Psychological factors in the recovery of coronary artery disease patients in Northern Norway

• Main Author: Bergvik, Svein
• Format: Doctoral or Postdoctoral Thesis
• Language: English
• Published: University of Tromsø 2009
• Subjects: VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Cardiology: 771; VDP::Social science: 200::Psychology: 260::Other psychology disciplines: 279; VDP::Medical disciplines: 700::Health sciences: 800::Preventive medicine: 804; Bergvik; Norway; Northern Norway
• Online Access: https://hdl.handle.net/10037/2104

Papers number 1 and 3 of the thesis are submitted versions, and not available in Munin. Paper 4 is not available due to publisher's restriction: 1. Bergvik, S., Sørlie, T., & Wynn, R.: 'Approach and avoidance coping and Regulatory Focus in patients having Coronary Artery Bypass Graft surgery.' 3. Bergvik, S., Sørlie, T., Wynn, R., & Sexton, H.: 'Psychosocial factors associated with return to work following CABG and PCI treatment in coronary patients in Northern Norway.' 4. Bergvik, S., Wynn, R., & Sørlie, T. (2008): 'Nurse training of a patient-centered information procedure for CABG patients.' Patient Education and Counseling, 70, 227-233 (Elsevier). Available at http://dx.doi.org/10.1016/j.pec.2007.10.013 The thesis comprises four studies of psychosocial factors associated with the recovery of patients following Coronary Artery Bypass Graft (CABG) surgery and Percutaneous Coronary Intervention (PCI) treatment in Northern Norway. Paper I describes an interview study of nine patients following CABG surgery. The patients reported extensive use of avoidant (e.g. neglecting symptoms, avoiding thoughts about illness) and approach coping strategies (e.g. persistently searching for a diagnosis, mentally preparing for surgery). In paper II, a Norwegian translation of the Type D personality measure (DS14) was tested in a survey of 432 CABG and PCI patients. The instrument showed acceptable psychometric properties. The prevalence of Type D personality was relatively low (18%) compared to other European and US studies. Based on the same survey, paper III describes a study of psychosocial and treatment factors associated with Return To Work (RTW) in 185 CABG and PCI patients that were working prior to hospitalization. Six independent and significant factors were associated with RTW, including age below 67 years, higher education and Internal Locus of Control (LoC) as positive predictors. CABG, smoking and Powerful Others LoC were negative predictors. Paper IV describes the development, training and ...