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Adaptive behavior in stressful situations in relation to postinfarction mortality results from prospective cohort study ‘men born in 1914’ in malmö, Sweden

  • Lena André-Petersson
  • Bo Hagberg
  • Lars Janzon
  • Gunilla Steen
Article

Abstract

The serial Color Word Test, which is a semi-experimental way to differentiate adaptive behavior in stressful situations, was administered at baseline to men participating in the prospective cohort study ‘Men born in 1914’. During follow-up, from 1982-1983 until December 31, 1996, 133 men experienced a myocardial infarction. Four patterns of adaptive behavior in 2 separate dimensions, the Variability and the Regression, can be discerned during testing. These patterns were compared regarding outcome following the myocardial infarction. The Cumulative-dissociative pattern of the Regression dimension was univariately associated with mortality within 28 days (OR 5.75, CI 1.85-17.88, p = .003). Dissociative (OR 3.87, CI 1.21-12.42, p = .023) and Cumulative-dissociative (OR 5.46, CI 1.66-17.96, p= .005) patterns, of the same dimension, were independently associated with mortality within one year. Specific difficulties in adaptation to stressful situations were associated with increased risk of death following a myocardial infarction. In this male sample, these difficulties could be identified with the serial Color Word Test.

Key words

adaptive behavior stress mortality myocardial infarction Color Word Test 

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Copyright information

© International Society of Behavioral Medicine 2003

Authors and Affiliations

  • Lena André-Petersson
    • 1
  • Bo Hagberg
    • 2
  • Lars Janzon
    • 3
  • Gunilla Steen
    • 4
  1. 1.Department of Community MedicineMalmö University HospitalMalmöSweden
  2. 2.Gerontology Research Center, LundSweden
  3. 3.Division of Epidemiology, Department of Community MedicineMalmö University HospitalSweden
  4. 4.Department of Geriatric MedicineGöteborg UniversitySweden

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