The Mediator Role of Aggression in the Relationship between Marital Stress and Depression among Patients with Coronary Artery Disease
10.21315/mjms2019.26.4.11
- Author:
Mozhgan Saeidi
1
;
Ali Zakiei
2
;
Saeid Komasi
3
Author Information
1. Cardiac Rehabilitation Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
2. Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
3. Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
- Publication Type:Journal Article
- Keywords:
Keywords;
aggression, cardiovascular diseases, depression, marital conflict, rehabilitation
- From:Malaysian Journal of Medical Sciences
2019;26(4):94-100
- CountryMalaysia
- Language:English
-
Abstract:
Background: Depression is one of the most important consequences of cardiovascular
diseases (CVDs), and to control and treat it, it is necessary to identify its direct and indirect triggers
and underlying factors. Therefore, the current study aims to evaluate and investigate the mediator
role of aggression in the relationship between marital stress and depression.
Methods: The sample of current cross-sectional study includes 212 patients with
coronary artery disease (CAD) in Iran evaluated from Jan to Jun 2017. The required data were
gathered using Beck’s Depression Inventory (BDI) questionnaire, Buss and Perry’s Aggression
Questionnaire (BPAQ), and Hudson’s Marital Satisfaction Index (HMSI). The data were analysed
using Pearson’s correlation coefficient and structural equation modeling (SEM) using SPSS20 and
AMOS software.
Results: The mean age of participants (68.4% male) was 58.5 ± 8.9. The results show that
there is a significant positive relationship between all the variables (P < 0.05). The results of the
model show that marital stress cannot directly predict depression (P = 0.586). However, through
aggression, marital stress can significantly predict 18% of the variance of depression (P < 0.001).
Conclusions: Not directly, but indirectly through aggression, marital stress can
significantly predict increased depression among patients with CAD. The physiological and
psychological pathways of the findings can be discussed.
- Full text:3.2019my0804.pdf
