Psychological tests were completed by myocardial infarct (MI) patients during their initial hospitalization, and further tests and a structured home interview occurred seven months later (N = 28). Self-reported health, symptoms, sexual activity, and psychosocial changes were found to form an inter-related cluster of outcome measures. Poor recovery was predicted by self-reports of high trait anxiety while in hospital, and by manual occupation. Poor recovery was also associated with in-hospital reports of dissatisfaction with work and few confiding relationships. The development of a brief pencil and paper screening instrument for MI patients in need of special rehabilitation support is discussed.
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References
1.
CayE.PhilipA.AitkenC., Psychological Aspects of Cardiac Rehabilitation, Modern Trends in Psychosomatic Medicine, 3, pp. 330–346, 1976.
2.
KavanaghT.ShephardR. J.TuckJ. A., Depression After Myocardial Infarction, Canadian Medical Association Journal, 113, pp. 23–27, 1975.
3.
MayouR.FosterA.WilliamsonB., Psychosocial Adjustment in Patients One Year After Myocardial Infarction, Journal of Psychosomatic Research, 22, pp. 447–453, 1978.
4.
SternM. J.PascaleL.AckermanA., Life Adjustment Postmyocardial Infarction, Archives of Internal Medicine, 137, pp. 1680–1685, 1977.
5.
DoehrmanS. R., Psycho-social Aspects of Recovery From Coronary Heart Disease: A Review, Social Science and Medicine, 11, pp. 199–218, 1977.
6.
SchillerE., Cardiac Rehabilitation: Its Potential in the Early Prevention of Disability After Myocardial Infarction, Medical Journal of Australia, 2, pp. 751–757, 1972.
7.
Cardiac Rehabilitation 1975, Report of a joint working party of the Royal College of Physicians, London and the British Cardiac Society, Journal of the Royal College of Physicians London, 9, pp. 281–346, 1975.
8.
NaismithL. D.RobinsonJ. F.ShawG. B.MacintyreM. M. J., Psychological Rehabilitation After Myocardial Infarction, British Medical Journal, 1, pp. 439–446, 1979.
9.
GruenW., Effects of Brief Psychotherapy During the Hospitalization Period on the Recovery Process in Heart Attacks, Journal of Consulting and Clinical Psychology, 43, pp. 223–232, 1975.
10.
WallstonK. A.WallstonB. S.DeVellisR., Development of the Multidimensional Health Locus of Control (MHLC) Scales, Health Education Monographs, 6, pp. 160–170, 1978.
11.
EndlerN. S.OkadaM., A Multidimensional Measure of Trait Anxiety: The S-R Inventory of General Trait Anxiousness, Journal of Counselling and Clinical Psychology, 43, pp. 319–329, 1975.
12.
WinefieldH. R., Social Support and the Social Environment of Depressed and Normal Women, Australian and New Zealand Journal of Psychiatry, 13, pp. 335–339, 1979.
13.
StricklandB. R., Internal-External Expectancies and Health-Related Behaviors, Journal of Consulting and Clinical Psychology, 46, pp. 1192–1211, 1978.
14.
CromwellR. L.ButterfieldE. C.BrayfieldF. M.CurryJ. J., Acute Myocardial Infarction: Reaction and Recovery, Mosby, St. Louis, 1977.
15.
CroogS. H.LevineS.LurieZ., The Heart Patient and the Recovery Process: A Review of the Directions of Research on Social and Psychological Factors, Social Science and Medicine, 2, pp. 111–164, 1968.
16.
FinlaysonA.McEwenJ., Coronary Heart Disease and Patterns of Living, Croom Helm, London, 1977.
17.
AndrewsG.TennantC.HewsonD. M.VaillantG. E., Life Event Stress, Social Support, Coping Style, and Risk of Psychological Impairment, Journal of Nervous and Mental Disease, 166, pp. 307–316, 1978.
18.
FillenbaumG. G., Social Context and Self-Assessments of Health Among the Elderly, Journal of Health and Social Behavior, 20, pp. 45–51, 1979.
19.
GarrityT. F.SomesG. W.MarxM. B., Factors Influencing Self-Assessment of Health, Social Science and Medicine, 12, pp. 77–81, 1978.
20.
LinnB. S.LinnM. W., Objective and Self-Assessed Health in the Old and Very Old, Social Science and Medicine, 14A, pp. 311–315, 1980.
21.
LevittE. E.LubinB., Depression: Concepts, Controversies and Some New Facts, Springer, New York, 1975.
22.
GambrillE. D., Behavior Modification: Handbook of Assessment, Intervention, and Evaluation, Jossey-Bass, San Francisco, 1977.
23.
AgrasW. S.KazdinA. E.WilsonG. T., Behavior Therapy: Toward an Applied Clinical Science, Freeman, San Francisco, 1979.
24.
MechanicD., Social Psychologic Factors Affecting the Presentation of Bodily Complaints, New England Journal of Medicine, 286, pp. 1132–1139, 1972.
25.
SingerE.GarfinkelR.CohenS. M.SroleL., Mortality and Mental Health: Evidence from the Midtown Manhattan Restudy, Social Science and Medicine, 10, pp. 517–525, 1976.
26.
RaheR. H.WardH. W.HayesV., Brief Group Therapy in Myocardial Infarction Rehabilitation: Three- to Four-Year Follow-Up of a Controlled Trial, Psychosomatic Medicine, 41, pp. 229–242, 1979.
27.
ByrneD. G., Effects of Social Context on Psychological Responses to Survived Myocardial Infarction, International Journal of Psychiatry in Medicine, 10, pp. 23–31, 1980–81.
28.
HackettT. P.CassemN. H., While-Collar and Blue-Collar Responses to Heart Attack, Journal of Psychosomatic Research, 20, pp. 85–95, 1976.
29.
PearlinL. I.SchoolerC., The Structure of Coping, Journal of Health and Social Behavior, 19, pp. 2–21, 1978.
30.
GordonW. A.FreindenbergsL. D.HibbardM.WolfC.LevineL.LipkinsR.EzrachiO.LucidoD., Efficacy of Psychosocial Intervention with Cancer Patients, Journal of Consulting and Clinical Psychology, 48, pp. 743–759, 1980.
31.
FrankK. A.HellerS. S.KornfeldD. S., Psychological Intervention in Coronary Heart Disease, General Hospital Psychiatry, 1, pp. 18–23, 1979.
