Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-25T08:07:37.713Z Has data issue: false hasContentIssue false
  • English
  • Français

Modification of Coronary-Prone Behaviors in Coronary Patients of Low Socio-Economic Status

Published online by Cambridge University Press:  10 April 2014

Antonio del Pino ,
Mª Teresa Gaos ,
Ruth Dorta  and
Martín García
Antonio del Pino*
Affiliation:
La Laguna University
Mª Teresa Gaos
Affiliation:
La Laguna University
Ruth Dorta
Affiliation:
La Laguna University
Martín García
Affiliation:
Cardiology Service of La Laguna University Hospital
*
Correspondence concerning this article should be addressed to: Antonio del Pino, Department of Personality, Assessment, and Psychological Treatments., La Laguna University. Campus de Guajara, 38205. La Laguna. Islas Canarias (Spain). E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

The purpose of this study is to determine the effectiveness of a group cognitive-behavioral treatment to modify coronary-prone behaviors in patients from a fairly low social and educational level. Participants were 98 male coronary patients randomly allocated to one experimental and two control groups. All groups received standard medical treatment. The experimental group received an additional psychological treatment and one of the two control groups received a health education treatment. Results showed that only the psychological treatment group significantly reduced Pressured Drive and Speed-Impatience after treatment, and at 1- and 2-year follow-ups. Depression was also significantly reduced only in this group at 2-year follow-up. The results are considered a reliable first step in the process of validating this program designed to improve coronary heart disease patients' quality of life.

Este estudio pretende conocer la efectividad de un tratamiento cognitivo-conductual aplicado a grupos de enfermos coronarios de un nivel educativo y status social predominantemente bajo para modificar conductas prono-coronarias. Método: La distribución de los 98 varones enfermos coronarios en un grupo experimental y dos de control se realizó al azar. Los tres grupos recibieron el tratamiento médico estándar. El grupo experimental recibió adicionalmente un tratamiento psicológico y uno de los dos grupos de control recibió además un programa de educación para la salud. Los resultados mostraron que sólo el grupo que recibió el tratamiento psicológico redujo significativamente su Comportamiento Apresurado y su Prisa-Impaciencia después del tratamiento y durante los dos años de seguimiento posteriores al tratamiento. La depresión también se redujo sólo en este grupo tras los dos años de seguimiento. Los resultados se consideran un primer paso fiable en el proceso de validar este programa diseñado para mejorar la calidad de vida de los pacientes coronarios.

