Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-20T04:24:38.274Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychosocial Outcome after Coronary Artery By-pass Surgery

Published online by Cambridge University Press:  29 January 2018

Christopher Bass
Christopher Bass*
Affiliation:
Academic Department of Psychological Medicine, King's College Hospital, Denmark Hill, London SE5 9RS
Get access Rights & Permissions [Opens in a new window]

Summary

Thirty-six patients with obstructive coronary artery disease were interviewed before by-pass graft surgery, and again a mean period of 12.3 months (n = 34) after the operation. The operation was successful in providing relief from chest pain in 31 patients. Psychiatric outcome was related to preoperative mental state, social maladjustment, neuroticism, Bortner Type A score, and previous psychiatric history. One quarter of those employed preoperatively failed to return to work after operation, even though they were improved in terms of symptoms and functional capacity. No association was found between measures of either psychiatric morbidity, or employment status at follow-up, and pre-operative physical variables.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 145 , Issue 5 , November 1984 , pp. 526 - 532
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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

Anderson, A. J., Barboriak, J. J., Hoffman, R. G. & Mullen, D. C. (1980) Retention or resumption of employment after aortocoronary bypass operations. Journal of the American Medical Association, 243, 543–5.Google ScholarPubMed
Bass, C. & Wade, C. (1982) Type A behaviour: not specifically pathogenic? Lancet, 2, 1147–50.Google Scholar
Bass, C. Cawley, R. H., Wade, C., Ryan, K. C., Gardner, W. N., Hutchison, D. C. S. & Jackson, G. (1983) Unexplained breathlessness and psychiatric morbidity in patients with normal and abnormal coronary arteries. Lancet, i, 605–9.Google Scholar
Bass, C. (1984) Type A behaviour in patients with chest pain: test-retest reliability and psychometric correlates of Bortner scale. Journal of Psychosomatic Research (in press).CrossRefGoogle Scholar
Bass, C. & Wade, C. (1984) Chest pain with normal coronary arteries: a comparative study of psychiatric and social morbidity. Psychological Medicine, 14, 41–51.CrossRefGoogle ScholarPubMed
Bortner, R. W. (1969) A short rating scale as a potential measure of pattern A behaviour. Journal of Chronic Disease, 22, 87–91.CrossRefGoogle Scholar
Clare, A. W. & Cairns, V. E. (1978) Design, development and use of a standardised interview to assess social maladjustment and dysfunction in community studies. Psychological Medicine, 8, 589–604.CrossRefGoogle ScholarPubMed
Cooper, B. (1972) Clinical and social aspects of chronic neurosis. Proceedings of the Royal Society of Medicine, 65, 509–12.Google ScholarPubMed
David, P., Tenaille, H. & Blain, M. (1976) Etude sur les facteurs de non-retour au travail des cardiques operes. Union Medicale du Canada (Montreal), 105, 1199–205.Google Scholar
Eysenck, H. J. & Eysenck, S. B. (1975) Manual of the Eysenck Personality Questionnaire. London: Hodder & Stoughton.Google Scholar
Friesinger, G. C., Page, E. E., & Ross, R. S. (1970) Prognostic significance of coronary angiography. Transactions of the Association of American Physicians, 83, 78–92.Google Scholar
Gath, D., Cooper, P., Bond, A. & Edmonds, G. (1982) Hysterectomy and psychiatric disorder: demographic psychiatric and physical factors in relation to psychiatric outcome. British Journal of Psychiatry, 140, 343–50.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardised psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 18–23.Google ScholarPubMed
Gundle, M. J., Reeves, B. R., Tate, S., Raft, D. & McLaurin, L. P. (1980) Psychosocial outcome after coronary artery surgery. American Journal of Psychiatry, 137, 1591–4.Google ScholarPubMed
Hammermeister, K. E., Derouen, T. A., English, M. E. & Dodge, H. T. (1979) Effect of surgical versus medical therapy on return to work in patients with coronary artery disease. American Journal of Cardiology, 44, 105–11.CrossRefGoogle Scholar
Irvine, J., Lyle, R. C. & Allon, R. L. (1982) Type A personality as psychopathology: personality correlates and an abbreviated scoring system. Journal of Psychosomatic Research, 26, 183–9.CrossRefGoogle Scholar
Lamendola, W. F. & Pelligrini, R. V. (1979) Quality of life and coronary artery bypass patients. Social Science and Medicine, 13A, 457–61.Google Scholar
Lancet (1983). Coronary bypass sugery—here to stay. Lancet, 2, 197–8.Google Scholar
Rimm, A. A., Barboriak, J. J., Anderson, A. J. & Simon, J. S. (1976) Changes in occupation after aortocoronary vein bypass operation. Journal of the American Medical Association, 236, 361–4.Google ScholarPubMed
Rosenfeldt, F. L., Lambert, R., Burrows, K. & Stirling, G. R. (1983) Hospital costs and return to work after coronary bypass surgery. Medical Journal of Australia, i, 260–3.Google Scholar
Treasure, T. (1983) Coronary artery bypass surgery. British Journal of Hospital Medicine, 30, 259–63.Google ScholarPubMed
Wallwork, J., Potter, B. & Caves, P. K. (1978) Return to work after coronary artery surgery for angina. British Medical Journal, 2, 1608–1.CrossRefGoogle ScholarPubMed
Westaby, S., Sapsford, R. N. & Bentall, H. H. (1979) Return to work and quality of life after surgery for coronary artery disease. British Medical Journal, 2, 1028–31.CrossRefGoogle ScholarPubMed
World Health Organisation (1978) The Long Term Effects of Coronary Bypass Surgery—Report of a Working Group. Copenhagen: WHO, Regional Office for Europe.Google Scholar
Zyzanski, S. J., Stanton, B. A., Jenkins, C. D. & Klein, M. D. (1981) Medical and psychosocial outcomes in survivors of major heart surgery. Journal of Psychosomatic Research, 23, 213–21.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.