Multidisciplinary therapeutic interventions can effectively support patients through the predictable psychological stages of denial, anxiety, and depression following an acute myocardial infarction.
May warrant multidisciplinary psychological support post-MI; leaves open confirmation in prospective trials.
The psychologic responses of denial, anxiety, and depression occur in a natural, predictable sequence in patients suffering acute myocardial infarction. Therapeutic interventions are possible to smooth the patient's passage through these psychologic stages: cognitive structuring, environmental manipulation, relaxation exercises, anticipation, encouragement, physical conditioning and activity, and group interactions. Multidisciplinary cooperation in the psychologic support of patients after myocardial infarction is stressed.
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CHARLES K. BILLINGS (1980) studied this question.