Key result
Long-term anticoagulant therapy is associated with emotional reactions in patients, such as magical dependency, and potential emotional burdens for treating physicians.
Why the study?
What are the emotional reactions and psychological factors associated with long-term anticoagulant therapy in patients and their physicians?
Observational
What are the emotional reactions and psychological factors associated with long-term anticoagulant therapy in patients and their physicians?
Long-term anticoagulant therapy is associated with significant, often underappreciated emotional reactions in patients and emotional burdens for prescribing physicians.
May prompt attention to emotional burdens in long-term anticoagulation; leaves open prospective studies on psychological support.
Introduction Anticoagulant drugs have come to be widely employed as part of the long-term treatment of certain cardiovascular diseases, such as recurrent pulmonary emboli, myocardial infarction, and rheumatic heart disease with atrial fibrillation.1-4There are well-recognized and amply documented hazards associated with anticoagulant therapy, related chiefly to hemorrhagic complications.3,5A recent report6has included certain psychological factors among various pitfalls in anticoagulant therapy, particularly patients' tendencies towards a magical dependency upon the treatment. Our experience with patients in an anticoagulant clinic has impressed us with the importance of emotional reactions patients may have in relation to this form of therapy. In addition, we believe that for the individual physician who cares for these patients there are potential emotional burdens. The present report describes our observations and emphasizes those aspects of anticoagulant therapy which we believe have not previously been adequately appreciated. Clinic Procedure Patients are referred to
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ARTHUR R. KRAVITZ (1964) conducted an observational in Cardiovascular diseases requiring long-term anticoagulant therapy. Long-term anticoagulant therapy was evaluated on Emotional reactions. Long-term anticoagulant therapy is associated with emotional reactions in patients, such as magical dependency, and potential emotional burdens for treating physicians.
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