Patient's causal attribution of the infarction predicted positive objective outcome and subjective functioning, adding prognostic information beyond background factors.
Cohort (n=98)
A patient's causal attribution of their myocardial infarction and ideas about coping are important predictors of successful lifestyle modification and rehabilitation outcomes.
Ninety-eight men aged <60 years with a first myocardial infarction were followed for 6 months. The aim was to characterize patients who succeeded in changing their lifestyles by modifying risk factors and to correlate them to subjective and objective outcome. We focused on the interplay between the patient's causal attribution of the infarction and compared this with the influence of background factors. The patient attribution most often predicted positive objective outcome and subjective functioning. This study shows that background factors are of prognostic value, but the patient's attribution and his own ideas about coping add information on the outcome of the rehabilitation as evaluated by more specific outcome measures.
Billing et al. (2008) conducted a cohort in First myocardial infarction (n=98). Patient's causal attribution of the infarction vs. Background factors was evaluated on Positive objective outcome and subjective functioning (lifestyle changes). Patient's causal attribution of the infarction predicted positive objective outcome and subjective functioning, adding prognostic information beyond background factors.