Literature DB >> 14586917

Long-term mental health of women after a first acute myocardial infarction.

Yaacov Drory1, Shlomo Kravetz, Gilad Hirschberger.   

Abstract

OBJECTIVES: To compare the long-term psychologic well-being and psychologic distress, after a first acute myocardial infarction (AMI), of women with those of men and those of a normative community sample of women and to examine the relation of sociodemographic, medical, and psychologic variables to the long-term psychologic well-being and psychologic distress of women.
DESIGN: Longitudinal study.
SETTING: Eight medical centers in central Israel. PARTICIPANTS: Sixty-two women (age range, 30-65y) with documented first AMI.
INTERVENTIONS: Sociodemographic, medical, and psychologic data were collected before hospital discharge (T1). Psychologic well-being and psychologic distress were assessed 5 years after AMI (T2) with the Mental Health Inventory. MAIN OUTCOME MEASURES: Hierarchical regression was used to examine the relations among the outcome variables, psychologic well-being, and psychologic distress at T2 and the predictors, sociodemographic, medical, and psychologic variables at T1.
RESULTS: Women had less long-term psychologic well-being and more psychologic distress after AMI than did men or the normative sample of women. Depression and concomitant medical problems were related to women's psychologic well-being; depression alone was related to their long-term psychologic distress.
CONCLUSIONS: Women with an AMI are more likely than men to have reduced psychologic well-being and increased psychologic distress. In addition, diminished mental health was related to medical and psychologic pathogenic factors.

Entities:  

Mesh:

Year:  2003        PMID: 14586917     DOI: 10.1016/s0003-9993(03)00316-2

Source DB:  PubMed          Journal:  Arch Phys Med Rehabil        ISSN: 0003-9993            Impact factor:   3.966


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