Horlick L, Cameron R, Firor W, Bhalerao U, Baltzan R
J Psychosom Res. 1984;28(6):485-92. doi: 10.1016/0022-3999(84)90082-5.
An education and group discussion program administered to a randomly selected group of post myocardial infarction subjects failed to produce any differences in a large number of behavioral and psychological measures. These included smoking behavior, health status, social and recreational status, family and marital life and vocational activities, as well as measures of anxiety, depression, and health locus of control. Treated subjects were slower to return to work than controls and were less likely to have returned to work by the end of the study. More individuals in the treatment group were receiving compensation and this may have been a factor in delaying return to work. Since the majority of our subjects had a very optimistic attitude toward their eventual recovery, there was limited room for improvement. We suggest that cardiac rehabilitation be directed only at those patients with "negative" attitudes, and with more than usual anxiety and depression.
对一组随机抽取的心肌梗死后患者实施的教育和小组讨论项目，在大量行为和心理指标上未产生任何差异。这些指标包括吸烟行为、健康状况、社交和娱乐状况、家庭和婚姻生活以及职业活动，还有焦虑、抑郁和健康控制点的测量指标。与对照组相比，接受治疗的患者恢复工作的速度较慢，且在研究结束时重返工作岗位的可能性较小。治疗组中有更多人领取补偿金，这可能是延迟恢复工作的一个因素。由于我们的大多数研究对象对最终康复持非常乐观的态度，所以改善的空间有限。我们建议心脏康复仅针对那些态度“消极”、焦虑和抑郁程度高于常人的患者。
