Abstract
The value of psychological counselling in rehabilitating patients after myocardial infarction was assessed. A total of 143 men who had recently had a myocardial infarction were randomly allocated to either a group receiving intensive rehabilitation or a control group, their outcome being examined after six months. Patients with neurotic, introverted personalities had a poor outcome in the control group but a satisfactory outcome when rehabilitated. Neurotic personalities responded to help, and rehabilitative measures did not increase neurosis. In addition all patients with a negative attitude towards their illness and future had a poor outcome but those with a positive attitude did well. Selection by simple methods of patients who would benefit from psychological rehabilitation seems desirable.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brewin T. B. The cancer patient: communication and morale. Br Med J. 1977 Dec 24;2(6103):1623–1627. doi: 10.1136/bmj.2.6103.1623. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cassem N. H., Hackett T. P. Psychological rehabilitation of myocardial infarction patients in the acute phase. Heart Lung. 1973 May-Jun;2(3):382–388. [PubMed] [Google Scholar]
- Keith R. A. The need for a new model in rehabilitation. J Chronic Dis. 1968 Jul;21(4):281–286. doi: 10.1016/0021-9681(68)90064-7. [DOI] [PubMed] [Google Scholar]
- Mayou R., Foster A., Williamson B. The psychological and social effects of myocardial infarction on wives. Br Med J. 1978 Mar 18;1(6114):699–701. doi: 10.1136/bmj.1.6114.699. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mayou R., Williamson B., Foster A. Attitudes and advice after myocardial infarction. Br Med J. 1976 Jun 26;1(6025):1577–1579. doi: 10.1136/bmj.1.6025.1577. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Skelton M., Dominian J. Psychological stress in wives of patients with myocardial infarction. Br Med J. 1973 Apr 14;2(5858):101–103. doi: 10.1136/bmj.2.5858.101. [DOI] [PMC free article] [PubMed] [Google Scholar]
