Relationship between potential category analysis and perceived control of self blame attribution behavior in patients with coronary heart disease
Objective To explore the potential categories of self blame attribution behavior in patients with coro-nary heart disease,and discuss the distribution differences of each category in general demography data and patholog-ical data,and analyze the relationship between each category and coping style.Methods A self-made general informa-tion questionnaire,cardiac self-blame attributions scale(CSBAS),and conrtol attitudes scale-revised(CAS-R)were used to investigate 213 patients with coronary heart disease who visited our hospital from August 2021 to August 2022.The potential categories of self blame attribution behavior was explored by using the potential profile analysis method.Results The self blame attribution behavior of coronary heart disease patients was divided into 3 categories:high self blame personality attribution group(16.4％),low self blame behavior attribution group(34.84％),and high self blame behavior attribution group(48.8％).The results of multiple factors analysis showed that junior mid-dle school culture level was more likely to enter the"low self blame behavior attribution group",smoking,immedi-ate family members with a family history of coronary heart disease were more likely to enter the"high self blame per-sonality attribution group";Younger age was more likely to be in the"low self blame behavior attribution group",and education level of senior high school or technical secondary school,longer course of coronary heart disease,con-tinuous smoking cessation ≥6 months,immediate family history with a family history of coronary heart disease,and exercise frequency＞3/week were more likely to be in the"high self blame behavior attribution group";Immediate relatives had a family history of coronary heart disease were more likely to enter the"high self blame behavior attri-bution group"(P＜0.05).There were differences in perceived control and scores in various dimensions among 3 categories of coronary heart disease self blame attribution(P＜0.05),with patients in the high self blame behavior attribution group having the highest perceived control score,followed by the high self blame personality attribution group,and the lowest being the local self blame behavior group(P＜0.05).Conclusion The attribution of self blame in patients with coronary heart disease has obvious classification characteristics,and the perceived control of each category of patients is different.Medical staff should take personalized psychological counseling and information sup-port interventions based on the classification characteristics of patient attribution of self blame and the impact of vari-ous influencing factors on different categories of patients,in order to improve the mental health level of coronary heart disease patients.
coronary heart diseaseself blame attribution behaviorpotential categoriesperceived control
万方数据
维普
