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. 2006 Oct;14(10):335–338.

Psychological consequences of myocardial infarction: a self-regulation perspective on health-related quality of life and cardiac rehabilitation

SN Boersma, S Maes
PMCID: PMC2557324  PMID: 25696560

Abstract

The aim of this review was to gain insight into prevalence of and interventions targeted specifically at psychological distress and health-related quality of life (HRQL) after a myocardial infarction (MI). For this purpose, self-regulation theory was introduced as frame of reference. Psychological distress and a reduction in HRQL after an MI are prevalent and can, for some patients, be persistent. This can negatively influence secondary prevention efforts, adherence, return to work and progression of the underlying coronary heart disease. At the same time, the effectiveness of cardiac rehabilitation programmes in improving HRQL is inconclusive. By starting off from a theoretical framework, effective strategies can be either identified or developed. Self-regulation theory is concerned with the process of goal setting and goal attainment and offers a model for explaining well-being and quality of life. The usefulness of this theory is supported by empirical evidence. Psychological factors derived from this theoretical framework (e.g. higher order goal disturbance) are associated with psychological distress and HRQL in the short and medium term after an MI and should thus be the target of cardiac rehabilitation programmes.

Keywords: rehabilitation (cardiac), goals, quality of life, myocardial infarction, psychological distress, self-regulation theory

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Selected References

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  1. Affleck G., Tennen H., Urrows S., Higgins P., Abeles M., Hall C., Karoly P., Newton C. Fibromyalgia and women's pursuit of personal goals: a daily process analysis. Health Psychol. 1998 Jan;17(1):40–47. doi: 10.1037//0278-6133.17.1.40. [DOI] [PubMed] [Google Scholar]
  2. Boersma Sandra N., Maes Stan, van Elderen Thérèse. Goal disturbance predicts health-related quality of life and depression 4 months after myocardial infarction. Br J Health Psychol. 2005 Nov;10(Pt 4):615–630. doi: 10.1348/135910705X52525. [DOI] [PubMed] [Google Scholar]
  3. Dinnes J., Kleijnen J., Leitner M., Thompson D. Cardiac rehabilitation. Qual Health Care. 1999 Mar;8(1):65–71. doi: 10.1136/qshc.8.1.65. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Dusseldorp E., van Elderen T., Maes S., Meulman J., Kraaij V. A meta-analysis of psychoeduational programs for coronary heart disease patients. Health Psychol. 1999 Sep;18(5):506–519. doi: 10.1037//0278-6133.18.5.506. [DOI] [PubMed] [Google Scholar]
  5. Frasure-Smith N., Lespérance F., Juneau M., Talajic M., Bourassa M. G. Gender, depression, and one-year prognosis after myocardial infarction. Psychosom Med. 1999 Jan-Feb;61(1):26–37. doi: 10.1097/00006842-199901000-00006. [DOI] [PubMed] [Google Scholar]
  6. Frasure-Smith Nancy, Lespérance François, Gravel Ginette, Masson Aline, Juneau Martin, Bourassa Martial G. Long-term survival differences among low-anxious, high-anxious and repressive copers enrolled in the Montreal heart attack readjustment trial. Psychosom Med. 2002 Jul-Aug;64(4):571–579. doi: 10.1097/01.psy.0000021950.04969.f8. [DOI] [PubMed] [Google Scholar]
  7. Ketterer M. W. Secondary prevention of ischemic heart disease. The case for aggressive behavioral monitoring and intervention. Psychosomatics. 1993 Nov-Dec;34(6):478–484. doi: 10.1016/S0033-3182(93)71821-6. [DOI] [PubMed] [Google Scholar]
  8. Lane Deirdre, Carroll Douglas, Ring Christopher, Beevers D. Gareth, Lip Gregory Y. H. The prevalence and persistence of depression and anxiety following myocardial infarction. Br J Health Psychol. 2002 Feb;7(Pt 1):11–21. doi: 10.1348/135910702169321. [DOI] [PubMed] [Google Scholar]
  9. Linden W., Stossel C., Maurice J. Psychosocial interventions for patients with coronary artery disease: a meta-analysis. Arch Intern Med. 1996 Apr 8;156(7):745–752. [PubMed] [Google Scholar]
  10. Mayou R. A., Gill D., Thompson D. R., Day A., Hicks N., Volmink J., Neil A. Depression and anxiety as predictors of outcome after myocardial infarction. Psychosom Med. 2000 Mar-Apr;62(2):212–219. doi: 10.1097/00006842-200003000-00011. [DOI] [PubMed] [Google Scholar]
  11. McAlister F. A., Lawson F. M., Teo K. K., Armstrong P. W. Randomised trials of secondary prevention programmes in coronary heart disease: systematic review. BMJ. 2001 Oct 27;323(7319):957–962. doi: 10.1136/bmj.323.7319.957. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Mendes de Leon C. F., Krumholz H. M., Vaccarino V., Williams C. S., Glass T. A., Berkman L. F., Kas S. V. A population-based perspective of changes in health-related quality of life after myocardial infarction in older men and women. J Clin Epidemiol. 1998 Jul;51(7):609–616. doi: 10.1016/s0895-4356(98)00037-7. [DOI] [PubMed] [Google Scholar]
  13. Montgomery H., Persson L. O., Rydén A. Importance and attainment of life values among disabled and non-disabled people. Scand J Rehabil Med. 1996 Dec;28(4):233–240. [PubMed] [Google Scholar]
  14. Mullen P. D., Mains D. A., Velez R. A meta-analysis of controlled trials of cardiac patient education. Patient Educ Couns. 1992 Apr;19(2):143–162. doi: 10.1016/0738-3991(92)90194-n. [DOI] [PubMed] [Google Scholar]
  15. Oldridge N., Gottlieb M., Guyatt G., Jones N., Streiner D., Feeny D. Predictors of health-related quality of life with cardiac rehabilitation after acute myocardial infarction. J Cardiopulm Rehabil. 1998 Mar-Apr;18(2):95–103. doi: 10.1097/00008483-199803000-00002. [DOI] [PubMed] [Google Scholar]
  16. Oldridge N., Guyatt G., Crowe J., Feeny D., Jones N. Goal attainment in a randomized controlled trial of rehabilitation after myocardial infarction. J Cardiopulm Rehabil. 1999 Jan-Feb;19(1):29–34. doi: 10.1097/00008483-199901000-00004. [DOI] [PubMed] [Google Scholar]
  17. Plevier C. M., Mooy J. M., Marang-Van de Mheen P. J., Stouthard M. E., Visser M. C., Grobbee D. E., Gunning-Schepers L. J. Persistent impaired emotional functioning in survivors of a myocardial infarction? Qual Life Res. 2001;10(2):123–132. doi: 10.1023/a:1016753531137. [DOI] [PubMed] [Google Scholar]
  18. Rozanski A., Blumenthal J. A., Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation. 1999 Apr 27;99(16):2192–2217. doi: 10.1161/01.cir.99.16.2192. [DOI] [PubMed] [Google Scholar]

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