{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:26:52Z","timestamp":1786739212180,"version":"build-2736575974"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Survivors of acute myocardial infarction (AMI) struggle with stressful consequences. Sense of coherence (SOC) seems to be associated with a person\u2019s capacity to face life incidents. This study aims to evaluate SOC\u2019s correlation with the major adverse cardiac events (MACE) among the AMI survivors. The study was designed and reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines and checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was part of the ST-elevated myocardial infarction cohort study in Isfahan (SEMI-CI) conducted on 724 AMI survivors followed for 2 years. The patients\u2019 demographics, medical history, and follow-up manifestations were recruited. The 13-item SOC questionnaire was utilized to evaluate the patients\u2019 SOC, and the Diagnostic Criteria for Psychosomatic Research (DCPR) questionnaire was used for psychosomatic disorder evaluation, including health anxiety, illness denial, irritable mood, and demoralization. MACE defined as non-fatal myocardial infarction (MI), non-fatal stroke, and atherosclerosis cardiovascular disease (ASCVD)-related death was recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Logistic regression assessments showed that the SOC level was an independent predictor for the development of MACE (OR: 0.67; 95%CI: 0.40\u20130.85). This finding was confirmed by the controlling factors, including demographic data (OR: 0.60; 95%CI: 0.35\u20130.79), demographic factors and medical history (OR: 0.62; 95%CI: 0.36\u20130.86), the previous ones plus clinical follow-up assessments (OR: 0.59; 95%CI: 0.33\u20130.79), and all the evaluations plus psychosomatic factors (OR: 0.76; 95%CI: 0.42\u20130.92). Similar outcomes were achieved using SOC scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Based on this study, SOC was an independent MACE predictor in a large population of AMI patients through a 2-year follow-up period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijpvm.ijpvm_171_23","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T11:00:08Z","timestamp":1769857208000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Role of Sense of Coherence in the Outcomes of Acute Myocardial Infarction Survivors: A 2-Year Follow-Up Study"],"prefix":"10.4103","volume":"17","author":[{"given":"Hamiodreza","family":"Roohafza","sequence":"first","affiliation":[{"name":"Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Safaei","sequence":"additional","affiliation":[{"name":"Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gholamreza","family":"Masoumi","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azam","family":"Soleimani","sequence":"additional","affiliation":[{"name":"Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masoumeh","family":"Sadeghi","sequence":"additional","affiliation":[{"name":"Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"key":"R1-20260131","first-page":"194","article-title":"Comparing patients'quality of life before and after Coronary Artery Bypass Graft surgery (CABG)","volume":"7","author":"Rahimi","year":"2014","journal-title":"Iran J Crit Care Nurs"},{"key":"R2-20260131","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1080\/14017430802395450","article-title":"HRQoL after coronary artery bypass grafting and percutaneous coronary intervention for stable angina","volume":"43","author":"Loponen","year":"2009","journal-title":"Scand Cardiovasc J"},{"key":"R3-20260131","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.ejcnurse.2005.05.001","article-title":"Sense of coherence and health-related quality of life among patients undergoing coronary artery bypass grafting or angioplasty","volume":"5","author":"Kattainen","year":"2006","journal-title":"Eur J Cardiovasc Nurs"},{"key":"R4-20260131","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4135\/9781446221129.n9","article-title":"Unraveling the mystery of health: How people manage stress and stay well","author":"Antonovsky","year":"2002","journal-title":"In The health psychology reader. 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