological Reports. 1972 Oct; 31(2): 355-60. doi: 10.2466/pr0.1972.31.2.355

Beretvas SN, Suizzo MA, Durham JA, Yarnell LM. A reliability generalization study of scores on Rotter's and Nowicki-Strickland's locus of control scales. Educational and Psychological Measurement. 2008 Feb; 68(1): 97-119. doi: 10.1177/0013164407301529

Mohammad A and Paul S. Comparative study on emotional intelligence and locus of control among high and low female achievers of Volleyball players. International Journal of Physiology, Nutrition and Physical Education. 2019; 4(1): 1636-8.

Lovibond PF and Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy. 1995 Mar; 33(3): 335-43. doi: 10.1016/0005-7967(94)00075-U

Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of personality assessment. 1988 Mar; 52(1): 30-41. doi: 10.1207/s15327752jpa5201_2

Pushkarev GS, Zimet GD, Kuznetsov VA, Yaroslavskaya EI. The multidimensional scale of perceived social support (MSPSS): reliability and validity of Russian version. Clinical gerontologist. 2020 May; 43(3): 331-9. doi: 10.1080/07317115.2018.1558325

Duckworth AL, Quinn PD, Tsukayama E. Revisiting the factor structure of grit: A commentary on Duckworth and Quinn (2009). Journal of Personality Assessment. 2021 Sep; 103(5): 573-5. doi: 10.1080/00223891.2021.1942022

Storm V, Reinwand DA, Wienert J, Tan SL, Lippke S. The mediating role of perceived social support between physical activity habit strength and depressive symptoms in people seeking to decrease their cardiovascular risk: cross-sectional study. JMIR Mental Health. 2018 Nov; 5(4): e11124. doi: 10.2196/11124

Allabadi H, Alkaiyat A, Alkhayyat A, Hammoudi A, Odeh H, Shtayeh J, et al. Depression and anxiety symptoms in cardiac patients: a cross-sectional hospital-based study in a Palestinian population. BMC public health. 2019 Dec; 19: 1-4. doi: 10.1186/s12889-019-6561-3

Benderly M, Kalter-Leibovici O, Weitzman D, Blieden L, Buber J, Dadashev A, et al. Depression and anxiety are associated with high health care utilization and mortality among adults with congenital heart disease. International journal of cardiology. 2019 Feb; 276: 81-6. doi: 10.1016/j.ijcard.2018.09.005

Celano CM, Millstein RA, Bedoya CA, Healy BC, Roest AM, Huffman JC. Association between anxiety and mortality in patients with coronary artery disease: A meta-analysis. American heart journal. 2015 Dec; 170(6): 1105-15. doi: 10.1016/j.ahj.2015.09.013

Kim Y and Clifton P. Curcumin, cardiometabolic health and dementia. International journal of environmental research and public health. 2018 Oct; 15(10): 2093. doi: 10.3390/ijerph15102093

Sullivan S, Young A, Garcia M, Almuwaqqat Z, Moazzami K, Hammadah M, et al. Gender disparities between neighborhood social vulnerability and psychological distress among patients with heart disease. Journal of Women's Health. 2022 Oct; 31(10): 1440-9. doi: 10.1089/jwh.2021.0505

Cho Y, Lim TH, Kang H, Lee Y, Lee H, Kim H. Socioeconomic status and depression as combined risk factors for acute myocardial infarction and stroke: a population-based study of 2.7 million Korean adults. Journal of Psychosomatic Research. 2019 Jun; 121: 14-23. doi: 10.1016/j.jpsychores.2019.01.016

Jaffer S, Foulds HJ, Parry M, Gonsalves CA, Pacheco C, Clavel MA, et al. The Canadian women’s heart health alliance ATLAS on the epidemiology, diagnosis, and management of cardiovascular disease in women—chapter 2: scope of the problem. CJC open. 2021 Jan; 3(1): 1-1. doi: 10.1016/j.cjco.2020.10.009

Rönnegård AS, Nowak C, Äng B, Ärnlöv J. The association between short-term, chronic localized and chronic widespread pain and risk for cardiovascular disease in the UK Biobank. European Journal of Preventive Cardiology. 2022 Oct; 29(15): 1994-2002. doi: 10.1093/eurjpc/zwac127

Albus C, Waller C, Fritzsche K, Gunold H, Haass M, Hamann B, et al. Significance of psychosocial factors in cardiology: update 2018: Position paper of the German Cardiac Society. Clinical Research in Cardiology. 2019 Nov; 108: 1175-96. doi: 10.1007/s00392-019-01488-w

Ali M, Lewis CA, Hasan SS, Iftikhar R, Fayyaz MU, Anjum FA. Mental and physical health correlates of the psychological impact of the first wave of COVID-19 among general population of Pakistan. Frontiers in Psychology. 2022; 13. doi: 10.3389/fpsyg.2022.942108

Harrison ED. Relationship among Grit, Social Support, Optimism, Illness-Related Distress and Psychosocial Outcomes in COVID-19 Long Haulers. Hofstra University; 2022.

Liu C, Luo D, Zhou Y, Zhang G, Feng X, Wang Z, et al. Optimism and subjective well-being in nursing home older adults: The mediating roles of gratitude and social support. Geriatric Nursing. 2022 Sep; 47: 232-8. doi: 10.1016/j.gerinurse.2022.07.020

Kong LN, Hu P, Yao Y, Zhao QH. Social support as a mediator between depression and quality of life in Chinese community-dwelling older adults with chronic disease. Geriatric Nursing. 2019 May; 40(3): 252-6. doi: 10.1016/j.gerinurse.2018.10.014

Uchino BN, Bowen K, Kent de Grey R, Mikel J, Fisher EB. Social support and physical health: Models, mechanisms, and opportunities. Principles and concepts of behavioral medicine: A global handbook. 2018: 341-72. doi: 10.1007/978-0-387-93826-4_12

Menec VH, Newall NE, Mackenzie CS, Shooshtari S, Nowicki S. Examining social isolation and loneliness in combination in relation to social support and psychological distress using Canadian Longitudinal Study of Aging (CLSA) data. PloS one. 2020 Mar; 15(3): e0230673. doi: 10.1371/journal.pone.0230673

Maree AO and Fitzgerald DJ. Variable platelet response to aspirin and clopidogrel in atherothrombotic disease. Circulation. 2007 Apr; 115(16): 2196-207. doi: 10.1161/CIRCULATIONAHA.106.675991

Downloads

Published

2023-04-30
CITATION
DOI: 10.54393/pjhs.v4i04.653
Published: 2023-04-30

How to Cite

Kazmi, S. M. A., Murtaza, F., Hashmi, F., Iftikhar, M., Iqbal, M. N., & Nasir, A. . (2023). Predictive and Protective Role of Grit, Internal Locus of Control and Social Support in Mental Health of Cardiac Patients: Protective Role of Grit, Internal Locus of Control and Social Support in Cardiac Patients. Pakistan Journal of Health Sciences, 4(04), 34–42. https://doi.org/10.54393/pjhs.v4i04.653

Issue

Section

Original Article

Plaudit