Five-year follow-up for adverse outcomes in males with at least minimally positive angiograms: importance of “denial” in assessing psychosocial risk factors

“Nothing is Wrong, Doctor”: Understanding and Managing Denial in Patients with Cancer

“…We found this surprising given the relatively common use of the term denial by physicians and nurses to describe family members' behaviors that tended to minimize or perhaps ignore serious illness, symptoms, or signs, in an attempt to protect 70 T. Rabinowitz the patient or themselves from a painful reality. Likewise, we have consulted on many patients where it was obvious that a physician or nurse had become too personally involved in their sick patient's struggles or identified too closely with them, and had lost perspective regarding treatment options or acceptance of their terminal state.…”

“…However, in the year following discharge, they adapted less successfully, had higher rates of nonadherence, and more days of rehospitalization, suggesting that denial in this cohort was adaptive in the acute phase of illness but maladaptive during the recovery or chronic phase. Other studies of denial report a mixed or negative effect on outcomes in diverse populations including cardiac (69)(70)(71), renal (72), pulmonary (73)(74)(75), and rehabilitation (76) patients.…”

Do others really know us better? Predicting migraine activity from self- and other-ratings of negative emotion

“…Ketterer et al [17] developed an emotion assessment instrument that instructs the patient to select a knowledgeable informant (b choose someone who knows you well Q) to complete the instrument with reference to the patient's emotional status. Studies using this instrument have shown that other-reports of the patient's emotional status are superior to self-reports as predictors of coronary artery disease severity [18], atypical chest pain [19], and chest pain at 5-year follow-up [20]. A recent study showed that other-reports of negative emotion correlated with age at initial diagnosis for coronary artery disease for men but not for women [21].…”

Emotional distress and social relationship dysfunction: The clinical implications of Type D?

“…But the burden of proof has shifted to those wishing to deny these facts [9]. Since CBT of AIAI (or Depression, or Anxiety) involves no small measure of trying to bypass problems with self attribution/perception/presentation [10][11][12][13][14][15][16] and to improve social relationships [17], is there any real clinical utility in attending to social relationships above and beyond those identified in the treatment of emotional distress? Clearly, some people think so.…”