Psychosocial predictors of quality of life post Myocardial Infarction :
General Material Designation
[Thesis]
First Statement of Responsibility
Gul, Iram
Title Proper by Another Author
a prospective cohort study in Pakistan
.PUBLICATION, DISTRIBUTION, ETC
Name of Publisher, Distributor, etc.
University of Bradford
Date of Publication, Distribution, etc.
2014
DISSERTATION (THESIS) NOTE
Dissertation or thesis details and type of degree
Thesis (Ph.D.)
Text preceding or following the note
2014
SUMMARY OR ABSTRACT
Text of Note
Introduction: The current study examined the psychosocial predictors (Type D personality, anxiety, depression & social support) in patients following MI. It further assessed the influence of these psychosocial predictors on quality of life of MI patients. Methods: In this prospective cohort study, 300 patients with definite myocardial infarction were recruited and assessed at baseline (2 -8 weeks) post MI (time 1). Out of 300 participants 191 completed assessments at 9 months follow up (time 2). Type D personality was evaluated with Distress scale 14(DS-14). Depression and anxiety were assessed with Hospital anxiety and depression scale (HADS). Social support was measured with Social support scale (SSS), while quality of Life was assessed with WHO quality of life scale (WHOQOL-BREF) at time 1 and time 2. Results: Analysis revealed that a significantly high percentage of MI patients had Type D personality characteristics, high levels of anxiety, depression and low level of social support. Type D personality and depression emerged as most significant predictors of quality of life after controlling for sociodemographic and clinical variables at time 1 and time 2 assessments. Discussion & Conclusion: This research emphasized the importance of Type D personality, anxiety, depression, and lack of social support in risk stratification for adverse outcomes such as impaired quality of life. This research highlighted the need for a more personalized approach to therapeutic interventions along with medical treatment for the management and rehabilitation of MI patients.
TOPICAL NAME USED AS SUBJECT
Psychosocial predictors ; Quality of life ; Myocardial infarction (MI) ; Social support ; Anxiety ; Depression