Causal Attributions for Coronary Heart Disease Among Female Cardiac Patients

AbstractCardiac rehabilitation is a package of lifestyle secondary prevention strategies designed for patients with coronary heart disease and chronic heart failure. A community-based cardiac rehabilitation programme provides patients with a structured exercise training intervention alongside educational support and psychological counselling. This review provides an update regarding the clinical benefits of community-based cardiac rehabilitation from a psycho-physiological perspective, and also focuses on the latest epidemiological evidence regarding potential survival benefits. Behaviour change is key to long-term adoption of a healthy and active lifestyle following a cardiac event. In order for lifestyle interventions such as structured exercise interventions to be adopted by patients, practitioners need to ensure that behaviour change programmes are mapped against patient’s priorities and values, and adapted to their level of readiness and intention to engage with the target behaviour. We review the evidence regarding behaviour change strategies for cardiac patients and provide practitioners with the latest guidance. The ‘dose’ of exercise training delivered to patients attending exercise-based cardiac rehabilitation is an important consideration because an improvement in peak oxygen uptake requires an adequate physiological stimulus to invoke positive physiological adaptation. We conclude by critically reviewing the latest evidence regarding exercise dose for cardiac patients including the role of traditional and more contemporary training interventions including high intensity interval training.

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Coronary heart disease beliefs and misconceptions among cardiac patients and people with chronic illness

Open Journal of Nursing ◽

10.4236/ojn.2012.21001 ◽

2012 ◽

Vol 02 (01) ◽

pp. 1-7 ◽

Cited By ~ 8

Author(s):

Yu-Ping Lin ◽

Tsae-Jyy Wang ◽

Heng-Hsin Tung ◽

Gill Furze

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Chronic Illness ◽

Cardiac Patients

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Management of depression in patients with coronary heart disease: association, mechanisms, and treatment implications for depressed cardiac patients

Expert Opinion on Pharmacotherapy ◽

10.1517/14656566.2010.513701 ◽

2010 ◽

Vol 12 (1) ◽

pp. 85-98 ◽

Cited By ~ 18

Author(s):

Jenny T Wang ◽

Benson Hoffman ◽

James A Blumenthal

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Disease Association ◽

Cardiac Patients

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Causal attributions for raised cholesterol and perceptions of effective risk-reduction: Self-regulation strategies for an increased risk of coronary heart disease

Psychology and Health ◽

10.1080/14768320601020253 ◽

2007 ◽

Vol 22 (6) ◽

pp. 699-717 ◽

Cited By ~ 23

Author(s):

Victoria Senior∗ ◽

Theresa M. Marteau∗

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Risk Reduction ◽

Causal Attributions ◽

Self Regulation ◽

Increased Risk ◽

Regulation Strategies

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Causal Attributions and Coronary Heart Disease in Women

Psychological Reports ◽

10.2466/pr0.1993.73.2.627 ◽

1993 ◽

Vol 73 (2) ◽

pp. 627-636 ◽

Cited By ~ 23

Author(s):

Kathryn Graff Low ◽

Carl E. Thoresen ◽

Jerry R. Pattillo ◽

Nancy Fleischmann

Keyword(s):

Coronary Heart Disease ◽

Logistic Regression ◽

Heart Disease ◽

Family History ◽

Attributional Style ◽

Causal Attributions ◽

Marital Problems ◽

Postmyocardial Infarction ◽

Personal Behavior ◽

The Relationship

The relationship between coronary heart-disease endpoints and attributional style in women has been previously unexamined. This study examined the attributions of 73 postmyocardial infarction (MI) women about their heart disease and explored the relationship between attributions and nonfatal coronary recurrence Women's primary causal attributions included personal behavior (9.6%), blaming others (19.3%), stress (28.8%), luck (12.3%), and family history (13.7%). The largest proportion of recurrences occurred in women attributing their infarcts to marital problems. Of the attributional ratings, ascriptions involving spouses were the only attributions that met entry criteria for logistic regression ( p = .019) after controlling for severity of first infarction.

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