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Biomedical subjects

P Bohachick

Publications and source records attributed to P Bohachick.

9 recordsLinked to original sources

Psychosocial impact of heart transplantation on spouses.

The purpose of this study was to evaluate the psychosocial impact of heart transplantation on spouses and compare the adjustment of spouses and their partners. Data were collected from 51 couples prior to transplant and 12 months posttransplant. The Psychosocial Adjustment to Illness Scale (PAIS) was used to measure adjustment in seven domains. Prior to the transplant, spouses experienced profound psychosocial distress related to their partner's illness. From pretransplant to posttransplant, PAIS total score decreased (lower scores indicate better adjustment) for spouses (M = 42, SD = 16, vs. M = 26, SD = 13). Spouses showed improvement in all domains. Posttransplant, patients' and spouses' PAIS total scores (overall adjustment) were not significantly different. Spouses reported more psychological distress than patients; patients reported more problems than spouses in vocational and domestic function. Study findings highlight the importance of sensitivity in the clinical setting to the distinct psychosocial needs of spouses.

Adaptation, Psychological↗

Psychosocial outcome six months after heart transplant surgery: a preliminary report.

With improvement in survival of patients treated with heart transplant, evaluation of recovery with respect to psychosocial function has become an important issue. In this study, psychosocial functioning of 44 heart transplant recipients pretransplant was compared to their functioning 6 months posttransplant. Before transplantation, patients experienced considerable psychosocial distress attributable to illness. At 6 months after transplantation, the majority of patients showed significant improvement in emotional, domestic, sexual, social, and vocational functioning. However, 25% of patients showed deterioration in psychosocial adjustment and 11% showed an increase in mood disturbance. Further effort is indicated to improve psychosocial outcome of heart transplantation.

Adaptation, Psychological↗

Psychosocial adjustment of patients and spouses to severe cardiomyopathy.

Severe cardiomyopathy (SCM) imposes considerable psychosocial stress on families; however, little is known about the effect of SCM from the point of view of the marital couple. In this study, adjustment to SCM of 90 patients and their spouses was compared. Patients reported more vocational, domestic, and sexual problems than spouses. Spouses reported more problems in health care orientation, family relationships, and psychological distress than patients. The findings indicate that severe cardiomyopathy impacts on the psychosocial integrity of both partners. Therefore, one should plan interventions to support spouses as well as patients. Because problems of spouses and patients may differ, both partners should be assessed to appropriately target interventions.

Adaptation, Psychological↗

Progressive relaxation training in cardiac rehabilitation: effect on psychologic variables.

The purpose of this study was to investigate the effect of progressive relaxation training as a stress management technique for cardiac patients who were participants in a cardiac exercise program. After pretesting, 18 patients received 3 weeks of relaxation training in addition to their exercise therapy; a control group of 19 patients was not taught the technique. Pretesting used two instruments to measure stress levels-the Spielberger State-Anxiety Scale and selected dimensions of the Symptom Checklist-90-Revised. At the completion of the relaxation training program, both groups of patients were retested on stress-level measures. An analysis of covariance was used to test for the effects of the relaxation training program. The findings were: posttreatment mean anxiety scores for the treatment group were significantly lower (p less than .05) than that of the control group; and the posttest scores for the treatment group were significantly lower for the dimensions of (p less than .01) somatization and interpersonal sensitivity and (p less than .05) anxiety and depression than that of the control group. No systematic changes were induced in either the obsessive-compulsive or hostility dimension scores by the relaxation program.

Analysis of Variance↗