Trajectories of anxiety and depression in denying and nondenying acute myocardial infarction patients during hospitalization

A cross-sectional examination of changes in anxiety early after acute myocardial infarction

“…Anxiety levels were highest within the first 12 hours after admission, decreased during the next 12 hours (12 to 24 hours after admission), and remained steady for the successive 36 hours before increasing 60 to 72 hours after admission. These findings are unique because, unlike previous investigators, 6,8,14,35,45,[53][54][55] we enrolled a large sample with a greater proportion of women and measured anxiety as early as 1.2 hours after admission for AMI.…”

Emotional Responses of Patients with Acute Myocardial Infarction to Their Disease

“…Patients can cope with stress by modi fying their awareness of a life-threatening sit uation through distraction of attention and various forms of denial [Lazarus, 1970;Miller and Rosenfeld, 1975]. Appropriate levels of denial may improve the prognosis; denial diminishes anxiety [Hackett et al, 1969;Gentry et al, 1972], and deniers have a more favorable clinical course than nondeniers [Froese et al, 1974b], Although most of the study patients denied fear and did not describe it as a significant problem, they wanted to learn more about their disease and related aspects.…”

Variables affecting the reporting of pain following an acute myocardial infarction

“…While anxiety is felt to be the most predominate emotional response (Byrne, 1987;Thoms et al, 1983), denial and depression have also been documented (Froese, Hackett, Cassem & Silverberg, 1974). Cassem and Hackett's (1971) classic study of 145 CCU patients referred for psychiatric consultation described an approximate timetable for the onset of emotional reactions to an AMI.…”

“…Depression tended to occur on days three through five, and by day five or six the patient usually resumed his usual personality and emotional pattern (Cassem & Hackett, 1971). Froese, Hackett, Cassem, and Silverberg (1974) studied 36 patients with an AMI and classified 17 of them as "deniers". While anxiety scores for both deniers and non-deniers were high for the first two days, deniers showed a more rapid decline in their levels of anxiety and depression, as evidenced by their scores on the Holland-Sgroi Anxiety-Depression Scale and the Hackett-Cassem Denial Scale (Froese, Hackett, Cassem, & Silverberg, 1974).…”

“…Froese, Hackett, Cassem, and Silverberg (1974) studied 36 patients with an AMI and classified 17 of them as "deniers". While anxiety scores for both deniers and non-deniers were high for the first two days, deniers showed a more rapid decline in their levels of anxiety and depression, as evidenced by their scores on the Holland-Sgroi Anxiety-Depression Scale and the Hackett-Cassem Denial Scale (Froese, Hackett, Cassem, & Silverberg, 1974). Froese, Vasquez, Cassem and Hackett (1974) interviewed patients within the first two hours of ad mission and administered the same instruments.…”