Document Detail

Cognitive processes and recovery from heart attack: a review and theoretical analysis.
MedLine Citation:
PMID:  7052822     Owner:  NLM     Status:  MEDLINE    
A review of the literature on psychosocial aspects of recovery from heart attack is presented with emphasis on psychological responses experienced by the patient. Several theoretical models have previously been proposed to explain these data: a psychodynamic view stressing the importance of denial as a coping mechanism, and a second perspective emphasizing patients' beliefs about their health status. A third model is proposed based on cognitive appraisal processes (perceived control and predictability) shown experimentally to mediate reactions to stressors in a wide variety of situations. Viewing heart attack as a crisis situation, it is assumed that particular aspects of illness will generally have a less negative impact on physiological and behavioral health outcomes to the extent they are perceived to be predictable and/or controllable. Specific interventions to alter these perceptions are discussed, and mechanisms linking various recovery outcomes are proposed. The validity of this model is examined with reference to existing research and suggestions for future research are made.
D S Krantz
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of human stress     Volume:  6     ISSN:  0097-840X     ISO Abbreviation:  J Human Stress     Publication Date:  1980 Sep 
Date Detail:
Created Date:  1983-07-08     Completed Date:  1983-07-08     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7602457     Medline TA:  J Human Stress     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  27-38     Citation Subset:  IM    
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MeSH Terms
Adaptation, Psychological
Attitude to Health
Coronary Care Units
Denial (Psychology)
Depression / psychology
Myocardial Infarction / psychology*,  rehabilitation
Nurse-Patient Relations
Physical Exertion
Grant Support

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