| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Psychosomatic Medicine, Vol 56, Issue 3 203-212, Copyright © 1994 by American Psychosomatic Society
ORIGINAL ARTICLES |
CD Jenkins, BA Stanton and RT Jono
Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston 77555-1053.
The validity of the biopsychosocial approach to the study of health and illness is reaffirmed by the prospective findings of the Recovery Study. This is a multidisciplinary examination, conducted in four teaching hospitals, of the predictors of symptoms of cardiac illness in 463 patients 6 months after coronary artery bypass or cardiac valve surgery. We found that the following preoperative measures predict freedom from cardiac symptoms 6 months after surgery: low levels of all of the following: angina pain, shortness of breath, fatigue and sleep problems, lifetime cigarette usage, and preoperative hospitalization for cardiac treatment; low levels of anxiety, depression, and hostility, and few life change events; high levels of all of the following: self-esteem, well-being, vigor; prevalence of activities and hobbies, social participation, and social support. The six variables in bold print contributed independently in a multiple regression equation that accounted for 21% of the variance of the symptoms score and was associated with an estimated 45% difference in success of recovery. The statistical strength and general nature of many of the predictors indicate that the predictors may also be important in recovery from other health crises. Psychosocial and biomedical factors correlate across time (predictively), as well as cross-sectionally, indicating that psychological, social, and biological mechanisms may be parts of a single general multifaceted process influencing recovery of health. A clinical trial could determine if psychological, social, or behavioral interventions will hasten and improve recovery from physical illness or trauma.
This article has been cited by other articles:
 |
|
 |
|
  S. V. Arnold, D. A. Morrow, K. Wang, Y. Lei, E. M. Mahoney, B. M. Scirica, E. Braunwald, D. J. Cohen, and on behalf of the MERLIN-TIMI 36 Investigators Effects of Ranolazine on Disease-Specific Health Status and Quality of Life Among Patients With Acute Coronary Syndromes: Results from the MERLIN-TIMI 36 Randomized Trial Circ Cardiovasc Qual Outcomes, November 1, 2008; 1(2): 107 - 115. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. H. Rosenberger, P. Jokl, and J. Ickovics Psychosocial factors and surgical outcomes: an evidence-based literature review. J. Am. Acad. Ortho. Surg., July 1, 2006; 14(7): 397 - 405. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Hofer, W. Benzer, H. Alber, E. Ruttmann, M. Kopp, G. Schussler, and S. Doering Determinants of Health-Related Quality of Life in Coronary Artery Disease Patients: A Prospective Study Generating a Structural Equation Model Psychosomatics, June 1, 2005; 46(3): 212 - 223. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Mallik, H. M. Krumholz, Z. Q. Lin, S. V. Kasl, J. A. Mattera, S. A. Roumains, and V. Vaccarino Patients With Depressive Symptoms Have Lower Health Status Benefits After Coronary Artery Bypass Surgery Circulation, January 25, 2005; 111(3): 271 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Rumsfeld, P. M. Ho, D. J. Magid, M. McCarthy Jr, A. L. W. Shroyer, S. MaWhinney, F. L. Grover, and K. E. Hammermeister Predictors of health-related quality of life after coronary artery bypass surgery Ann. Thorac. Surg., May 1, 2004; 77(5): 1508 - 1513. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Vaccarino, Z. Q. Lin, S. V. Kasl, J. A. Mattera, S. A. Roumanis, J. L. Abramson, and H. M. Krumholz Sex Differences in Health Status After Coronary Artery Bypass Surgery Circulation, November 25, 2003; 108(21): 2642 - 2647. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P.-E. Falcoz, S. Chocron, L. Stoica, D. Kaili, M. Puyraveau, M. Mercier, and J.-P. Etievent Open heart surgery: one-year self-assessment of quality of life and functional outcome Ann. Thorac. Surg., November 1, 2003; 76(5): 1598 - 1604. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. M. Burg, M. C. Benedetto, R. Rosenberg, and R. Soufer Presurgical Depression Predicts Medical Morbidity 6 Months After Coronary Artery Bypass Graft Surgery Psychosom Med, January 1, 2003; 65(1): 111 - 118. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Rumsfeld, D. J. Magid, M. O'Brien, M. McCarthy Jr, S. MaWhinney, A. L. W. Shroyer, T. E. Moritz, W. G. Henderson, G. K. Sethi, F. L. Grover, et al. Changes in health-related quality of life following coronary artery bypass graft surgery Ann. Thorac. Surg., December 1, 2001; 72(6): 2026 - 2032. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Khatri, M. Babyak, N. D. Croughwell, R. Davis, W. D. White, M. F. Newman, J. G. Reves, D. B. Mark, and J. A. Blumenthal Temperature during coronary artery bypass surgery affects quality of life Ann. Thorac. Surg., January 1, 2001; 71(1): 110 - 116. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Hamalainen, R. Smith, P. Puukka, J. Lind, V. Kallio, K. Kuttila, and T. Ronnemaa Social support and physical and psychological recovery one year after myocardial infarction or coronary artery bypass surgery Scand J Public Health, January 1, 2000; 28(1): 62 - 70. [Abstract] [PDF]
|
|
|
|
|
|
K. L. Yun, C. F. Sintek, A. D. Fletcher, T. A. Pfeffer, G. S. Kochamba, P. R. Mahrer, and S. Khonsari Time related quality of life after elective cardiac operation Ann. Thorac. Surg., October 1, 1999; 68(4): 1314 - 1320. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. F. Scheier, K. A. Matthews, J. F. Owens, R. Schulz, M. W. Bridges, G. J. Magovern, Sr, and C. S. Carver Optimism and Rehospitalization After Coronary Artery Bypass Graft Surgery Arch Intern Med, April 26, 1999; 159(8): 829 - 835. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
