Anxiety disorders include generalized anxiety disorder, social anxiety, and panic disorder. Excellent treatment is available for anxiety attacks, as well as panic attack symptoms, including medication and psychotherapy. Everyone has felt depressed. Yet the sadness and other symptoms of depression that are intense and last for long periods of time can al clinical depression or major depression, a serious medical illness that needs professional care. Heart disease is the leading cause of death for men and women in the United States.
This longitudinal study investigated the relationship between denial of illness and the course of recovery in patients with coronary heart disease. Using a newly developed interview instrument, the Levine Denial of Illness Scale LDISthe level and modes of denial were assessed in 45 male patients who were hospitalized for myocardial infarction or for coronary bypass surgery, of whom 30 were followed for 1 year after discharge. The reliability, internal consistency, and validity of the LDIS were found to be satisfactory.
Furthermore, the LDIS showed discriminant validity from trait measures of denial. LDIS scores were not associated with severity of illness or risk factors. High deniers spent fewer days in intensive care and had fewer s of cardiac dysfunction during their hospitalization relative to low deniers.
However, in the year following discharge, high deniers adapted more poorly than low deniers: high deniers were more noncompliant with medical recommendations and required more days of rehospitalization. The findings suggest that denial of illness is adaptive during acute hospital recovery, but is maladaptive in the long-run after hospital discharge.
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The role of denial in recovery from coronary heart disease
Optional text in :. Save Cancel. Create a file for external citation management software Create file Cancel. of items displayed: 5 10 15 20 50 Create RSS Cancel. RSS Link Copy. Full text links Cite Display options Display options. Abstract This longitudinal study investigated the relationship between denial of illness and the course of recovery in patients with coronary heart disease. Similar articles Denial and medical outcome in unstable angina.
Levenson JL, et al. Psychosom Med. PMID: Defensive coping and blood pressure reactivity in medical patients.
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Warrenburg S, et al. J Behav Med. A two factor model of denial of illness: a confirmatory factor analysis. Levine J, et al. J Psychosom Res. A reconsideration of the denial mechanism in psychosomatic diseases and particularly in coronary disease]. Janne P, et al. Ann Med Psychol Paris. PMID: Review. Sirois F. See all similar articles. Cited by 17 articles The use of generic avoidant coping scales for psychosocial adaptation to chronic illness and disability: A systematic review. Livneh H. Health Psychol Open. Illness denial questionnaire for patients and caregivers. Rossi Ferrario S, et al.
Neuropsychiatr Dis Treat. Solomou S, et al. Case Rep Psychiatry. Epub Oct Coping strategies and mental health outcomes of conflict-affected persons in the Republic of Georgia.
Saxon L, et al. Epidemiol Psychiatr Sci. Epub Jan Denial of cardiac illness: consequences and management. Covino JM, et al.
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