Psychosomatic Medicine Faster Service from Outside North America
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Harper, R. G.
Right arrow Articles by Gotto, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Harper, R. G.
Right arrow Articles by Gotto, J.

Psychosomatic Medicine, Vol 60, Issue 5 563-569, Copyright © 1998 by American Psychosomatic Society

ORIGINAL ARTICLES

Self-report evaluation of health behavior, stress vulnerability, and medical outcome of heart transplant recipients

RG Harper, RC Chacko, D Kotik-Harper, J Young and J Gotto
Department of Psychiatry, Baylor College of Medicine, Houston, Texas 77030, USA.

OBJECTIVE: The purpose of this study was to explore the value of patient self-report assessment in heart transplant candidacy evaluation, utilizing the Millon Behavioral Health Inventory (MBHI). Patient's MBHI measures were related to important pretransplant patient characteristics and posttransplant measures of health behavior, medical morbidity, and mortality. METHOD: Ninety heart patients with end-stage cardiac disease completed the MBHI during pretransplant candidacy evaluations, and also were interviewed concerning their coping effectiveness, support resources, and compliance history. Postransplant follow-up of 61 living and 29 deceased patients included measures of survival time, postsurgical medical care, rejection and infection episodes, and nurse ratings of medication compliance and problematic interpersonal health behaviors. RESULTS: The MBHI coping scales were found to significantly discriminate good and poor pretransplant compliance, and interview judgments of good and poor coping and support resources, with modest accuracy. The MBHI also was superior to these interview judgments in predicting posttransplant survival time and medical care used. Certain scales were also positively associated with physical parameters of pretransplant and posttransplant status. CONCLUSIONS: Patient self-report with the MBHI can contribute to identification of patients at risk for a problematic outcome with transplant, by providing information pertinent to clinical decision making and outcome management analysis with this special population of cardiac patients.


This article has been cited by other articles:


Home page
 J Health PsycholHome page
E. J. Burker, D. M. Evon, J. Galanko, and T. Egan
Health Locus of Control Predicts Survival after Lung Transplant
J Health Psychol, September 1, 2005; 10(5): 695 - 704.
[Abstract] [PDF]

Home page
 Psychosom. Med.Home page
S. Zipfel, A. Schneider, B. Wild, B. Lowe, J. Junger, M. Haass, F.-U. Sack, G. Bergmann, and W. Herzog
Effect of Depressive Symptoms on Survival After Heart Transplantation
Psychosom Med, September 1, 2002; 64(5): 740 - 747.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1998 by the American Psychosomatic Society