Key result
Denial after first MI is linked to prolonged pre-hospital delay and cardiac rehab non-attendance.
Why the study?
Survival and prognosis after a first-time myocardial infarction depend on time to medical intervention, and the role of denial in pre-hospital delay and rehabilitation attendance is unclear.
Does the psychological defense mechanism of denial increase pre-hospital delay and reduce attendance to cardiac rehabilitation in patients with a first-time myocardial infarction?
Cross-Sectional (n=107)
Does the psychological defense mechanism of denial increase pre-hospital delay and reduce attendance to cardiac rehabilitation in patients with a first-time myocardial infarction?
Greater use of denial in patients with a first-time myocardial infarction is associated with prolonged pre-hospital delay and decreased attendance at cardiac rehabilitation programs.
No takes yet. Share an insight, caveat, or question.
May flag at-risk first-MI patients for delay and rehab non-attendance; hypothesis-generating, prospective studies needed before practice change.
Stenstrom et al. (2005) conducted a cross-sectional in first-time myocardial infarction (n=107). Denial vs. Lower use of denial was evaluated on Prolonged pre-hospital delay (>4h) and non-attendance to cardiac rehabilitation. Among 107 patients with a first-time myocardial infarction, greater use of denial was associated with prolonged pre-hospital delay (n=49) and non-attendance to cardiac rehabilitation (n=76).
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