ArticleFrontiers in cardiovascular medicine2026
The effects of PERMA model-based positive psychological intervention on fear of disease progression and subjective well-being in patients after coronary artery bypass grafting: a retrospective cohort study.
Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Patients undergoing coronary artery bypass grafting (CABG) frequently experience fear of disease progression (FoP) and diminished psychological well-being during the postoperative recovery period. The PERMA model, encompassing Positive emotion, Engagement, Relationships, Meaning, and Accomplishment, represents a comprehensive framework within positive psychology that may address these psychological challenges. However, the clinical effectiveness of PERMA-based interventions in cardiac surgery patients requires further empirical validation through retrospective analysis of real-world data. Methods: This retrospective cohort study analyzed medical records of 60 patients who underwent CABG at our institution between January 2023 and December 2025. Patients were categorized into a control group ( Results: At three months post-intervention, the observation group demonstrated significantly lower FoP-Q-SF total scores compared to the control group (24.5 ± 4.8 vs. 31.2 ± 5.5, Conclusion: PERMA model-based positive psychological intervention is associated with reduced fear of disease progression, enhanced subjective well-being, and improved postoperative recovery indicators in CABG patients. These findings support the integration of this intervention framework into cardiac surgery nursing protocols, though prospective randomized trials are needed to confirm causal relationships.
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