Predicting patient expectations about survival following cardiac events

Am J Health Behav. 2013 Nov;37(6):800-6. doi: 10.5993/AJHB.37.6.9.

Abstract

Objectives: To assess modifiable cognitive and behavioral factors following cardiac events and their association to patients' 3-month survival expectations.

Methods: Patients (N = 233, 71% male; mean age 68years) hospitalized following cardiac events completed study packets assessing mood, behavior change, health behavior domains, and medical recommendation adherence at hospital discharge and 3 months later.

Results: In univariate analyses, baseline depression, health distress, behavior change, and adherence were associated with positive expectations at follow-up. Multivariate regression analysis found (Adj. R²=0.43) baseline expectations and adherence were significant predictors of expectations for recovery and survival at follow-up (p < .01).

Conclusion: Patients' perception of adherence following a cardiac event is a potent predictor of later expectations.

MeSH terms

  • Aged
  • Coronary Artery Bypass / psychology*
  • Depression / psychology
  • Emotions
  • Female
  • Health Behavior*
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / psychology*
  • Patient Compliance*
  • Stress, Psychological / psychology
  • Surveys and Questionnaires