2025
The Role of Executive Functions, Positive Mental Health, and Dispositional Optimism in Postoperative Adaptation : A Cross-Sectional Analysis in Cardiovascular Disease Patients
DOSEDLOVÁ, Jaroslava; Adriána KANDOVÁ; Catherine Elisa JOHN; Zuzana MICHÁLKOVÁ; Martin TRETINA et al.Základní údaje
Originální název
The Role of Executive Functions, Positive Mental Health, and Dispositional Optimism in Postoperative Adaptation : A Cross-Sectional Analysis in Cardiovascular Disease Patients
Autoři
DOSEDLOVÁ, Jaroslava; Adriána KANDOVÁ ORCID; Catherine Elisa JOHN; Zuzana MICHÁLKOVÁ; Martin TRETINA a Yasuhiro KOTERA
Vydání
SN Comprehensive Clinical Medicine, Springer Nature, 2025, 2523-8973
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
50101 Psychology
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14210/25:00141979
Organizační jednotka
Filozofická fakulta
EID Scopus
Klíčová slova anglicky
Cardiovascular disease; Postoperative adaptation; Verbal Fluency Test; Trail Making Test; Stroop Test; Life Orientation Test-Revised; Mental Health Continuum-Short Form
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 22. 9. 2025 11:11, Mgr. Ester Gaja Pučálková, Ph.D.
Anotace
V originále
Cardiovascular disease (CVD) remains a leading cause of global mortality, often necessitating complex surgical interventions involving extracorporeal circulation. Postoperative adaptation, particularly quality of life (QoL), is influenced by psychological and cognitive factors. This study investigated the predictive roles of executive functions, positive mental health, and dispositional optimism on postoperative QoL in patients undergoing cardiovascular surgery. A cross-sectional study was conducted at the Center for Cardiovascular and Transplantation Surgery in Brno, Czech Republic. A total of 145 patients (mean age = 67.3 years) completed validated preoperative assessments, including the Verbal Fluency Test, Trail Making Test, and Stroop Test (executive functions), the Life Orientation Test-Revised (dispositional optimism), and the Mental Health Continuum-Short Form (positive mental health). Postoperative QoL was evaluated six months post-surgery using the Duke Health Profile. Multiple linear regression analyses were performed to determine significant predictors of QoL. Among all variables, only positive mental health was a statistically significant predictor of postoperative QoL (β = 0.179, p = 0.002). Neither executive function domains—cognitive flexibility, verbal fluency, psychomotor speed, resistance to cognitive load—nor dispositional optimism demonstrated significant predictive value. The final regression model accounted for 4.5% of the variance in QoL outcomes. Positive mental health emerged as the sole psychosocial factor significantly associated with improved postoperative quality of life in cardiovascular patients. These findings highlight the need for integrating positive psychological assessments and targeted interventions into perioperative care to support recovery and enhance long-term outcomes.