Abstract
Psychosocial profiles were done prospectively on 54 males and three females in addition to hemodynamics and non-invasive studies; the average age at admission was 44 years. The mean study time for 45 survivors was two years and three months and was seven months for 12 non-survivors. Thirty potential psychosocial problems were investigated during coronary care unit stay, and at three months, six months, and one year. Four problems previously shown to have prognostic significance were re-examined. Depression and pessimism occurred more frequently in non-survivors (α = .05). Patients with maladaptive family relationships post-admission were more likely to die (66 percent), than those with adaptive relationships (15 percent) (α = .05). Patients with poor social adaptation prior to admission had significantly more psychosocial problems during follow-up (α = .05). However, this group had no more deaths than the total population. The type and number of psychosocial problems of survivors and non-survivors of acute myocardial infarction have predictive prognostic value.
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Selected References
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- 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]
- Gentry W. D., Foster S., Haney T. Denial as a determinant of anxiety and perceived health status in the coronary care unit. Psychosom Med. 1972 Jan-Feb;34(1):39–44. doi: 10.1097/00006842-197201000-00005. [DOI] [PubMed] [Google Scholar]
- Hackett T. P., Casem N. H., Wishnie H. Detection and treatment of anxiety in the coronary care unit. Am Heart J. 1969 Dec;78(6):727–730. doi: 10.1016/0002-8703(69)90438-4. [DOI] [PubMed] [Google Scholar]
- Hackett T. P., Cassem N. H., Wishnie H. A. The coronary-care unit. An appraisal of its psychologic hazards. N Engl J Med. 1968 Dec 19;279(25):1365–1370. doi: 10.1056/NEJM196812192792504. [DOI] [PubMed] [Google Scholar]
- Obier K., Haywood L. J. Psycho-social problems of coronary care unit patients. J Natl Med Assoc. 1971 Nov;63(6):425–428. [PMC free article] [PubMed] [Google Scholar]
- Wishnie H. A., Hackett T. P., Cssem N. H. Psychological hazards of convalescence following myocardial inarction. JAMA. 1971 Feb 22;215(8):1292–1296. [PubMed] [Google Scholar]