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Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction.

Publication ,  Journal Article
Lett, HS; Blumenthal, JA; Babyak, MA; Catellier, DJ; Carney, RM; Berkman, LF; Burg, MM; Mitchell, P; Jaffe, AS; Schneiderman, N
Published in: Health Psychol
July 2007

OBJECTIVE: To compare the impact of network support and different types of perceived functional support on all-cause mortality or nonfatal reinfarction for patients with a recent acute myocardial infarction (AMI). DESIGN: Participants were recruited from the Enhancing Recovery in Coronary Heart Disease (ENRICHD) trial; 2,481 AMI patients with depression or low social support were randomized to a cognitive-behavioral intervention or to a usual care control group. Data collection for certain measures of social support was limited: 2,466 participants completed the ENRICHD Social Support Inventory; 2,457 completed the Perceived Social Support Scale; 1,296 completed the Social Network Questionnaire; and 707 completed the Interpersonal Support and Evaluation List, Tangible Support subscale. Patients also completed the Beck Depression Inventory and were followed for up to 4.5 years. MAIN OUTCOME MEASURE: Time to death or nonfatal reinfarction. RESULTS: Over the follow-up period, 599 patients (24%) died or had a nonfatal AMI. Survival models controlling age, sex, race, socioeconomic status, smoking, antidepressant use, and a composite measure of increased risk revealed that higher levels of perceived social support were associated with improved outcome for patients without elevated depression but not for patients with high levels of depression. Neither perceived tangible support nor network support were associated with more frequent adverse events. CONCLUSION: AMI patients should be assessed for multiple dimensions of perceived functional support and depression to identify those at increased psychosocial risk who may benefit from treatment.

Duke Scholars

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Published In

Health Psychol

DOI

ISSN

0278-6133

Publication Date

July 2007

Volume

26

Issue

4

Start / End Page

418 / 427

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Social Support
  • Risk Factors
  • Public Health
  • Proportional Hazards Models
  • Prognosis
  • Personality Inventory
  • Outcome Assessment, Health Care
  • Myocardial Infarction
  • Middle Aged
 

Citation

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Lett, H. S., Blumenthal, J. A., Babyak, M. A., Catellier, D. J., Carney, R. M., Berkman, L. F., … Schneiderman, N. (2007). Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction. Health Psychol, 26(4), 418–427. https://doi.org/10.1037/0278-6133.26.4.418
Lett, Heather S., James A. Blumenthal, Michael A. Babyak, Diane J. Catellier, Robert M. Carney, Lisa F. Berkman, Matthew M. Burg, Pamela Mitchell, Allan S. Jaffe, and Neil Schneiderman. “Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction.Health Psychol 26, no. 4 (July 2007): 418–27. https://doi.org/10.1037/0278-6133.26.4.418.
Lett HS, Blumenthal JA, Babyak MA, Catellier DJ, Carney RM, Berkman LF, et al. Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction. Health Psychol. 2007 Jul;26(4):418–27.
Lett, Heather S., et al. “Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction.Health Psychol, vol. 26, no. 4, July 2007, pp. 418–27. Pubmed, doi:10.1037/0278-6133.26.4.418.
Lett HS, Blumenthal JA, Babyak MA, Catellier DJ, Carney RM, Berkman LF, Burg MM, Mitchell P, Jaffe AS, Schneiderman N. Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction. Health Psychol. 2007 Jul;26(4):418–427.

Published In

Health Psychol

DOI

ISSN

0278-6133

Publication Date

July 2007

Volume

26

Issue

4

Start / End Page

418 / 427

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Social Support
  • Risk Factors
  • Public Health
  • Proportional Hazards Models
  • Prognosis
  • Personality Inventory
  • Outcome Assessment, Health Care
  • Myocardial Infarction
  • Middle Aged