Ell K O, Haywood L J
Int J Psychiatry Med. 1985;15(2):157-75. doi: 10.2190/f1hv-tej0-y6ww-ykrh.
The reported study examines the influence of socioeconomic status (SES) and ethnicity in coping with a first acute myocardial infarction (MI). The study employed a panel design in which seventy-five patients were interviewed during acute hospitalization and six months later, and sixty of those were interviewed again at one year post-MI. Using the analysis of variance test, gradients in anxiety, functional status, and self-reported health status were found among lower SES Blacks, Hispanics, Anglos and upper SES Anglos as well as statistically significant differences in personal sense of control, beliefs about recovery, coping responses, and social support systems. More important, analysis of covariance documents that associations between coping variables and post-MI recovery outcomes vary among the different sociocultural groups.
该报告研究探讨了社会经济地位（SES）和种族对首次急性心肌梗死（MI）应对方式的影响。该研究采用了面板设计，在急性住院期间和六个月后对75名患者进行了访谈，其中60名患者在心肌梗死后一年再次接受访谈。通过方差分析测试发现，较低社会经济地位的黑人、西班牙裔、盎格鲁人和较高社会经济地位的盎格鲁人在焦虑、功能状态和自我报告的健康状况方面存在梯度差异，并且在个人控制感、康复信念、应对反应和社会支持系统方面也存在统计学上的显著差异。更重要的是，协方差分析表明，应对变量与心肌梗死后恢复结果之间的关联在不同的社会文化群体中有所不同。
