Document Detail

Does overprotection cause cardiac invalidism after acute myocardial infarction?
MedLine Citation:
PMID:  1446999     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine if overprotection on the part of the patient's family and friends contributes to the development of cardiac invalidism after acute myocardial infarction. DESIGN: Longitudinal survey. SETTING: Nine hospitals in the southwestern United States. SUBJECTS: One hundred eleven patients who had experienced a first acute myocardial infarction. Subjects were predominantly male, older-aged, married, caucasian, and in functional class I. Eighty-one patients characterized themselves as being overprotected (i.e., receiving more social support from family and friends than desired), and 28 reported receiving inadequate support. Only two patients reported receiving as much support as they desired. OUTCOME MEASURES: Self-esteem, emotional distress, health perceptions, interpersonal dependency, return to work. RESULTS: Overprotected patients experienced less anxiety, depression, anger, confusion, more vigor, and higher self-esteem than inadequately supported patients 1 month after myocardial infarction (p < 0.05). Inadequately supported patients were more dependent 4 months after the event. CONCLUSIONS: Overprotection on the part of family and friends may facilitate psychosocial adjustment in the early months after an acute myocardial infarction rather than lead to cardiac invalidism.
B J Riegel; K A Dracup
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
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:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  529-35     Citation Subset:  AIM; IM    
Clinical Research Dept., Sharp Memorial Hospital, San Diego, CA 92123.
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MeSH Terms
Adaptation, Psychological
Affective Symptoms / epidemiology,  etiology*,  psychology
Age Factors
Analysis of Variance
Dependency (Psychology)
Longitudinal Studies
Multivariate Analysis
Myocardial Infarction / complications,  epidemiology,  psychology*
Psychological Tests / statistics & numerical data
Psychology, Social
Regression Analysis
Social Support*
Time Factors

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

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