Document Detail


Psychosocial predictors of mortality in 83 women with premature acute myocardial infarction.
MedLine Citation:
PMID:  8265744     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This was an exploratory investigation of psychosocial risk factors for mortality in women with premature acute myocardial infarction (AMI). Subjects were 83 female participants in the Recurrent Coronary Prevention Project, who were between the ages of 30 and 63 in 1978, nonsmoking, nondiabetic, and at least 6 months beyond their index AMI. Follow-up ranged from 8 to 10 years, with an average of 8.5 years. Six deaths occurred in the 83 women over the follow-up. Univariate predictors of these deaths were arrhythmias on ECG (RR = 7.83, p = .003), being divorced (RR = 6.9, p = .003), being employed without a college degree (RR = 6.8, p = .03), and the inverse of Type A behavior, time urgency, and emotional arousability (p = .03; .005; .006, respectively). Multivariate stepwise logistic regression analysis produced a solution that included as independent predictors: arrhythmias on ECG (RR = 4.01, p = .004), being divorced (RR = 3.43, p = .01), and the inverse of time urgency (RR = 0.35, p = .02). In the multivariate model, "divorced" was interchangeable with "employed without a college degree" and "time urgency" was interchangeable with "emotional arousability." This small sample precludes firm conclusions, but provides a basis for hypothesis development.
Authors:
L H Powell; L A Shaker; B A Jones; L V Vaccarino; C E Thoresen; J R Pattillo
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Psychosomatic medicine     Volume:  55     ISSN:  0033-3174     ISO Abbreviation:  Psychosom Med     Publication Date:    1993 Sep-Oct
Date Detail:
Created Date:  1994-01-26     Completed Date:  1994-01-26     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376505     Medline TA:  Psychosom Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  426-33     Citation Subset:  IM    
Affiliation:
Department of Preventive Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Female
Humans
Logistic Models
Middle Aged
Myocardial Infarction / mortality*,  psychology*
Predictive Value of Tests
Risk Factors
Role
Socioeconomic Factors
Grant Support
ID/Acronym/Agency:
AG00319/AG/NIA NIH HHS; R01 HL34396/HL/NHLBI NIH HHS
Comments/Corrections
Comment In:
Psychosom Med. 1994 Jul-Aug;56(4):377-8   [PMID:  7972621 ]
Psychosom Med. 1993 Sep-Oct;55(5):434-5   [PMID:  8265745 ]

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