Goal disturbance predicts health-related quality of life and depression 4 months after myocardial infarction

Objectives. The aim of this longitudinal study was to determine whether the event of a myocardial infarction (MI) would lead to a disturbance in important higher‐order goals, and whether goal disturbance could predict health‐related quality of life (HRQL) and depression 4 months later, in addition t...

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Bibliographic Details
Published in:British journal of health psychology 2005-11, Vol.10 (4), p.615-630
Main Authors: Boersma, Sandra N., Maes, Stan, van Elderen, Thérèse
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Aged
Angina Pectoris - psychology
Angina Pectoris - rehabilitation
Biological and medical sciences
Cardiology. Vascular system
Chest pain
Complaints
Coping strategies
Demography
Depression
Depression - psychology
Female
Follow-Up Studies
Goals
Heart
Heart attacks
Hospitalization
Humans
Internal-External Control
Male
Medical sciences
Mental depression
Middle Aged
Mood disorders
Myocardial infarction
Myocardial Infarction - psychology
Myocardial Infarction - rehabilitation
Myocarditis. Cardiomyopathies
Objectives
Patients
Personality Inventory
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of life
Quality of Life - psychology
Questionnaires
Self Care - psychology
Sick Role
Social Support
Surveys and Questionnaires
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Summary:Objectives. The aim of this longitudinal study was to determine whether the event of a myocardial infarction (MI) would lead to a disturbance in important higher‐order goals, and whether goal disturbance could predict health‐related quality of life (HRQL) and depression 4 months later, in addition to baseline scores, demographic characteristics, presence of anginal complaints (AP) or chest pain, coping strategies and social support. Method. A total of 113 MI patients completed questionnaires shortly after hospitalization (T1) and 4 months later (T2), assessing (an impact of the event on) important higher‐order goals (T1), disease‐related coping strategies (T1), perceived adequacy of social support (T2), AP (T2), HRQL, and depression (T2). Two separate hierarchical regression analyses were performed with HRQL and depression at T2 as dependent variables. Results. The results suggest that the experience of an MI has an impact on the attainment of higher‐order goals. Goal disturbance is an independent predictor of both HRQL and depression after MI. Conclusion. A goal theory perspective can provide additional insights into HRQL outcomes after an MI.
ISSN:1359-107X
2044-8287
DOI:10.1348/135910705X52525