Long-term follow-up of the Ischemic Heart Disease Life Stress Monitoring Program.

Abstract:

:This study examines patient outcomes up to seven years after a one-year, post-myocardial infarction (MI) stress monitoring and management program. A previous randomized controlled trial involving 461 male patients demonstrated that the program lowered stress scores and reduced one-year cardiac deaths by almost 50%, but made no difference in readmission rates or durations. The present study used medical records to assess the durability of these outcomes. Results indicated that the difference in cardiac deaths was primarily due to out-of-hospital deaths (that is, those that were more likely to have been sudden deaths) and persisted for six months beyond the end of the program, after which the mortality curves began to approach one another. In addition, although during the program year MI recurrences occurred at the same rate in the two groups, during the years after the program there were fewer MI recurrences among the treated patients. Over the full follow-up period the group difference in MI recurrences was statistically significant (p = 0.043). Results are considered in terms of methodological limitations of the study, including the timing of randomization, sample selection requirements, and group differences on baseline variables. Findings are also discussed in relation to the outcomes of other programs producing long-term reductions in recurrences or deaths from ischemic heart disease. It is suggested that, regardless of their approach, all such programs may share a common therapeutic mechanism: the provision of emotional support during a period of high vulnerability to stress.

journal_name

Psychosom Med

journal_title

Psychosomatic medicine

authors

Frasure-Smith N,Prince R

doi

10.1097/00006842-198909000-00002

subject

Has Abstract

pub_date

1989-09-01 00:00:00

pages

485-513

issue

5

eissn

0033-3174

issn

1534-7796

journal_volume

51

pub_type

杂志文章
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    authors: Kauhanen J,Kaplan GA,Cohen RD,Salonen R,Salonen JT

    更新日期:1994-05-01 00:00:00

  • Depression and hypertension.

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    journal_title:Psychosomatic medicine

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    doi:10.1097/00006842-197703000-00008

    authors: Friedman MJ,Bennet PL

    更新日期:1977-03-01 00:00:00

  • Waist-to-hip ratio is positively associated with bioavailable testosterone but negatively associated with sexual desire in healthy premenopausal women.

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/01.psy.0000151747.22904.d7

    authors: van Anders SM,Hampson E

    更新日期:2005-03-01 00:00:00

  • Why is evidence on job strain and coronary heart disease mixed? An illustration of measurement challenges in the Whitehall II study.

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    journal_title:Psychosomatic medicine

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    authors: Kivimäki M,Head J,Ferrie JE,Brunner E,Marmot MG,Vahtera J,Shipley MJ

    更新日期:2006-05-01 00:00:00

  • Psychological characteristics of patients with amyotrophic lateral sclerosis (ALS).

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    pub_type: 杂志文章

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    authors: Houpt JL,Gould BS,Norris FH Jr

    更新日期:1977-09-01 00:00:00

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

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    更新日期:1991-07-01 00:00:00

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    更新日期:2008-07-01 00:00:00

  • Going forth to meet the environment: a developmental study of seven infants with esophageal atresia.

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-198001001-00010

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    更新日期:1980-01-01 00:00:00

  • Genetic vulnerability and phenotypic expression of depression and risk for ischemic heart disease in the Vietnam era twin study of aging.

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    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PSY.0b013e3181d28125

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    更新日期:2010-05-01 00:00:00

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

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    更新日期:2007-09-01 00:00:00

  • Hypnotic relaxation in the treatment of premature labor.

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

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    更新日期:1986-05-01 00:00:00

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    journal_title:Psychosomatic medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.psy.0000145912.24553.c0

    authors: Kundermann B,Spernal J,Huber MT,Krieg JC,Lautenbacher S

    更新日期:2004-11-01 00:00:00

  • Major depressive disorder predicts cardiac events in patients with coronary artery disease.

    abstract::Fifty-two patients undergoing cardiac catheterization and subsequently found to have significant coronary artery disease (CAD) were given structured psychiatric interviews before catheterization. Nine of these patients met criteria for major depressive disorder. All 52 patients were contacted 12 months after catheteri...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-198811000-00009

    authors: Carney RM,Rich MW,Freedland KE,Saini J,teVelde A,Simeone C,Clark K

    更新日期:1988-11-01 00:00:00

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    更新日期:2011-07-01 00:00:00

  • Genetic variants in the DRD2 gene moderate the relationship between stressful life events and depressive symptoms in adults: cardiovascular risk in young Finns study.

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    authors: Elovainio M,Jokela M,Kivimäki M,Pulkki-Råback L,Lehtimäki T,Airla N,Keltikangas-Järvinen L

    更新日期:2007-06-01 00:00:00

  • An Attachment-Based Model of the Relationship Between Childhood Adversity and Somatization in Children and Adults.

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    更新日期:2017-06-01 00:00:00

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

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    更新日期:2014-06-01 00:00:00

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

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    更新日期:2008-05-01 00:00:00

  • Depression as an independent risk factor for mortality in critically ill patients.

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

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    authors: Wewalka M,Warszawska J,Strunz V,Kitzberger R,Holzinger U,Fuhrmann V,Zauner C,Miehsler W,Moser G

    更新日期:2015-02-01 00:00:00

  • Depression and late mortality after myocardial infarction in the Enhancing Recovery in Coronary Heart Disease (ENRICHD) study.

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    journal_title:Psychosomatic medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.psy.0000133362.75075.a6

    authors: Carney RM,Blumenthal JA,Freedland KE,Youngblood M,Veith RC,Burg MM,Cornell C,Saab PG,Kaufmann PG,Czajkowski SM,Jaffe AS,ENRICHD Investigators.

    更新日期:2004-07-01 00:00:00

  • Ethnographic assessment of pain coping perceptions.

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-199003000-00005

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    更新日期:1990-03-01 00:00:00

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    更新日期:2000-11-01 00:00:00

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    journal_title:Psychosomatic medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006842-199403000-00009

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    更新日期:1994-03-01 00:00:00

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-198905000-00003

    authors: Joesoef MR,Wetterhall SF,DeStefano F,Stroup NE,Fronek A

    更新日期:1989-05-01 00:00:00

  • Psychiatric Disorders, Morbidity, and Mortality: Tracing Mechanistic Pathways to Accelerated Aging.

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    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-198605000-00006

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    更新日期:1998-11-01 00:00:00