Catipović-Veselica K, Marosević L, Ilakovac V, Amidzić V, Kozmar D, Burić D, Catipović B
University Department of Medicine Medical Faculty, University of Zagreb, Clinical Hospital Osijek, Croatia.
Psychol Rep. 1996 Dec;79(3 Pt 2):1195-202. doi: 10.2466/pr0.1996.79.3f.1195.
We examined Bortner scores for behavioral patterns and eight basic emotional dimensions named by Plutchik for patients with acute myocardial infarction who survived ventricular fibrillation and left ventricular failure. There were 70 patients, 48 men and 22 women ages 26 to 69 yr. (M = 54, SD = 8), admitted to the coronary care unit within 24 hours of the onset of a long-lasting chest pain. Six patients survived an episode of ventricular fibrillation that occurred within 24 to 48 hours after their admission. 15 patients developed left ventricular failure and were in Killip Classes II and III. Patients with acute myocardial infarction and left ventricular failure had mean Bortner scores significantly lower than others with acute myocardial infarction and were classed as Type B behavior. There was no difference in Bortner scores between patients with ventricular fibrillation and others with acute myocardial infarction. Patients with acute myocardial infarction and left ventricular failure scored significantly higher on Timid than others with acute myocardial infarction. Patients with acute myocardial infarction and ventricular fibrillation scored significantly lower on Depressed and higher on Distrust than other patients with acute myocardial infarction. Our findings suggest that patients with ventricular fibrillation and low scores on Depressed have good hospital prognosis. They are more critical and tend to reject people and ideas more than patients with acute myocardial infarction. This study suggests that the way in which patients with acute myocardial infarction react to their infarction, in terms of eight basic emotions and test patterns, is dependent on the complications of myocardial infarction.
我们对经历过心室颤动和左心室衰竭且存活下来的急性心肌梗死患者的行为模式Bortner评分以及由普拉奇克命名的八个基本情绪维度进行了研究。共有70名患者，年龄在26至69岁之间（男性48名，女性22名；平均年龄M = 54岁，标准差SD = 8岁），在出现持续性胸痛的24小时内被收入冠心病监护病房。6名患者在入院后24至48小时内经历了一次心室颤动发作。15名患者出现左心室衰竭，属于Killip分级II级和III级。急性心肌梗死合并左心室衰竭的患者的平均Bortner评分显著低于其他急性心肌梗死患者，被归类为B型行为。心室颤动患者与其他急性心肌梗死患者的Bortner评分没有差异。急性心肌梗死合并左心室衰竭的患者在“胆小”维度上的得分显著高于其他急性心肌梗死患者。急性心肌梗死合并心室颤动的患者在“抑郁”维度上的得分显著低于其他急性心肌梗死患者，而在“不信任”维度上的得分则更高。我们的研究结果表明，心室颤动且“抑郁”得分低的患者医院预后良好。与急性心肌梗死患者相比，他们更挑剔，更容易排斥他人和观点。这项研究表明，急性心肌梗死患者在八个基本情绪和测试模式方面对梗死的反应方式取决于心肌梗死的并发症。
