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Quality of Life Research

, Volume 14, Issue 3, pp 749–757 | Cite as

Health-related quality of life in women and men one year after acute myocardial infarction

  • Eva BrinkEmail author
  • Gunne Grankvist
  • Björn W. Karlson
  • Lillemor R.-M. Hallberg
Article

Abstract

The purpose of the present study was, first, to detect possible changes in health-related quality of life (HRQL) over time and, second, to predict HRQL at 1 year based on measures made 1 week and 5 months after a first-time acute myocardial infarction. There was an improvement in HRQL at 1 year, as measured by the questionnaire 36-item Medical Outcomes Study Short-Form (SF-36), for both men and women as compared with the assessment 5 months after the acute myocardial infarction. However, the pattern was somewhat different for women and men. Women mainly reported increased scores on scales reflecting better mental health, whereas men, on the whole, demonstrated higher scores in the physical health domain. Depression (HAD) and fatigue were identified as early predictors of lower HRQL at the 1-year follow-up. Our conclusion is that early assessment of fatigue and depression is worthwhile, as they may indicate decreased HRQL in men and women 1 year after first-time myocardial infarction.

Keywords

Depression Fatigue Health-related quality of life Myocardial infarction 

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References

  1. Fayers, PM, Machin, D 2000Quality of Life. Assessment, Analysis and Interpretation.John Wiley & Sons LtdChichesterGoogle Scholar
  2. Ware, JE, Gandek, B 1998Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project.J Clin Epidemiol51903912CrossRefPubMedGoogle Scholar
  3. Holcik, J, Koupilova, I 1999Defining and assessing health-related quality of life.Centr Eur J Public Health7207209Google Scholar
  4. Dempster, M, Donnelly, M 2000Measuring the health related quality of life of people with ischaemic heart disease.Heart83641644Google Scholar
  5. Sullivan, M, Karlsson, J, Taft, C 1997SF-36 Hälsoenkät: Svensk Manual och tolkningsguide, Tillägg Appendix 1 (Swedish manual and interpretation guide, Appendix 1).Sahlgrenska University HospitalGöteborgGoogle Scholar
  6. Plevier, CM, Mooy, JM, Marang-Van de Mheen, PJ, Stouthard, MEA, Visser, MC, Grobbee, DE, Gunning-Schepers, LJ 2001Persistent impaired functioning in survivors of a myocardial infarction?Qual Life Res10123132Google Scholar
  7. Brown, N, Melville, M, Gray, D,  et al. 1999Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population.Heart81352358Google Scholar
  8. Brink, E, Karlson, BW, Hallberg, LR-M 2002Health experiences of first-time myocardial infarction: factors influencing women’s and men’s health-related quality of life after five months.Psychol Health Med7516Google Scholar
  9. Ware, JE, Kosinski, M, Keller, SD 1994SF-36 Physical and Mental Health Summary Scales–A User’s Manual.New England Medical CenterBoston, MAGoogle Scholar
  10. Sullivan, M, Karlsson, J, Ware, JE 1995The Swedish SF-36 Health Survey: I. Evaluation of data quality, scaling assumptions, reliability, and construct validity across general populations in Sweden.Soc Sci Med4113491358Google Scholar
  11. Zigmond, AS, Snaith, RP 1983The Hospital Anxiety and Depression scale.Acta Psych Scand67361370Google Scholar
  12. Herrmann, C 1997International experiences with the hospital anxiety and depression scale–a review of validation data and clinical results.J Psychosom Res421741CrossRefPubMedGoogle Scholar
  13. Brink E, Cliffordsson C, Karlson B. Dimensions of the scale Somatic Health Complaints in a sample of myocardial infarction patients (to be published).Google Scholar
  14. McGee, HM, Johnston, M, Pollard, P, Hevey, D 2000Does myocardial infarction have a greater impact on women than on men? Testing hypotheses about effects of gender role models and responsibilities.Eur Rev Appl Psychol50333340Google Scholar
  15. Shumaker, SA, Brooks, MM, Schron, EB,  et al. 1997Gender differences in health-related quality of life among postmyocardial infarction patients: Brief report.Wom Health35360Google Scholar
  16. Westin, L, Carlsson, R, Erhardt, L, Cantor-Graae, E, McNeil, T 1999Differences in quality of life in men and women with iscemic heart disease.Scand Cardiovasc J33160165Google Scholar
  17. Wiklund, I, Herlitz, J, Johansson, S, Bengtson, A, Karlson, BW, Persson, NG 1993Subjective symptoms and well-being differ in woman and men after myocardial infarction.Eur Heart J1413151319Google Scholar
  18. Gijsbers Wijk, CMT, Kolk, AM 1997Sex differences in physical symptoms: the contribution of symptom perception theory.Soc Sci Med45231246Google Scholar
  19. Pennebaker, JW 2000Psychological factors influencing the reporting of physical symptoms.Stone, ITurkkan, J eds. The Science of Self-Report.Lawrence ErlbaumMahwah NJ299315Google Scholar
  20. Charmaz, K 1995The body, identity, and self: Adapting to impairment.Sociol Quart36657680Google Scholar
  21. Frasure-Smith, N, Lespérance, F, Juneau, M, Talajic, M, Bourassa, MG 1999Gender, depression, and one-year prognosis after myocardial infarction.Psychosom Med612637Google Scholar
  22. Lane, D, Carroll, D, Ring, C, Beevers, DG, Gregory, YH 2001Mortality and quality of life 12 months after myocardial infarction: effects of depression and anxiety.Psychosom Med63221230Google Scholar
  23. Martin, CR, Thompson, DR 2000A psychometric evaluation of the hospital anxiety and depression scale in coronary care patients following acute myocardial infarction.Psychol Health Med5193201Google Scholar
  24. Wojciechowski, FL, Strik, JJ, Falger, P, Lousberg, R, Honig, A 2000The relationship between depressive and vital exhaustion symptomatology post-myocardial infarction.Acta Psych Scand102359365Google Scholar
  25. Pedhazur, EJ 1997Multiple Regression in Behavioral Research. Explanation and Prediction.Harcourt Brace College PublishersOrlandoGoogle Scholar
  26. Appels, A 1997Why do imminent victims of a cardiac event feel so tired.Int J Clin Practice51447450Google Scholar
  27. Rozanski, A, Blumenthal, JA, Kaplan, J 1999Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy.Circulation2721922217Google Scholar
  28. Berzon, RA 1999Understanding and using health-related quality of life instruments within clinical research studies.Staquet, MJHays, RDFayers, PM eds. Quality of Life Assessment in Clinical Trials. Methods and practice.University PressOxford315Google Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  • Eva Brink
    • 1
    Email author
  • Gunne Grankvist
    • 2
  • Björn W. Karlson
    • 3
  • Lillemor R.-M. Hallberg
    • 4
  1. 1.Department of Nursing, Health and CultureUniversity of Trollhättan/UddevallaVänersborgSweden
  2. 2.Department for Studies of the Individual and SocietyUniversity of Trollhättan/UddevallaSweden
  3. 3.Division of CardiologySahlgrenska University HospitalGöteborg
  4. 4.School of Social and Health SciencesHalmstad UniversitySweden

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