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[Scl-90-R scoring of stress after myocardial infarction]
Elisabeth Fenner1, Gönna Michels
1Klinik für Psychotherapie und Psychosomatik, Klinikum der Christian-Albrechts-Universität zu Kiel. elsfenner@aol.com
Objective:
134 patients with acute myocardial infarction, who were treated in an intensive care unit (ICU) of a German hospital in Kiel between 1996 and 1999 were selected for the study to examine their psychologic symptoms.
Patients And Methods:
The patients were asked to fill in the self-report inventory, the Symptom Checklist-90-Revised (SCL-90-R) within the first 48 h after their arrival in the ICU.
Results:
Patients with a low social status were found to have elevated mean values of the following scales: somatization (0.93), depression (0.66), and anxiety (0.59). The Global Severity Index (GSI) as a global measure of psychologic distress was elevated as well (0.46).
Conclusion:
Since patients with a limited social network and low social status, increased anxiety and depressive scores have a poor prognosis as to their mortality and their professional reintegration, it it considered necessary for the prospective setting of this study to register particularly those patients in order to treat their anxiety.