Severity of illness and illness behaviour: A comparative study of coronary care patients☆

作者: D.G. Byrne , H.M. Whyte

DOI: 10.1016/0022-3999(79)90072-2

关键词:

摘要: Abstract Patients entering a coronary care unit (CCU) usually fall into one of two groups; those with an unequivocal diagnosis myocardial infarction (MI) who remain to be monitored in CCU for some days before discharge general medical ward, and fail attract MI or other serious illness are rapidly discharged ward. It was hypothesized that the former group would perceive severity their as being greater than latter group, exhibit patterns behaviour accord this perception. In particular, it expected patients recognition presence illness, acceptance sick role more intense affective response without MI. These expectations were examined by comparing profiles 120 survivors MI, identically obtained 40 persons admitted chest pain but neither illness. Only first, relating confirmed. all respects, among no different from seem then influenced element experience common groups, admission CCU, differences either actual degree which recognized. This suggests turn none less concerned about integrity cardiovascular systems, if psychological intervention has been shown benefit may also indicated

参考文章(15)
Elizabeth L. Cay, Psychological Aspects of Cardiac Rehabilitation Selected Topics in Exercise Cardiology and Rehabilitation. ,vol. 31, pp. 75- 104 ,(1980) , 10.1007/978-1-4684-3854-3_7
D.G. Byrne, H.M. Whyte, Dimensions of illness behaviour in survivors of myocardial infarction Journal of Psychosomatic Research. ,vol. 22, pp. 485- 491 ,(1978) , 10.1016/0022-3999(78)90004-1
N.J. Vetter, E.L. Cay, A.E. Philip, R.C. Strange, Anxiety on admission to a coronary care unit. Journal of Psychosomatic Research. ,vol. 21, pp. 73- 78 ,(1977) , 10.1016/0022-3999(77)90028-9
Richard H. Rahe, Terry O'Neil, Arthur Hagan, Ransom J. Arthur, Brief Group Therapy following Myocardial Infarction: Eighteen-Month Follow-up of a Controlled Trial International Journal of Psychiatry in Medicine. ,vol. 6, pp. 349- 358 ,(1975) , 10.2190/T9C0-E5L6-0BJ1-5QF1
Sydney H. Croog, David S. Shapiro, Sol Levine, Denial Among Male Heart Patients* Psychosomatic Medicine. ,vol. 33, pp. 385- 398 ,(1971) , 10.1097/00006842-197109000-00001
D. G. Byrne, Anxiety as state and trait following survived myocardial infarction The British journal of social and clinical psychology. ,vol. 18, pp. 417- 423 ,(1979) , 10.1111/J.2044-8260.1979.TB00915.X
Michael Pritchard, Dimensions of illness behaviour in long term haemodialysis. Journal of Psychosomatic Research. ,vol. 18, pp. 351- 356 ,(1974) , 10.1016/0022-3999(74)90055-5
I. Pilowsky, Richard C. Chapman, John J. Bonica, Pain, depression, and illness behavior in a Pain Clinic population Pain. ,vol. 4, pp. 183- 192 ,(1977) , 10.1016/0304-3959(77)90132-4
I. Pilowsky, N.D. Spence, Patterns of illness behaviour in patients with intractable pain. Journal of Psychosomatic Research. ,vol. 19, pp. 279- 287 ,(1975) , 10.1016/0022-3999(75)90026-4
Harry S. Olin, Thomas P. Hackett, The Denial of Chest Pain in 32 Patients With Acute Myocardial Infarction JAMA. ,vol. 190, pp. 977- 981 ,(1964) , 10.1001/JAMA.1964.03070240023006