Illness Perceptions After Myocardial Infarction

Alsén, Pia; Brink, Eva; Persson, Lars‐Olof; Brändström, Yvonne; Karlson, Björn W.

doi:10.1097/jcn.0b013e3181c6dcfd

Cited by 87 publications

(48 citation statements)

References 41 publications

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“…[50] The illness perceptions of post-MI patients are associated with lower mental and physical health-related quality of life. [51] Therefore, supporting post-MI patients in improving their perception of personal control may affect their personal and social lives, particularly in middle age.…”

Section: Discussionmentioning

confidence: 99%

Risk of anxiety and depressive disorders in patients with myocardial infarction

et al. 2016

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Anxiety and depressive symptoms are associated with adverse cardiovascular events after an acute myocardial infarction (MI). However, most studies focusing on anxiety or depression have used rating scales or self-report methods rather than clinical diagnosis. This study aimed to investigate the association between psychiatrist-diagnosed psychiatric disorders and cardiovascular prognosis.We sampled data from the National Health Insurance Research Database; 1396 patients with MI were recruited as the study cohort and 13,960 patients without MI were recruited as the comparison cohort. Cox proportional hazard regression models were used to examine the effect of MI on the risk of anxiety and depressive disorders.During the first 2 years of follow-up, patients with MI exhibited a significantly higher risk of anxiety disorders (adjusted hazard ratio [HR] = 5.06, 95% confidence interval [CI]: 4.61–5.54) and depressive disorders (adjusted HR = 7.23, 95% CI: 4.88–10.88) than those without MI did. Greater risk for anxiety and depressive disorders was observed among women and patients aged 45 to 64 years following an acute MI. Patients with post-MI anxiety had a 9.37-fold (95% CI: 4.45–19.70) higher risk of recurrent MI than those without MI did after adjustment for age, sex, socioeconomic status, and comorbidities.This nationwide population-based cohort study provides evidence that MI increases the risk of anxiety and depressive disorders during the first 2 years post-MI, and post-MI anxiety disorders are associated with a higher risk of recurrent MI.

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Section: Discussionmentioning

confidence: 99%

Risk of anxiety and depressive disorders in patients with myocardial infarction

et al. 2016

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“…As little quantitative research has been done examining cure perceptions in adults with coronary heart disease, we focused on categories of variables found to be associated with perceptions of the timeline or permanence of illness among patients with coronary heart disease in previous studies[12, 13]. …”

Section: Methodsmentioning

confidence: 99%

Perceiving one’s heart condition to be cured following hospitalization for acute coronary syndromes: Implications for patient-provider communication

Waring

McManus

Lemon

et al. 2016

Patient Education and Counseling

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Objective We examined the proportion of patients perceiving their heart condition to be cured following hospitalization for ACS and identified characteristics associated with these perceptions. Methods We conducted a prospective cohort study of adults hospitalized with ACS (N=396). Patient interviews during hospitalization and one week post-discharge provided demographic and psychosocial characteristics. Medical records provided clinical characteristics. At one week, patients who rated “My heart condition is cured” as “definitely true” or “mostly true” were considered to perceive their heart condition cured. Results Participants were aged 60.7 (SD:11.0) years, 26.5% female, and 89.0% non-Hispanic white; 16.7% had unstable angina, 59.6% NSTEMI, and 23.7% STEMI. One week post-discharge, 30.3% perceived their heart condition to be cured. Characteristics associated with cure perceptions were older age (OR=2.2; 95% CI: 1.2–4.0 for ≥65 years vs <55 years), male sex (OR=2.4; 95%CI: 1.3–4.2), history of hypertension (OR=1.8; 95%CI: 1.1–3.1), history of stroke (OR=4.2; 95%CI: 1.1–16.7), no history of CHD (OR=2.8; 95%CI: 1.6–4.9), and receipt of CABG during hospitalization (OR=4.8, 95%CI: 1.9–12.0 vs medical management). Conclusion One week post-discharge, 3 in 10 patients perceived their heart condition to be cured. Practice Implications Conversations with patients should frame ACS as a chronic disease and dispel cure perceptions.

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“…Lack of control and high emotional distress are important following an AECOPD 20. In contrast, a high sense of control and a view of illness as serious have been noted to be influential in promoting adherence to positive health behaviors in patients with diabetes and following a myocardial infarction 96,97. An intervention designed to shape patients’ illness perceptions was found to be effective in improving adherence to a cardiac rehabilitation program by 20% 98.…”

Section: Discussionmentioning

confidence: 99%

Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease

Harrison¹,

Goldstein²,

Desveaux³

et al. 2014

COPD

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Though the guidelines for the optimal management of chronic obstructive pulmonary disease (COPD) following an acute exacerbation (AE) are well established, issues associated with poor adherence to nonpharmacological interventions such as self-management advice and pulmonary rehabilitation will impact on hospital readmission rates and health care costs. Systems developed for clinically stable patients with COPD may not be sufficient for those who are post-exacerbation. A redesign of the manner in which such interventions are delivered to patients following an AECOPD is necessary. Addressing two or more components of the chronic care model is effective in reducing health care utilization in patients with COPD, with self-management support contributing a key role. By refining self-management support to incorporate the identification and treatment of psychological symptoms and by providing health care professionals adequate time and training to deliver respiratory-specific advice and self-management strategies, adherence to nonpharmacological therapies following an AE may be enhanced. Furthermore, following up patients in their own homes allows for the tailoring of advice and for the delivery of consistent health care messages which may enable knowledge to be retained. By refining the delivery of nonpharmacological therapies following an AECOPD according to components of the chronic care model, adherence may be improved, resulting in better disease management and possibly reducing health care utilization.

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Illness Perceptions After Myocardial Infarction

Cited by 87 publications

References 41 publications

Risk of anxiety and depressive disorders in patients with myocardial infarction

Risk of anxiety and depressive disorders in patients with myocardial infarction

Perceiving one’s heart condition to be cured following hospitalization for acute coronary syndromes: Implications for patient-provider communication

Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease

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