The role of common sense models of heart disease in the attribution of cardiac-related symptoms was examined in a sample of healthy young adults (N = 224). Participants were less likely to attribute symptoms to possible cardiac causes for female victims reporting stressful life events (M = 5.14) than for female victims without such stressors (M = 6.82) or for male victims with (M = 6.23) or without (M = 6.48) concurrent stressors. Cardiac attributions remained lowest for female/high-stress victims in additional samples of undergraduates (N = 194), community-residing adults (N = 48), and physicians (N = 45), although this outcome sometimes appeared to reflect additive, rather than interactive, effects. Two final experiments with undergraduate samples (Ns = 48 and 60, respectively) indicated that stereotypes associating heart disease with male gender may account for gender disparities in the attribution of cardiac-related symptoms.

Symptom attributions were contrasted between male and female myocardial infarction victims (N = 157) who were comparable on age, cardiac risk status, medical history, symptom presentation, and other variables. Women were less likely than men to attribute their prehospital symptoms to cardiac causes. In the context of hearing symptom attributions or advice from support persons, women were less likely than men to report receiving a cardiac attribution or advice to seek medical attention. Results have implications for how victim gender influences the lay interpretation of cardiac symptoms.

This study explored sex differences in household and employment responsibilities among cardiac patients (N = 63; 46 men) and spouses during the 5 months following discharge from the hospital. Results showed that both patients and partners maintained traditional sex-typed activities. As patients or spouses, women tended to assume greater responsibility for domestic tasks such as laundry, cleaning, and cooking than their husbands. Men as patients or spouses tended to assume greater responsibility for household repair and maintenance tasks. Husbands also worked more for pay outside the home than did wives, except in couples where the male patient was high risk. Correlations for male patients indicated that reports of more cardiac symptoms were associated with assuming fewer responsibilities. In contrast, among women, the correlations between symptoms and activities were more complex and suggested that female patients might not be heeding signs of overexertion.

The relationship between protective buffering, a style of coping in which the individual hides his/her concerns from spouse, and level of distress was studied among post-myocardial infarction (MI) patients and their spouses. Forty-three male married MI survivors and their wives completed measures of psychological distress and protective buffering at 4 weeks and 6 months post-hospital discharge. At both time periods, a greater propensity for protective buffering by the patient was related to higher levels of patient distress. Protective buffering by wife was also associated with higher levels of wife distress. In addition, patient buffering at 4 weeks predicted increased patient distress at 6 months. The results suggest that male MI patients who conceal their worries from their spouses adjust more poorly over time.

A longitudinal study was conducted to investigate gender differences in adaptation and activity among survivors of acute myocardial infarction (MI) and their spouses during the six months post-hospital discharge. Male and female married survivors of MI, matched on age, disease severity, and socioeconomic status, and their spouses responded to measures about functional impairment, psychological distress, and level of involvement in household and other activities prior to and 4, 10, 16, and 22 weeks after the MI. Both patients and spouses were distressed by the MI, but the distress lasted longer for spouses. Male spouses increased traditional domestic activities (e.g. cooking, laundry) in the weeks shortly after their wives' heart attack, and patient wives decreased domestic activities compared to prior to the MI. However, wives still did as much as their husbands. Women recovering from MI may carry a heavier burden of household responsibilities and activities than their male counterparts. This burden, if premature, may pose a threat for reinfarction during the early stages of rehabilitation.