Keywords

coronary patientscoronary-prone behaviorsdepressionlow socio-economic statuscognitive-behavioral treatmentType A behaviorpacientes coronariosconductas prono-coronariasdepresiónestatus socio-económico bajotratamiento cognitivo-conductualconducta tipo A
Type
Articles
Information
The Spanish Journal of Psychology , Volume 8 , Issue 1 , May 2005 , pp. 68 - 78
Copyright
Copyright © Cambridge University Press 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–71.CrossRefGoogle ScholarPubMed
Conde, V., Esteban, T., & Useros, E. (1976). Revisión crítica de la adaptación castellana del cuestionario de Beck. Revista de Psicología General y Aplicada, 31, 469–97.Google Scholar
Chambless, D.L., & Ollendick, Th. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.CrossRefGoogle ScholarPubMed
Chesney, M.A.Eagleston, J.R., & Rosenman, R.H. (1980). The Type A Structured Interview: A behavioral assessment in the rough. Journal of Behavioral Assesment, 2, 255–272.CrossRefGoogle Scholar
Dielman, T.D., Butchart, A.T., & Moss, G.E. (1990). Demographic differences in the relationships among components and global ratings of structured interview-assessed Type-A behavior in a population sample. In Strube, M.J. (Dir.), Type A behavior (Special Issue), Journal of Social Behavior and Personality, 5, 233–61.Google Scholar
Dusseldorp, E., van Elderen, T., Maes, S., Meulman, J., & Kraaij, V. (1999). A meta-analysis of psycho-educational programs for coronary heart disease patients. Health Psychology, 18, 506–19.CrossRefGoogle Scholar
Elkin, I., Shea, T., Walkins, J., Imber, S., Sotsky, S., Collins, J., Glass, D., Pilkonis, P., Leber, W., Docherty, J., Fiester, S., & Parloff, M. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971–82.CrossRefGoogle ScholarPubMed
Evon, D.M., & Burns, J.W. (2004). Process and outcome in cardiac rehabilitation: An examination of cross-lagged effects. Journal of Consulting and Clinical Psychology, 72, 605–616.CrossRefGoogle ScholarPubMed
Fernández-Abascal, E., Martín, M. D., & Domínguez, F.J. (2003). Factores de riesgo e intervenciones psicológicas eficaces en los trastornos cardiovasculares. Psicothema, 15, 615–630.Google Scholar
Friedman, M. (1996). Type A behavior: Its diagnosis and treatment. New York: Plenum Press.CrossRefGoogle Scholar
Haynes, S., Levine, S., Scotch, N., Feinleib, M., & Kannel, W.B. (1978). The relationship of psychosocial factors to coronary heart disease in the Framingham study: I. Methods and risk factors. American Journal of Epidemiology, 107, 362–83.CrossRefGoogle Scholar
Houston, B.K., Smith, Th.W., & Zuraswski, R.M. (1986). Principal dimensions of the Framingham Type A Scale: Differential relationships to cardiovascular reactivity and anxiety. Journal of Human Stress, Fall Issue, 105–12.Google Scholar
Johnston, D. W., Johnston, M., Pollard, B., Kinmonth, , & Man, D. (2004). Motivation is not enough: Prediction of risk behavior following diagnosis of coronary heart disease from the theory of planned behavior. Health Psychology, 23, 533–538.CrossRefGoogle Scholar
Kazdin, A.E., & Wilson, G.T. (1978). Evaluation of behavior therapy: Issues, evidence, and research strategies. Cambridge. MA: Ballinger.Google Scholar
Linden, W., Stossel, C., & Maurice, J. (1996). Psychosocial interventions for patients with coronary artery disease. A metaanalysis. Archives of Internal Medicine, 156, 745–52.CrossRefGoogle ScholarPubMed
Nunes, E.V., Frank, K.A., & Kornfeld, D.S. (1987). Psychologic treatment for the type A behavior pattern and for coronary heart disease: A meta-analysis of the literature. Psychosomatic Medicine, 48, 159–73.CrossRefGoogle Scholar
Pino, A. del (1998). Tratamiento cognitivo-conductual para modificar el patrón de conducta tipo A. In Caballo, V.E. (Dir.), Manual para el tratamiento cognitivo-conductual de los trastornos psicológicos. (Vol. 2, pp. 359–383). Madrid: Siglo Veintiuno de España Editores.Google Scholar
Pino, A. del, Borges, A., Díaz, S., Suárez, D., & Rodríguez, I. (1990). Propiedades psicométricas de la Escala Tipo A de Framingham. Psiquis, 11, 19–30.Google Scholar
Pino, A. del, Gaos, M.T., & Dorta, R. (1997). Validación cruzada de la Escala Tipo A de Framingham y de la Escala Breve de Bortner en una muestra de varones canarios Psicología Conductual, 5, 377–90.Google Scholar
Pino, A. del, Gaos, M.T., & Dorta, R. (1999). Construct and criterion-oriented validity of the structured interview for the assessment of the type-A behaviour pattern in a sample of Canarian males. European Journal of Psychological Assessment, 15, 39–48.Google Scholar
Roskies, E. (1987). Stress management for healthy Type A's. New York: Guilford.Google Scholar
Sánchez-Elvira, A., Pérez, A., & Bermúdez, J. (May, 1991). Variables psicosociales asociadas a la presencia de índices de riesgo cardiovascular: el Proyecto Salud. II Semana de Investigación de la Facultad de Psicología. Madrid, UNED (National Spanish Open University).Google Scholar
Siegel, J.M. (1986). The Multidimensional Anger Inventory. Journal of Personality and Social Psychology, 51, 191–200.CrossRefGoogle ScholarPubMed
Smith, Th.W., Kendall, Ph.C., & Keefe, F.J. (2002). Behavioral medicine and clinical health psychology: Introduction to the special issue. A view from the decade of behavior. Journal of Consulting and Clinical Psychology, 70, 459–62.CrossRefGoogle Scholar