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Relation of anxiety and adherence to risk-reducing recommendations following myocardial infarction
The American Journal of Cardiology, 06/22/09

Kuhl EA et al. – Anxiety during initial hospitalization and 4 mo later is associated with lower adherence to many important risk-reducing recommendations after myocardial infarction (MI). Additional research must evaluate whether treating anxiety can improve adherence in this setting.

• Study of the effect of anxiety on adherence after MI
• Assessment of 278 pts hospitalized for MI
• Beck Anxiety Inventory for anxiety during hospitalization (baseline) and at 4-mo follow-up
• Calculation of an anxiety summary score to assess anxiety across both points
• Adherence measures: following low-sodium/low-fat diet, exercising regularly, taking medications, decreasing stress, carrying medical supplies, increasing socialization, following diabetic diet, measuring blood glucose levels, and smoking cessation for smokers

• Baseline anxiety associated with younger age, female gender, hypertension, tobacco use, depression, and current mood disorder
• At 4-mo follow-up, anxiety associated with living alone, history of coronary artery disease, and Killip class >1
• Summary anxiety associated with worse exercise adherence, reducing stress, increasing socialization, and smoking cessation but with better adherence to carrying supplies
• After controlling for demographic, cardiovascular, and psychological factors, summary anxiety predicted worse adherence to reducing stress and increasing socialization and was only significant predictor of worse adherence to smoking cessation and better adherence to carrying supplies

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