Five-year follow-up for adverse outcomes in males with at least minimally positive angiograms: importance of "denial" in assessing psychosocial risk factors

Journal of Psychosomatic Research
Mark W KettererA D Goldberg

Abstract

The purpose of this study was to test the role of "denial" (spouse/friend minus self-ratings on parallel versions of the same questionnaire) in diluting the predictive value of emotional distress for cardiac events (deaths, new MIs, and/or revascularizations). One hundred forty-four men with no history of prior revascularization who had at least minimally positive diagnostic coronary angiograms, and someone they selected as "someone who knows you well," completed parallel versions of the Ketterer Stress Symptom Frequency Checklist (KSSFC). They were followed up by phone an average of 59.7 months after recruitment. Length of follow-up, baseline cardiac risk factors, and a number of baseline-obtained psychosocial risk factors were tested as prospective predictors of combined events (death by any cause, new MIs, and/or revascularizations) and current anginal frequency. Only spouse/friend observed anxiety on the KSSFC predicted current anginal frequency (p = 0.001). On the self-report version of the KSSFC, patients with one or more events reported less anger (p = 0.031), depression (p = 0.008), and anxiety (p = 0.003). These results may be attributable to "denial" because there were no differences in spouse/friend ratings, and diff...Continue Reading

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Citations

Aug 2, 2007·Heart Failure Reviews·Mark W Ketterer, Walter Knysz
Dec 20, 2000·Journal of Psychosomatic Research·J Denollet
Feb 27, 2003·Southern Medical Journal·Joseph K NeumannArthur R Ellis
Aug 13, 2003·Southern Medical Journal·Joseph K Neumann, Kenneth E Olive
Jul 19, 2011·Journal of Aging Research·Benjamin P ChapmanPaul Duberstein
Feb 10, 2006·Cancer Investigation·Terry Rabinowitz, Ryan Peirson
Jul 7, 2015·Psychiatry Research·Paolo OssolaCarlo Marchesi
Aug 17, 2004·Journal of Cardiac Failure·Lynn V DoeringMichele Hamilton
Mar 14, 2009·Journal of the American College of Cardiology·Yoichi Chida, Andrew Steptoe
May 4, 2005·Journal of Psychosomatic Research·Mark A LumleyMark W Ketterer
May 5, 2004·Psychosomatics·Mark W KettererWalter Knysz
Sep 4, 2007·Psychosomatic Medicine·Susan E HofkampStephen T Wegener
Dec 19, 2007·Journal of Health Psychology·Maria NordinElisabet Sundbom
Sep 24, 2004·Psychosomatic Medicine·Stephen H BoyleJohn C Barefoot
Sep 29, 2011·Psychosomatic Medicine·Mark W Ketterer, Timothy W Smith
Dec 13, 2006·Harvard Review of Psychiatry·Jeff C HuffmanGregory L Fricchione
Dec 9, 2009·Harvard Review of Psychiatry·Laura K Kent, Peter A Shapiro
Oct 14, 2003·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Susanne S Pedersen, Johan Denollet
Jul 13, 2002·International Journal of Offender Therapy and Comparative Criminology·Pamela F FoleyDavid M Goldberg
Jul 3, 2002·American Journal of Preventive Medicine·Reiner Rugulies

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