Document Detail

Attention versus avoidance: attributional search and denial after myocardial infarction.
MedLine Citation:
PMID:  1446998     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: In this study the focus was on two strategies: denial (an avoidant strategy) and causal thinking (an attention strategy) and their relationships to affect after myocardial infarction. DESIGN: Descriptive, correlational. SETTING: Large rural medical center. SAMPLE: The sample comprised 152 recently hospitalized patients with first-time myocardial infarction. MEASURES: A denial scale, a question about causal thinking, and an affect adjective checklist measuring anxiety, hostility, and depression. RESULTS: Denial had a weak but significant negative correlation with anxiety (r = -0.18, p < 0.05). However, denial was not significantly related to either depression or hostility. Regression analysis indicated that both denial (F = 4.84, p = 0.02) and the interaction of denial with causal search (f = 4.77, p = 0.009) were predictors of affect. The interaction indicated that those with high denial who had not searched for a cause were least anxious. A large number of subjects used both attention and avoidant strategies. CONCLUSIONS: The main effect for denial suggests that avoidance is a more effective strategy for reducing anxiety after myocardial infarction than causal search, an attention strategy. However, the fact that many subjects used both strategies suggests that they are not mutually exclusive in the process of adaptation after a heart attack.
B J Lowery; B S Jacobsen; M A Cera; D McIndoe; M Kleman; F Menapace
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  21     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:    1992 Nov-Dec
Date Detail:
Created Date:  1992-12-30     Completed Date:  1992-12-30     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  523-8     Citation Subset:  AIM; IM    
University of Pennsylvania, School of Nursing, Philadelphia 19104-6096.
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MeSH Terms
Anxiety / epidemiology,  psychology
Denial (Psychology)*
Depression / epidemiology,  psychology
Interview, Psychological
Middle Aged
Myocardial Infarction / epidemiology,  psychology*
Observer Variation
Psychological Tests / statistics & numerical data
Regression Analysis
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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