{"id":"https://openalex.org/W7225009002","doi":"https://doi.org/10.1002/nop2.70992","title":"Anxiety and Mindfulness in the Relationship Between Stress and Depression in Patients With Coronary Artery Disease: A Parallel Mediation Analysis","display_name":"Anxiety and Mindfulness in the Relationship Between Stress and Depression in Patients With Coronary Artery Disease: A Parallel Mediation Analysis","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7225009002","doi":"https://doi.org/10.1002/nop2.70992","pmid":"https://pubmed.ncbi.nlm.nih.gov/42963779"},"language":"en","primary_location":{"id":"doi:10.1002/nop2.70992","doi":"https://doi.org/10.1002/nop2.70992","is_oa":true,"landing_page_url":"https://doi.org/10.1002/nop2.70992","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nop2.70992","source":{"id":"https://openalex.org/S4210185822","display_name":"Nursing Open","issn_l":"2054-1058","issn":["2054-1058"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing Open","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nop2.70992","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048033257","display_name":"Yeoungsuk Song","orcid":"https://orcid.org/0000-0003-2299-1450","observed_orcids":["https://orcid.org/0000-0003-2299-1450"]},"institutions":[{"id":"https://openalex.org/I31419693","display_name":"Kyungpook National University","ror":"https://ror.org/040c17130","country_code":"KR","type":"education","lineage":["https://openalex.org/I31419693"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Yeoungsuk Song","raw_affiliation_strings":["Kyungpook National University College of Nursing  Daegu South Korea"],"raw_orcid":"https://orcid.org/0000-0003-2299-1450","affiliations":[{"raw_affiliation_string":"Kyungpook National University College of Nursing  Daegu South Korea","institution_ids":["https://openalex.org/I31419693"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064443310","display_name":"Yoonmi Lee","orcid":"https://orcid.org/0000-0002-4006-2850","observed_orcids":["https://orcid.org/0000-0002-4006-2850"]},"institutions":[{"id":"https://openalex.org/I163584902","display_name":"Daegu Health College","ror":"https://ror.org/00pffbm70","country_code":"KR","type":"education","lineage":["https://openalex.org/I163584902"]}],"countries":["KR"],"is_corresponding":true,"raw_author_name":"Yoonmi Lee","raw_affiliation_strings":["Daegu Health College of Nursing  Daegu South Korea"],"raw_orcid":"https://orcid.org/0000-0002-4006-2850","affiliations":[{"raw_affiliation_string":"Daegu Health College of Nursing  Daegu South Korea","institution_ids":["https://openalex.org/I163584902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066116689","display_name":"Hong An Lim","orcid":"https://orcid.org/0009-0004-9382-5892","observed_orcids":["https://orcid.org/0009-0004-9382-5892"]},"institutions":[{"id":"https://openalex.org/I4210114560","display_name":"Pohang SeMyeong Christianity Hospital","ror":"https://ror.org/0279ghc90","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I4210114560"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Hong A. Lim","raw_affiliation_strings":["Pohang SeMyung Christianity Hospital  Pohang\u2010si Gyeongsangbuk\u2010do South Korea"],"raw_orcid":"https://orcid.org/0009-0004-9382-5892","affiliations":[{"raw_affiliation_string":"Pohang SeMyung Christianity Hospital  Pohang\u2010si Gyeongsangbuk\u2010do South Korea","institution_ids":["https://openalex.org/I4210114560"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5009158140","display_name":"Junghoon Lee","orcid":"https://orcid.org/0000-0001-9814-3285","observed_orcids":["https://orcid.org/0000-0001-9814-3285"]},"institutions":[{"id":"https://openalex.org/I39705031","display_name":"Daegu Catholic University","ror":"https://ror.org/04fxknd68","country_code":"KR","type":"education","lineage":["https://openalex.org/I39705031"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Junghoon Lee","raw_affiliation_strings":["Daegu Catholic University College of Nursing  Daegu South Korea"],"raw_orcid":"https://orcid.org/0000-0001-9814-3285","affiliations":[{"raw_affiliation_string":"Daegu Catholic University College of Nursing  Daegu South