Shaw R E, Cohen F, Fishman-Rosen J, Murphy M C, Stertzer S H, Clark D A, Myler R K
Psychosom Med. 1986 Nov-Dec;48(8):582-97. doi: 10.1097/00006842-198611000-00005.
The relationship between psychologic variables (the match between repressive style and level of cardiac information, and anxiety level) and medical complications, re-stenosis (renarrowing), and psychosocial adjustment was studied in 97 patients undergoing percutaneous transluminal coronary angioplasty (PTCA) for treatment of narrowed coronary arteries. Three major findings emerged for outcomes measured 6 months after PTCA: repressors with a high level of cardiac information (coping style-information level mismatch) and no history of heart attack were at higher risk for late medical complications (p less than 0.001); sensitizers with a low level of cardiac information (coping style-information level mismatch) and whose PTCA was only moderately successful were at higher risk for re-stenosis of the artery previously widened during PTCA (p less than 0.01); and patients who were more anxious during hospitalization had poorer social functioning and more mood disturbance 6 months after PTCA (p less than 0.05). Thus, psychologic, information, and medical factors are important in predicting 6-month outcomes in patients undergoing PTCA.
对97例因冠状动脉狭窄而接受经皮腔内冠状动脉成形术（PTCA）治疗的患者，研究了心理变量（压抑型应对方式与心脏信息水平的匹配情况以及焦虑水平）与医疗并发症、再狭窄（血管再度变窄）和心理社会适应之间的关系。在PTCA术后6个月进行的结果测量中出现了三项主要发现：具有高水平心脏信息的压抑者（应对方式与信息水平不匹配）且无心脏病发作史的患者发生晚期医疗并发症的风险更高（p<0.001）；具有低水平心脏信息的敏感者（应对方式与信息水平不匹配）且PTCA仅取得中度成功的患者，其在PTCA期间曾扩张的动脉发生再狭窄的风险更高（p<0.01）；住院期间焦虑程度较高的患者在PTCA术后6个月的社会功能较差且情绪障碍更多（p<0.05）。因此，心理、信息和医疗因素对于预测接受PTCA治疗患者的6个月预后很重要。
