Furze Gill, Roebuck Alun, Bull Peter, Lewin Robert J P, Thompson David R
British Heart Foundation Rehabilitation Research Unit, Department of Health Sciences, University of York, Heslington, York, UK.
BMC Cardiovasc Disord. 2002;2:4. doi: 10.1186/1471-2261-2-4. Epub 2002 Feb 20.
What people believe about their illness may affect how they cope with it. It has been suggested that such beliefs stem from those commonly held within society. This study compared the beliefs held by people with angina, regarding causation and coping in angina, with the beliefs of their friends who do not suffer from angina.
Postal survey using the York Angina Beliefs Questionnaire (version 1), which elicits stress attributions and misconceived beliefs about causation and coping. This was administered to 164 people with angina and their non-cohabiting friends matched for age and sex. 132 people with angina and 94 friends completed the questionnaire.
Peers are more likely than people with angina to believe that angina is caused by a worn out heart (p < 0.01), angina is a small heart attack (p = 0.02), and that it causes permanent damage to the heart (p < 0.001). Peers were also more likely to believe that people with angina should take life easy (p < 0.01) and avoid exercise (p = 0.04) and excitement (p < 0.01).
The beliefs of the peer group about causation and coping in angina run counter to professional advice. Over time this may contribute to a reduction in patient concordance with risk factor reduction, and may help to create cardiac invalids.
人们对自身疾病的看法可能会影响他们应对疾病的方式。有人认为，这些看法源于社会普遍持有的观念。本研究比较了心绞痛患者对于心绞痛病因及应对方法的看法与未患心绞痛的朋友的看法。
采用约克心绞痛信念问卷（第1版）进行邮寄调查，该问卷可引出压力归因以及对病因和应对方法的错误认知。对164名心绞痛患者及其年龄和性别匹配的非同居朋友进行了调查。132名心绞痛患者和94名朋友完成了问卷。
与心绞痛患者相比，同龄人更有可能认为心绞痛是由心脏劳损引起的（p < 0.01），心绞痛是轻微心脏病发作（p = 0.02），并且会对心脏造成永久性损伤（p < 0.001）。同龄人也更有可能认为心绞痛患者应该放松生活（p < 0.01），避免运动（p = 0.04）和兴奋（p < 0.01）。
同龄人群体对于心绞痛病因及应对方法的看法与专业建议背道而驰。随着时间的推移，这可能会导致患者在降低风险因素方面的依从性降低，并可能导致心脏残疾患者的产生。