Korea","institution_ids":["https://openalex.org/I39705031"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5064443310"],"corresponding_institution_ids":["https://openalex.org/I163584902"],"apc_list":{"value":3390,"currency":"USD","value_usd":3390},"apc_paid":{"value":3390,"currency":"USD","value_usd":3390},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.91625968,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":"11","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.6650000214576721,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.6650000214576721,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11083","display_name":"Cardiac Health and Mental Health","score":0.323199987411499,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.002400000113993883,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/coronary-artery-disease","display_name":"coronary artery disease","score":0.9020000100135803},{"id":"https://openalex.org/keywords/stress","display_name":"stress","score":0.5799999833106995},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9909999966621399},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.996999979019165},{"id":"https://openalex.org/keywords/mindfulness","display_name":"mindfulness","score":1.0},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.6669999957084656},{"id":"https://openalex.org/keywords/parallel-mediation","display_name":"parallel mediation","score":0.5640000104904175},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.5460000038146973},{"id":"https://openalex.org/keywords/psychological-care","display_name":"psychological care","score":0.4690000116825104}],"concepts":[{"id":"https://openalex.org/C2780444219","wikidata":"https://www.wikidata.org/wiki/Q341045","display_name":"Mindfulness","level":2,"score":0.8374000191688538},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.7631999850273132},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.6434000134468079},{"id":"https://openalex.org/C179420905","wikidata":"https://www.wikidata.org/wiki/Q223871","display_name":"Mediation","level":2,"score":0.6341999769210815},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.6144000291824341},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5284000039100647},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4629000127315521},{"id":"https://openalex.org/C21036866","wikidata":"https://www.wikidata.org/wiki/Q181767","display_name":"Stress (linguistics)","level":2,"score":0.4327000081539154},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.42890000343322754},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.4081000089645386},{"id":"https://openalex.org/C2776006611","wikidata":"https://www.wikidata.org/wiki/Q5204328","display_name":"DASS","level":3,"score":0.38600000739097595},{"id":"https://openalex.org/C2778739829","wikidata":"https://www.wikidata.org/wiki/Q17027611","display_name":"Hospital Anxiety and Depression Scale","level":3,"score":0.31119999289512634},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.30820000171661377},{"id":"https://openalex.org/C3020031316","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Psychological distress","level":3,"score":0.2939999997615814},{"id":"https://openalex.org/C2780135877","wikidata":"https://www.wikidata.org/wiki/Q7448033","display_name":"Self-compassion","level":3,"score":0.28220000863075256},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.27549999952316284},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.2597000002861023},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2535000145435333}],"mesh":[{"descriptor_ui":"D000081983","descriptor_name":"Mediation Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001007","descriptor_name":"Anxiety","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003324","descriptor_name":"Coronary Artery Disease","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D003324","descriptor_name":"Coronary Artery Disease","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D056910","descriptor_name":"Republic of Korea","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064866","descriptor_name":"Mindfulness","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1002/nop2.70992","doi":"https://doi.org/10.1002/nop2.70992","is_oa":true,"landing_page_url":"https://doi.org/10.1002/nop2.70992","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nop2.70992","source":{"id":"https://openalex.org/S4210185822","display_name":"Nursing Open","issn_l":"2054-1058","issn":["2054-1058"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing