Can an illness perception intervention reduce illness anxiety in spouses of myocardial infarction patients? A randomized controlled trial
Can an illness perception intervention reduce illness anxiety in spouses of myocardial infarction patients? A randomized controlled trial
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DOI：
10.1016/j.jpsychores.2008.11.006
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发表时间：
2009-07-01
影响因子：
4.7
通讯作者：
Petrie, Keith J.
中科院分区：
文献类型：
--
作者：
Broadbent, Elizabeth;Ellis, Chris J.;Petrie, Keith J.
目的：探讨对心肌梗死(MI)患者及其配偶进行短暂的住院疾病认知干预是否能改变配偶的疾病认知，降低配偶对疾病的焦虑。方法：57名配偶参加了一项针对心梗患者的疾病知觉干预的随机对照试验。随机接受干预的患者的配偶除了接受标准护理外，还参加了与心理学家进行的半小时患者和配偶会议。配偶在入院时和出院后第一周完成疾病感知、期望和疾病焦虑的测量，并在3个月时由患者对配偶的疾病担忧进行评分。对于配偶来说，主要的结果是干预组和对照组在焦虑方面的差异。结果：出院一周后，干预组配偶对疾病的了解程度高于对照组，对疾病的关心程度低于对照组，对遗传因素的因果归因较强，对配偶心脏状况的疑问较少。干预组的配偶报告说，他们对患者心脏恢复的能力有更积极的预期，并降低了再次发生心肌梗死的可能性。他们对患者进行体育锻炼和服用药物的焦虑程度较低，对患者症状的担忧程度也较低。干预组的配偶在3个月时被评为不那么担心疾病。结论：患者配偶是疾病知觉干预的新靶点，这些结果表明，短暂的疾病知觉干预可以改变MI患者配偶的疾病知觉，减少对疾病的焦虑。(C)2009 Elsevier Inc.保留所有权利。
Objective: To investigate whether a brief in-hospital illness perception intervention for myocardial infarction (MI) patients and their spouses could change spouses' illness perceptions and reduce spouses' anxiety about the illness. Methods: Fifty-seven spouses participated in a randomized controlled trial of an illness perception intervention for MI patients. Spouses of patients randomized to the intervention attended one half-hour patient-and-spouse session with a psychologist in addition to standard care. Spouses completed measures of illness perceptions, expectations, and illness anxiety at admission and at I week following discharge, and spouses' illness worry was rated by the patients at 3 months. The main outcome for spouses was differences in anxiety between intervention and control groups. Results: One week following discharge, spouses in the intervention group had higher illness understanding, lower concern, stronger causal attributions to hereditary factors, and fewer questions about their partner's heart condition compared to the control group. Intervention group spouses reported more positive expectations about the ability of the patient's heart to recover, and lower perceived likelihood of another MI. They had lower anxiety about the patient doing physical activity and about the patient's medications, and lower distress about the patient's symptoms. Spouses in the intervention group were rated as less worried about the illness at 3 months. Conclusion: Spouses of patients represent a new target for illness perception interventions and these results demonstrate that a brief illness perception intervention can change illness perceptions and reduce anxiety about the illness in spouses of MI patients. (C) 2009 Elsevier Inc. All rights reserved.