The Role of Executive Functions, Positive Mental Health, and Dispositional Optimism in Postoperative Adaptation: A Cross-Sectional Analysis in Cardiovascular Disease Patients

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F25%3A00082556" target="_blank" >RIV/00159816:_____/25:00082556 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14210/25:00141979

Výsledek na webu

<a href="https://link.springer.com/article/10.1007/s42399-025-01963-8" target="_blank" >https://link.springer.com/article/10.1007/s42399-025-01963-8</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s42399-025-01963-8" target="_blank" >10.1007/s42399-025-01963-8</a>

Jazyk výsledku

angličtina

Název v původním jazyce

The Role of Executive Functions, Positive Mental Health, and Dispositional Optimism in Postoperative Adaptation: A Cross-Sectional Analysis in Cardiovascular Disease Patients

Popis výsledku v původním jazyce

Background/Objective: 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. Methods: 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. Results: 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. Conclusions: 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. (C) The Author(s) 2025.

Název v anglickém jazyce

The Role of Executive Functions, Positive Mental Health, and Dispositional Optimism in Postoperative Adaptation: A Cross-Sectional Analysis in Cardiovascular Disease Patients

Popis výsledku anglicky

Background/Objective: 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. Methods: 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. Results: 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. Conclusions: 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. (C) The Author(s) 2025.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

SN Comprehensive Clinical Medicine

ISSN

2523-8973

e-ISSN

—

Svazek periodika

7

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

CH - Švýcarská konfederace

Počet stran výsledku

8

Strana od-do

205

Kód UT WoS článku

—

EID výsledku v databázi Scopus

2-s2.0-105015992901