Open","raw_type":"journal-article"},{"id":"pmid:42963779","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42963779","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing open","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/nop2.70992","doi":"https://doi.org/10.1002/nop2.70992","is_oa":true,"landing_page_url":"https://doi.org/10.1002/nop2.70992","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nop2.70992","source":{"id":"https://openalex.org/S4210185822","display_name":"Nursing Open","issn_l":"2054-1058","issn":["2054-1058"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing Open","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225009002.pdf","grobid_xml":"https://content.openalex.org/works/W7225009002.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W2023999328","https://openalex.org/W2032659702","https://openalex.org/W2336355241","https://openalex.org/W2539008110","https://openalex.org/W2625117584","https://openalex.org/W2785956729","https://openalex.org/W2792903205","https://openalex.org/W2797046255","https://openalex.org/W2883794722","https://openalex.org/W2897929393","https://openalex.org/W2901605267","https://openalex.org/W2902340473","https://openalex.org/W2979912579","https://openalex.org/W3003214691","https://openalex.org/W3007084432","https://openalex.org/W3118382267","https://openalex.org/W3209362246","https://openalex.org/W4210242902","https://openalex.org/W4249624378","https://openalex.org/W4284961100"],"related_works":["https://openalex.org/W4401194413","https://openalex.org/W2358890895","https://openalex.org/W3118382267","https://openalex.org/W4399855760","https://openalex.org/W2901605267","https://openalex.org/W3203064515","https://openalex.org/W3097159394","https://openalex.org/W4417482237","https://openalex.org/W2158438317","https://openalex.org/W4386661326"],"abstract_inverted_index":{"AIM:":[0],"To":[1],"examine":[2],"the":[3,11,59,101,132,158,176],"indirect":[4,94,118,133],"effect":[5,95,119,134],"of":[6,32,58,178,218],"anxiety":[7,97,136,179],"and":[8,15,52,64,87,98,105,162,202],"mindfulness":[9,86,99,121],"on":[10,100],"relationship":[12,102,159],"between":[13,50,103,160],"stress":[14,104,161],"depression":[16,88,106,163],"in":[17,47,164,180,205],"patients":[18,37,165,206],"with":[19,38,157,166,207],"coronary":[20,39,167,208],"artery":[21,40,168,209],"disease.":[22,169,210],"DESIGN:":[23],"A":[24],"correlational,":[25],"cross-sectional":[26],"design":[27],"was":[28,107,122,137],"used.":[29,70],"METHODS:":[30],"Participants":[31],"this":[33,181],"study":[34],"comprised":[35],"112":[36],"disease":[41],"recruited":[42],"from":[43],"a":[44],"general":[45],"hospital":[46],"South":[48],"Korea":[49],"January":[51],"September":[53],"2021.":[54],"The":[55,92,116],"Korean":[56],"versions":[57],"Depression":[60],"Anxiety":[61,211],"Stress":[62],"Scale-21":[63],"Mindful":[65],"Attention":[66],"Awareness":[67],"Scale":[68],"were":[69,72,89],"Data":[71],"analysed":[73],"using":[74],"parallel":[75],"multiple":[76],"mediation":[77],"analysis":[78],"(PROCESS":[79],"macro":[80],"Model":[81],"4).":[82],"RESULTS:":[83],"Stress,":[84],"anxiety,":[85],"significantly":[90],"correlated.":[91],"total":[93],"through":[96,120,135],"significant":[108,123,140],"(B":[109,124,141],"=":[110,125,142],"0.37,":[111],"95%":[112,127,144],"CI":[113,128,145],"[0.200,":[114],"0.592]).":[115],"specific":[117],"0.26,":[126],"[0.122,":[129],"0.423]),":[130],"whereas":[131],"not":[138],"statistically":[139],"0.11,":[143],"[-0.003,":[146],"0.268]).":[147],"CONCLUSION:":[148],"Mindfulness":[149],"may":[150,192],"be":[151,193,214],"an":[152],"important":[153],"psychological":[154,200,220],"factor":[155],"associated":[156],"Further":[170],"research":[171],"is":[172],"needed":[173],"to":[174],"clarify":[175],"role":[177],"relationship.":[182],"IMPLICATIONS":[183],"FOR":[184],"THE":[185],"PROFESSION":[186],"AND":[187],"PATIENT":[188],"CARE:":[189],"Mindfulness-based":[190],"approaches":[191],"considered":[194],"as":[195,216],"complementary":[196],"strategies":[197],"for":[198],"managing":[199],"distress":[201],"depressive":[203],"symptoms":[204],"should":[212],"also":[213],"assessed":[215],"part":[217],"comprehensive":[219],"care.":[221]},"counts_by_year":[],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2026-11-01T00:00:00"}