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Social support and psychological adjustment to chronic coronary heart disease: operationalization of Johnson's

B Riegel1

  • 1Cardiovascular Clinical, San Diego, California.

ANS. Advances in Nursing Science
|January 1, 1989
PubMed

Insights

Quality social support is key for psychological adjustment after heart attack (myocardial infarction). Nurturing impacts dependency, influencing return to work and treatment adherence, alongside self-esteem and mood.

Area of Science:

  • Psychology
  • Cardiology
  • Health Behavior

Background:

  • Limited theoretical frameworks exist for social support and psychological adjustment to chronic conditions like coronary heart disease (CHD).
  • Understanding factors influencing recovery after myocardial infarction (MI) is crucial for patient outcomes.

Purpose of the Study:

  • To review literature on social support and adjustment to CHD using Johnson's behavioral system model.
  • To identify key predictors of dependency and behavioral choices post-MI.

Main Methods:

  • Literature review synthesizing research on social support and adjustment to coronary heart disease.
  • Application of Johnson's behavioral system model to understand patient responses to myocardial infarction.

Main Results:

  • The quality of social support (nurturing) is a primary predictor of dependency following myocardial infarction.
  • Self-esteem, anxiety, depression, and perceived functional capacity influence choices like return to work and treatment adherence.

Conclusions:

  • Social support quality significantly impacts psychological adjustment and behavioral outcomes after myocardial infarction.
  • Johnson's model provides a useful framework for understanding the interplay of social support and adjustment in CHD recovery.

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