Background: Patients can report positive effects of myocardial infarction. It is unknown
whether these effects are sustained or what factors influence adaptation.
Objectives: To explore primary care patients’ perceptions of the effect of coronary heart
disease and to identify possible modifiable predictors of adaptation.
Design and setting: Cross-sectional, sub-study of UPBEAT cohort participants. Patients
were recruited from coronary heart disease Registers in South London General Practices.
Method: 548 participants were asked ‘‘Has having heart disease changed your life? If so,
was that change for the better, worse, both or neither?’’ Participants were asked to explain
their response; explanations were subjected to content analysis. Associations between
response and lifestyle, demographic, mood and coronary heart disease variables were
tested.
Background: Patients can report positive effects of myocardial infarction. It is unknownwhether these effects are sustained or what factors influence adaptation.Objectives: To explore primary care patients’ perceptions of the effect of coronary heartdisease and to identify possible modifiable predictors of adaptation.Design and setting: Cross-sectional, sub-study of UPBEAT cohort participants. Patientswere recruited from coronary heart disease Registers in South London General Practices.Method: 548 participants were asked ‘‘Has having heart disease changed your life? If so,was that change for the better, worse, both or neither?’’ Participants were asked to explaintheir response; explanations were subjected to content analysis. Associations betweenresponse and lifestyle, demographic, mood and coronary heart disease variables weretested.
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