Long-Term Survival Differences Among Low-Anxious, High-Anxious and Repressive Copers Enrolled in the Montreal Heart Attack Readjustment Trial

Frasure-Smith, Nancy; Lespérance, François; Gravel, Ginette; Masson, Aline; Juneau, Martin; Bourassa, Martial G.

doi:10.1097/00006842-200207000-00006

Cited by 31 publications

(42 citation statements)

References 19 publications

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“…Frasure-Smith et al [21] attempted to evaluate the mechanism of prognosis for depression after MI in a 5-year follow-up study from a previous cohort with reportedly higher 1-year mortality in patients with depression after MI. From this follow-up analysis, the investigators concluded that the primary cause for worse prognosis in patients with depression after MI was due to cardiac mortality, possibly implicating the potential of death from arrhythmia after MI.…”

Section: Introductionmentioning

confidence: 99%

Depression After Myocardial Infarction

Echols

O’Connor

2010

Curr Heart Fail Rep

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Depression is an important disease state that requires significant time and resources to manage properly. The presence of depression in patients with cardiovascular disease has been strongly associated with detrimental effects in terms of morbidity and mortality. Although several large-scale and small studies have evaluated various interventions in the management of depression after myocardial infarction, a significant portion of these data have provided more questions than answers. Although limited, the randomized prospective clinical trial data evaluating interventions for the management of depression after myocardial infarction in patients with ischemic heart disease continue to produce promising findings for progressive and improved management of these devastating diseases.

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Section: Introductionmentioning

confidence: 99%

Depression After Myocardial Infarction

Echols

O’Connor

2010

Curr Heart Fail Rep

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“…Das transaktionale Zusammenspiel von PatientIn und TherapeutIn mit ihren jeweiligen Grundbedingungen entscheidet auch hier wieder über Erfolg und Misserfolg: Bei PatientInnen, die nach einem Herzinfarkt regelmäßig psychosozial betreut wurden, ergab sich eine deutliche Verschlechterung -sogar der Überlebenszeit -bei denjenigen, die Verleugner (Repressor) waren. Die hochängstlichen HerzinfarktpatientInnen lebten mittels Betreuung länger [39].…”

Section: Nebenwirkung Der Psychotherapieunclassified

Everybody has won the prize? Oder die Blinden und der Elefant: Was wirkt in der Psychotherapie?

Schüßler

2009

psychiatr. psychother.

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Everybody has won the prize? Or the blind men and the elephant: What works in psychotherapy? Summary:The following questions about psychotherapy predominate the debate in research and practice up to date. Is psychotherapy effective (efficacy and effectiveness), how long does it take (duration), how long do the gains persist (maintainance) and are there deteriorations? Is one school of therapy (CBT) superior to another (psychodynamic psychotherapy)? -No! Have all "bona fide" therapies won the prize? -Yes! Is it possible to clarify the therapeutic process more into specific and common factors? Only if we are successful in deciphering the complex interaction between patient and therapeut. Empirically supported therapies are not helpful in answering the most questions. There is no prospect of an integrative (elective) therapy.

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“…Frasure-Smith et al [32] reported on the 5-year outcomes of the Montreal Heart Attack Readjustment Trial. They followed 1376 post-myocardial infarction (MI) patients (divided into repressors, low-anxious, and high-anxious) in order to monitor psychological symptoms.…”

Section: Repression In Patients Undergoing Cardiovascular Rehabilitationmentioning

confidence: 99%

“…These authors suggest that a repressive coping style may contribute to positive adjustment to PTSD, and may actually enhance adjustment to both short-term and long-term traumatic stress. Denollet [34] and Ginzburg et al [35] based their articles on patients' subjective self-reports, whereas Frasure-Smith et al [32] and Shaw et al [33] based their results on more objective criteria. At this time, evidence for how a repressive coping style affects cardiac rehabilitation patients remains unclear: a standardized protocol using identical measures of self-report and physicians' observations would be very useful for hypotheses testing.…”

Section: Repression In Patients Undergoing Cardiovascular Rehabilitationmentioning

confidence: 99%

“…A focus on a positive lifestyle with respect to health behaviors such as diet and exercise might be more helpful than routinely prescribing anxiolytics. As FrasureSmith et al [32] suggest, "the development and evaluation of treatment packages optimizing the fit between intervention styles; disease-specific treatment needs; and patients' personalities . .…”

Section: Implications For the Clinicianmentioning

confidence: 99%

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Repressive/defensive coping, blood pressure, and cardiovascular rehabilitation

Gleiberman

2007

Current Science Inc

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The emotional style of repressive coping in relation to blood pressure and cardiovascular disease has received increasing attention during the past 25 years. Repressive coping describes the capacity to render events and feelings inaccessible to consciousness. Intrapsychic conflicts involving unacceptable wishes, fantasies, and impulses can be hidden from conscious awareness. Repressive (or defensive) coping has been associated with elevated blood pressure levels, essential hypertension, and paroxysmal hypertension. Cardiovascular patients who use a repressive style have shown mixed results during recuperation. The repressive coping style is easily assessed with two pencil-and-paper measures, which clinicians could administer. Knowledge that a patient uses repressive emotional coping could help physicians better treat this unique group. For patients recovering from cardiovascular events, intervention styles can be adopted that fit the repressive personality. More research in this area will be a challenge to psychologists and internal medicine specialists.

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Long-Term Survival Differences Among Low-Anxious, High-Anxious and Repressive Copers Enrolled in the Montreal Heart Attack Readjustment Trial

Cited by 31 publications

References 19 publications

Depression After Myocardial Infarction

Depression After Myocardial Infarction

Everybody has won the prize? Oder die Blinden und der Elefant: Was wirkt in der Psychotherapie?

Repressive/defensive coping, blood pressure, and cardiovascular rehabilitation

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