Location of Repository

Psychological Recovery following Coronary Angioplasty: Illness Cognitions, Coping and Well-being

By Lisa Benn

Abstract

Aim: To investigate the nature of psychological adjustment following angioplasty and to assess the relative contributions of illness cognitions and coping in the context of the Self-Regulation Model (Leventhal, Meyer & Nerenz, 1980).\ud Design: A longitudinal, prospective within-groups, multi-factorial study.\ud Method: 120 participants were recruited from an opportunity sample of patients approached during admission to the Manchester Heart Centre for angioplasty. Questionnaires addressing illness beliefs, coping and psychological outcomes were presented at two time points; during admission and three months post-procedure.\ud Results: Analysis revealed that angioplasty is followed by clinically and statistically significant psychological gains. Perceptions of the illness as serious, and having a cyclical time-course, together with a general difficulty in making sense of the illness, were associated with increased anxiety at the time of treatment, and in most cases also at three months. Higher levels of emotional representation were also strongly associated with anxiety and quality of life outcomes at both time points. Problem-focused and maladaptive coping also showed associations with psychological outcome at treatment and at three months. Illness beliefs were demonstrated to significantly predict psychological well-being, explaining a substantial proportion of variance, with emotional representation the strongest independent predictor. Coping was not found to mediate the relationship between illness beliefs, and psychological distress and quality of life.\ud Conclusion: This research has demonstrated the utility of illness beliefs, and to an extent the\ud Self Regulation Model in predicting psychological outcome in angioplasty. Cognitive factors may therefore serve as useful clinical indicators to help identity those patients at greatest risk of impaired recovery, which in the future may enable targeting with further support, and evidence permitting, psychological interventions.\ud [Abstract taken from Section B: Research Report (Option 1)

Publisher: University of Leicester
Year: 2006
OAI identifier: oai:lra.le.ac.uk:2381/7936

Suggested articles

Preview

Citations

  1. (1995). A comparison of quality of life scores in patients with angina pectoris after angioplasty compared with after medical therapy, doi
  2. (1983). Adjustment to threatening events: a theory of cognitive adaptation. doi
  3. (1999). An examination of the self-regulation model in atria] fibrillation. doi
  4. (1995). Cardiac patient teaching: application to patients undergoing coronary angioplasty and their partners. doi
  5. (1998). Depression and the course of coronary artery disease, doi
  6. (2000). Discovering statistics using SPSSfor Windows.
  7. (2004). Factors influencing the decision to seek treatment for symptoms of acute myocardial infarction: an evaluation of the doi
  8. (1986). Illness representations: a prototype approach, doi
  9. (1986). Intracoronary interventions: balloon and laser angioplasty.
  10. (1992). Motivation to change lifestyle following PTCA. doi
  11. (1994). Patients' reactions to angioplasty: realistic or not?
  12. (1990). Personal models of diabetes
  13. (1987). Psychological predictors of heart disease: a quantitative review. doi
  14. (1998). Recovery patterns and lifestyle changes after coronary angioplasty: the patient's perspective. Heart and Lung, doi
  15. (1990). The effect of percutaneous transluminal coronary angioplasty on quality of life.
  16. (1997). The effects of pre-coronary angioplasty education and counselling on patients and their spouses: A preliminary report. doi
  17. (1996). The illness perception questionnaire: a new method for assessing the cognitive representation of illness, doi
  18. (2001). The relative responsiveness of generic and diseasespecific measures of HRQOL in patients undergoing coronary revascularisation.
  19. (1974). Type A behaviour and your heart.

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.