Nolan R P, Wielgosz A T
Department of Psychology, Ottawa General Hospital, Ontario, Canada.
J Behav Med. 1991 Apr;14(2):111-24. doi: 10.1007/BF00846174.
We assessed retrospectively symptom management behaviors among 45 patients with acute myocardial infarction (AMI). Cluster analysis was conducted on data from the Structured Interview (SI), in order to group patients according to the global TABP, Anger-In, Potential for Hostility, and a newly derived measure of Behavioral Compensation for Stress (BEH-COMP). Two groups were identified. MALADAPT SI-copers (N = 24) had higher scores on Anger-In and Hostility and lower scores on BEH-COMP in comparison to the ADAPT SI-copers (N = 21), while no difference was observed on TABP. The SI groups were next compared on AMI symptom management behaviors. A hierarchical discriminant analysis found that the MALADAPT group reported greater distraction from AMI symptoms, were relief-seeking behavior, and greater perceived vulnerability to reinfarction. AMI coping behaviors correlated meaningfully with delay in seeking medical assistance. Further research is warranted, given the potential for using the ADAPT/MALADAPT SI-profiles to predict adjustment to AMI.
我们回顾性评估了45例急性心肌梗死（AMI）患者的症状管理行为。对结构化访谈（SI）的数据进行聚类分析，以便根据总体A型行为模式（TABP）、愤怒内向、敌意倾向以及新得出的压力行为补偿（BEH - COMP）指标对患者进行分组。确定了两组。与适应性SI应对者（N = 21）相比，适应不良SI应对者（N = 24）的愤怒内向和敌意得分更高，而BEH - COMP得分更低，而在TABP方面未观察到差异。接下来比较了SI两组在AMI症状管理行为上的差异。分层判别分析发现，适应不良组报告称更易因AMI症状而分心、有寻求缓解行为，且感觉再次梗死的易感性更高。AMI应对行为与寻求医疗救助的延迟存在有意义的关联。鉴于利用适应性/适应不良性SI概况预测对AMI的适应情况的可能性，有必要进行进一步研究。
