Volume 49, Issue 2 (9-2025)
Research in Medicine 2025, 49(2): 26-35 |
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Ethics code: IR.RHC.REC.1401.065
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Sadri M, Cheraghi P, yazdani A, Kargar F. Investigating the Correlation between Social Support and Levels of Stress, Anxiety and Depression in Older Adult Patients before Coronary Artery Bypass Grafting at Shahid Rajaee Cardiovascular Educational, Research and Treatment Institute in 2024. Research in Medicine 2025; 49 (2) :26-35
URL: http://pejouhesh.sbmu.ac.ir/article-1-3468-en.html
URL: http://pejouhesh.sbmu.ac.ir/article-1-3468-en.html
Department of Cardiovascular Surgery, Heart Valve Disease Research Center, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran. , drkargarf@gmail.com
Abstract: (393 Views)
Background and Aim: Older adults often experience stress, anxiety and depression due to physiological and social changes. Social support is considered a key factor in alleviating these issues. This study aimed to investigate the correlation between social support and levels of stress, anxiety, and depression in older adults awaiting coronary artery bypass grafting (CABG) at the Shahid Rajaee Cardiovascular, Educational, Research, and Treatment Center in Tehran.
Methods: This cross- sectional study was conducted on 120 hospitalized older adult patients in Tehran in 1403 (Iranian calendar) using a convenience sampling method with continuous recruitment. Inclusion criteria were age over 60 years, candidacy for elective CABG surgery, ability to communicate, and willingness to participate. Data were collected through demographic questionnaires, the Philips Social Support Standard Questionnaire, and the Depression, Anxiety, and Stress Scale (DASS-21) via face-to-face interviews. Data analysis was performed using SPSS and AMOS software. The Pearson correlation coefficient was used to assess the relationship between social support and levels of anxiety, depression, and stress. Structural equation modeling (SEM) was also applied to examine associations between social support and psychological distress. A p-value < 0.05 was considered statistically significant.
Results: More than half of the participants (65.8%) were male, and most (82.5%) were married. The mean social support score was 45.49 ± 15.48. The findings showed a significant positive correlation between social support and depression (r = 0.30), anxiety (r = 0.81), and stress (r = 0.76). The structural equation model indicated that stress and anxiety are directly associated with social support. Additionally, stress, beyond its direct impact through anxiety, also influences social support.
Conclusion: The relationship between social support and depression, anxiety and stress in cardiovascular patients appears to be complex and multidimensional, highlighting the need for further research in this area.
Methods: This cross- sectional study was conducted on 120 hospitalized older adult patients in Tehran in 1403 (Iranian calendar) using a convenience sampling method with continuous recruitment. Inclusion criteria were age over 60 years, candidacy for elective CABG surgery, ability to communicate, and willingness to participate. Data were collected through demographic questionnaires, the Philips Social Support Standard Questionnaire, and the Depression, Anxiety, and Stress Scale (DASS-21) via face-to-face interviews. Data analysis was performed using SPSS and AMOS software. The Pearson correlation coefficient was used to assess the relationship between social support and levels of anxiety, depression, and stress. Structural equation modeling (SEM) was also applied to examine associations between social support and psychological distress. A p-value < 0.05 was considered statistically significant.
Results: More than half of the participants (65.8%) were male, and most (82.5%) were married. The mean social support score was 45.49 ± 15.48. The findings showed a significant positive correlation between social support and depression (r = 0.30), anxiety (r = 0.81), and stress (r = 0.76). The structural equation model indicated that stress and anxiety are directly associated with social support. Additionally, stress, beyond its direct impact through anxiety, also influences social support.
Conclusion: The relationship between social support and depression, anxiety and stress in cardiovascular patients appears to be complex and multidimensional, highlighting the need for further research in this area.
Keywords: Social Support, Depression, Anxiety, Stress, Older Adults, Coronary Artery Bypass Graft (CABG), Correlationlt
Type of Study: Original |
Subject:
Interdisciplinary (medicine and humanities)
Received: 2025/06/9 | Accepted: 2025/09/15 | Published: 2025/12/13
Received: 2025/06/9 | Accepted: 2025/09/15 | Published: 2025/12/13
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