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Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality.

Publication ,  Journal Article
Brummett, BH; Barefoot, JC; Siegler, IC; Clapp-Channing, NE; Lytle, BL; Bosworth, HB; Williams, RB; Mark, DB
Published in: Psychosom Med
2001

OBJECTIVES: Social isolation has been linked to poor survival in patients with coronary artery disease (CAD). Few studies have closely examined the psychosocial characteristics of CAD patients who lack social contact. METHODS: Social isolation was examined as a predictor of mortality in 430 patients with significant CAD. More isolated patients were compared with their less isolated counterparts on factors that might help explain the association between isolation and survival. RESULTS: The mortality rate was higher among isolated individuals. Those with three or fewer people in their social support network had a relative risk of 2.43 (p = .001) for cardiac mortality and 2.11 (p = .001) for all-cause mortality, controlling for age and disease severity. Adjustments for income, hostility, and smoking status did not alter the risk due to social isolation. With the exception of lower income, higher hostility ratings, and higher smoking rates, isolated patients did not differ from nonisolated patients on demographic indicators, disease severity, physical functioning, or psychological distress. Isolated patients reported less social support and were less pleased with the way they got along with network members, but they did not report less satisfaction with the amount of social contact received. CONCLUSIONS: Patients with small social networks had an elevated risk of mortality, but this greater risk was not attributable to confounding with disease severity, demographics, or psychological distress. These findings have implications for mechanisms linking social isolation to mortality and for the application of psychosocial interventions.

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Published In

Psychosom Med

DOI

ISSN

0033-3174

Publication Date

2001

Volume

63

Issue

2

Start / End Page

267 / 272

Location

United States

Related Subject Headings

  • Social Support
  • Social Isolation
  • Severity of Illness Index
  • Risk
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Prospective Studies
  • Prognosis
  • North Carolina
  • Middle Aged
 

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Brummett, B. H., Barefoot, J. C., Siegler, I. C., Clapp-Channing, N. E., Lytle, B. L., Bosworth, H. B., … Mark, D. B. (2001). Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosom Med, 63(2), 267–272. https://doi.org/10.1097/00006842-200103000-00010
Brummett, B. H., J. C. Barefoot, I. C. Siegler, N. E. Clapp-Channing, B. L. Lytle, H. B. Bosworth, R. B. Williams, and D. B. Mark. “Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality.Psychosom Med 63, no. 2 (2001): 267–72. https://doi.org/10.1097/00006842-200103000-00010.
Brummett BH, Barefoot JC, Siegler IC, Clapp-Channing NE, Lytle BL, Bosworth HB, et al. Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosom Med. 2001;63(2):267–72.
Brummett, B. H., et al. “Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality.Psychosom Med, vol. 63, no. 2, 2001, pp. 267–72. Pubmed, doi:10.1097/00006842-200103000-00010.
Brummett BH, Barefoot JC, Siegler IC, Clapp-Channing NE, Lytle BL, Bosworth HB, Williams RB, Mark DB. Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosom Med. 2001;63(2):267–272.

Published In

Psychosom Med

DOI

ISSN

0033-3174

Publication Date

2001

Volume

63

Issue

2

Start / End Page

267 / 272

Location

United States

Related Subject Headings

  • Social Support
  • Social Isolation
  • Severity of Illness Index
  • Risk
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Prospective Studies
  • Prognosis
  • North Carolina
  • Middle Aged