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Psychosocial characteristics after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease.

Publication ,  Journal Article
Mendes de Leon, CF; Dilillo, V; Czajkowski, S; Norten, J; Schaefer, J; Catellier, D; Blumenthal, JA ...
Published in: J Cardiopulm Rehabil
2001

PURPOSE: Psychosocial factors, such as emotional distress and social isolation, have been increasingly recognized as important risk factors for patients' recovery from acute myocardial infarction (AMI). This study examined age, gender, and ethnic differences in depression and general distress, social support, and health-related quality of life after AMI. METHODS: Data came from a series of 88 patients aged 62.1 +/- 14.2 years (46% female) who were hospitalized for AMI at eight different US clinical centers participating in the Enhancing Recovery in Coronary Heart Disease (ENRICHD) Pilot Study. Standardized psychometric measures were administered to assess three psychosocial domains: (1) depression and general distress (mental health functioning), (2) social support, and (3) health-related quality of life. Multivariate analysis of variance was used to examine the effects of age, gender, and ethnic differences in each of the three psychosocial domains. RESULTS: Female patients reported higher levels of depression and distress compared with male patients (P = .040). Gender differences in mental health functioning differed by age (P = .046), with the greatest differences observed among younger female patients. Older patients (P = .014) and female patients (P = .025) reported lower levels of social support compared with younger and male patients, respectively. Minority patients did not differ from nonminority patients in mental health functioning or social support, and there were no significant differences in post-AMI quality of life on the basis of age, gender, or ethnicity. CONCLUSIONS: The psychosocial risk profile after AMI may be different for male and female patients, and interventions may need to take account of each gender's specific needs.

Duke Scholars

Published In

J Cardiopulm Rehabil

DOI

ISSN

0883-9212

Publication Date

2001

Volume

21

Issue

6

Start / End Page

353 / 362

Location

United States

Related Subject Headings

  • Social Support
  • Quality of Life
  • Myocardial Infarction
  • Multivariate Analysis
  • Middle Aged
  • Mental Health
  • Male
  • Humans
  • Female
  • Cardiovascular System & Hematology
 

Citation

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Mendes de Leon, C. F., Dilillo, V., Czajkowski, S., Norten, J., Schaefer, J., Catellier, D., … Enhancing Recovery in Coronary Heart Disease (ENRICHD) Pilot Study, . (2001). Psychosocial characteristics after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease. J Cardiopulm Rehabil, 21(6), 353–362. https://doi.org/10.1097/00008483-200111000-00003
Mendes de Leon, C. F., V. Dilillo, S. Czajkowski, J. Norten, J. Schaefer, D. Catellier, J. A. Blumenthal, and J. A. Enhancing Recovery in Coronary Heart Disease (ENRICHD) Pilot Study. “Psychosocial characteristics after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease.J Cardiopulm Rehabil 21, no. 6 (2001): 353–62. https://doi.org/10.1097/00008483-200111000-00003.
Mendes de Leon CF, Dilillo V, Czajkowski S, Norten J, Schaefer J, Catellier D, et al. Psychosocial characteristics after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease. J Cardiopulm Rehabil. 2001;21(6):353–62.
Mendes de Leon, C. F., et al. “Psychosocial characteristics after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease.J Cardiopulm Rehabil, vol. 21, no. 6, 2001, pp. 353–62. Pubmed, doi:10.1097/00008483-200111000-00003.
Mendes de Leon CF, Dilillo V, Czajkowski S, Norten J, Schaefer J, Catellier D, Blumenthal JA, Enhancing Recovery in Coronary Heart Disease (ENRICHD) Pilot Study. Psychosocial characteristics after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease. J Cardiopulm Rehabil. 2001;21(6):353–362.

Published In

J Cardiopulm Rehabil

DOI

ISSN

0883-9212

Publication Date

2001

Volume

21

Issue

6

Start / End Page

353 / 362

Location

United States

Related Subject Headings

  • Social Support
  • Quality of Life
  • Myocardial Infarction
  • Multivariate Analysis
  • Middle Aged
  • Mental Health
  • Male
  • Humans
  • Female
  • Cardiovascular System & Hematology