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Predicting patient expectations about survival following cardiac events
Lisa A Howell1, Shannon M Clark, Ross A Dierkhising
1Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA. howell.lisa@mayo.edu
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. R²=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.
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