alexa Psychosocial recovery from a cardiac event: the influence of perceived control.


Advanced Practices in Nursing

Author(s): Moser DK, Dracup K, Moser DK, Dracup K

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Abstract OBJECTIVE: To determine the relationship between patients' feelings of control at baseline and psychosocial recovery 6 months after their cardiac event. PATIENTS: One hundred seventy-six patients who had had myocardial infarction, had undergone coronary artery bypass or both. DESIGN: In this longitudinal, comparative survey patients with high perceptions of control were compared with those with low perceptions of control at baseline to determine differences in psychosocial recovery 6 months later. OUTCOME MEASURES: Psychosocial recovery was operationalized as anxiety, depression, and hostility (measured by Multiple Affect Adjective Checklist) and overall psychosocial adjustment to illness (measured by Psychosocial Adjustment to Illness Scale). RESULTS: Significant differences were seen in psychosocial recovery between patients with feelings of high control versus those with feelings of low control (p = 0.006). Patients with feelings of high control at baseline were less anxious (p = 0.002), less depressed (p = 0.001), less hostile (p = 0.02), and had better psychosocial adjustment (p = 0.009) at a 6-month follow-up than those with feelings of low control. CONCLUSION: Feelings of perceived control are important for psychosocial recovery after a cardiac event.
This article was published in Heart Lung and referenced in Advanced Practices in Nursing

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