Obier K, MacPherson M, Haywood J
J Natl Med Assoc. 1977 Jan;69(1):59-61.
Psychosocial profiles were done prospectively on 54 males and three females in addition to hemodynamics and non-invasive studies; the average age at admission was 44 years. The mean study time for 45 survivors was two years and three months and was seven months for 12 non-survivors. Thirty potential psychosocial problems were investigated during coronary care unit stay, and at three months, six months, and one year. Four problems previously shown to have prognostic significance were re-examined. Depression and pessimism occurred more frequently in non-survivors (α = .05). Patients with maladaptive family relationships post-admission were more likely to die (66 percent), than those with adaptive relationships (15 percent) (α = .05). Patients with poor social adaptation prior to admission had significantly more psychosocial problems during follow-up (α = .05). However, this group had no more deaths than the total population. The type and number of psychosocial problems of survivors and non-survivors of acute myocardial infarction have predictive prognostic value.
除了进行血流动力学和非侵入性研究外，还对54名男性和3名女性进行了前瞻性心理社会状况分析；入院时的平均年龄为44岁。45名幸存者的平均研究时间为两年零三个月，12名非幸存者的平均研究时间为七个月。在冠心病监护病房住院期间以及三个月、六个月和一年时，对30个潜在的心理社会问题进行了调查。对之前显示具有预后意义的四个问题进行了重新审视。非幸存者中抑郁和悲观情绪出现的频率更高（α = .05）。入院后家庭关系适应不良的患者死亡的可能性（66%）高于家庭关系适应良好的患者（15%）（α = .05）。入院前社会适应不良的患者在随访期间出现的心理社会问题明显更多（α = .05）。然而，该组的死亡人数并不比总人群多。急性心肌梗死幸存者和非幸存者的心理社会问题类型和数量具有预测预后的价值。
