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Predicting Patient Expectations about Survival Following Cardiac Events

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Objectives: To assess modifiable cognitive and behavioral factors following cardiac events and their association to patients' 3-month survival expectations. Methods: Patients (N = 233, 71% male; mean age 68years) hospitalized following cardiac events completed study packets assessing mood, behavior change, health behavior domains, and medical recommendation adherence at hospital discharge and 3 months later. Results: In univariate analyses, baseline depression, health distress, behavior change, and adherence were associated with positive expectations at follow-up. Multivariate regression analysis found (Adj. R 2 =0.43) baseline expectations and adherence were significant predictors of expectations for recovery and survival at follow-up (p < .01). Conclusion: Patients' perception of adherence following a cardiac event is a potent predictor of later expectations.


Document Type: Research Article


Affiliations: 1: Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA. 2: Department of Behavioral Health Research, Mayo Clinic, Rochester, MN, USA 3: Division of Biomedical Statistics & Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA 4: Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA 5: Department of Psychiatry & Psychology, and Patient Education, Department of Patient & Consulting Services; Mayo Clinic, Rochester, MN

Publication date: November 1, 2013

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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