Profile of mood states and cardiac rehabilitation after acute myocardial infraction

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Following an acute myocardial infarction, evaluation of a patient's own perceptions of health, including mood state, provides useful information about the efficarcy rehabilitation when data aravailable for patients randomized to both control and intervention. Data are presented on the Profile of Mood States (POMS) in 187 patients, with mild to moderate scores for Spielberger state anxicty and/or Beck depression, who were randomized within 6 wk of acute myocardial infarction to usual care or to brief cardiac rehabilitation lasting 8 wk and who were followed-up during the 12 months following the acute event. REpeated measures multivariate analysis of covariance identified significant main as well as time effects in POMS scores over 12 months. Repeatedmeasures analysis of variance over the 12 months demonstrated significant improvement for both depression and anxiety in both groups. At 8 wk, improvement was greater in the rehabilitation patients than usual car patints but only in the tension-anxicty, depression-dejection and vigor-activity dimensions of POMS and only in anxicty in those patients withabove mean anciety scores. Overall, rehabilitation and control patients showed similar and significant improvements in anxicty, depression and in mood stats over the duration of the 12-months trial

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