caa a22 4500 386334196 CHVBK 20180307111727.0 cr unu---uuuuu 161130e198903 xx s 000 0 eng 10.1017/S079096670001569X doi S079096670001569X pii (NATIONALLICENCE)cambridge-10.1017/S079096670001569X Improved Subjective Health in Patients in a Post Coronary Rehabilitation Programme [Elektronische Daten] [Ronan M Conroy, Elizabeth Mc Gowan, Risteard Mulcahy] We studied the impact of a first myocardial infarction or episode of unstable angina on four areas of subjective health: wellbeing, perceived functional status, body confidence and emotional symptoms. A questionnaire in which the patient was asked to compare status before and after hospital admission was given to 61 cardiac patients attending follow-up rehabilitation clinics. Worries about health and fears of straining oneself were common in the 24 patients surveyed less than 3 months from discharge. But in patients over 3 months from discharge, sense of wellbeing was significantly improved post-infarction compared with pre-infarction: 86% of patients noting a change reported an improvement. Perceived family role performance was significantly improved, while confidence in work performance and general competence remained unchanged. The prevalences of depression, anxiety and worry were unchanged from pre to post attack, patients in whom these symptoms developed being off-set by patients who lost symptoms. Previously-reported adverse sequelae of acute coronary disease may exaggerate the extent of the problem. Restriction of studies to neurotic symptoms and failure to compare pre and post attack periods may fail to elicit improvements in quality of life associated with rehabilitation and secondary prevention programmes. Running Title: Subjective health in post-coronary patients Copyright © Cambridge University Press 1989 Myocardial Infarction nationallicence Subjective Health nationallicence Depression nationallicence Anxiety nationallicence Rehabilitation nationallicence Conroy Ronan M. Cardiac Department and Department of Preventive Cardiology, St. Vincent's Hospital and, University College, Dublin 4 aut Gowan Elizabeth Mc Department of Psychiatry, St. Vincent's Hospital and University College, Dublin 4 Mulcahy Risteard Cardiac Department and Department of Preventive Cardiology, St. Vincent's Hospital and University College, Dublin 4 Irish Journal of Psychological Medicine Cambridge University Press 6/1(1989-03), 30-34 0790-9667 6:1<30 1989 6 IPM https://doi.org/10.1017/S079096670001569X text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S079096670001569X text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Conroy Ronan M. Cardiac Department and Department of Preventive Cardiology, St. Vincent's Hospital and, University College, Dublin 4 aut NATIONALLICENCE 700 1- Gowan Elizabeth Mc Department of Psychiatry, St. Vincent's Hospital and University College, Dublin 4 NATIONALLICENCE 700 1- Mulcahy Risteard Cardiac Department and Department of Preventive Cardiology, St. Vincent's Hospital and University College, Dublin 4 NATIONALLICENCE 773 0- Irish Journal of Psychological Medicine Cambridge University Press 6/1(1989-03), 30-34 0790-9667 6:1<30 1989 6 IPM CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge