Lloyd G G, Cawley R H
Q J Med. 1982;51(201):33-42.
Using a standardized interview, psychiatric morbidity was diagnosed in 35 our of 100 consecutive male patients one week after admission to hospital following a first acute myocardial infarction. Sixteen of these patients had been psychiatrically ill before the infarction and their psychiatric symptoms and social difficulties persisted throughout the 12 month period of observation. In contrast, patients whose psychiatric morbidity had been precipitated by the infarction tended to have transient symptoms and fewer problems of social adjustment. Measures of psychiatric morbidity one week after the attack did not predict subsequent mortality or difficulty in returning to work. Only a history of heavy smoking was significantly associated with mortality during the ensuing 12 months. Patients who regarded their illness as a loss or a threat had greater psychiatric morbidity than those who regarded it as an insignificant event.
采用标准化访谈，在100例首次急性心肌梗死后入院一周的连续男性患者中，有35例被诊断出存在精神疾病。其中16例患者在心肌梗死前就患有精神疾病，他们的精神症状和社会困难在整个12个月的观察期内持续存在。相比之下，因心肌梗死引发精神疾病的患者往往症状短暂，社会适应问题较少。发作一周后的精神疾病测量指标并不能预测随后的死亡率或重返工作的困难程度。在随后的12个月中，只有重度吸烟史与死亡率显著相关。将疾病视为一种损失或威胁的患者比将其视为无关紧要事件的患者有更高的精神疾病发病率。
