Long-term mental health of women after a first acute myocardial infarction

Arch Phys Med Rehabil. 2003 Oct;84(10):1492-8. doi: 10.1016/s0003-9993(03)00316-2.


Objectives: To compare the long-term psychologic well-being and psychologic distress, after a first acute myocardial infarction (AMI), of women with those of men and those of a normative community sample of women and to examine the relation of sociodemographic, medical, and psychologic variables to the long-term psychologic well-being and psychologic distress of women.

Design: Longitudinal study.

Setting: Eight medical centers in central Israel.

Participants: Sixty-two women (age range, 30-65y) with documented first AMI.

Interventions: Sociodemographic, medical, and psychologic data were collected before hospital discharge (T1). Psychologic well-being and psychologic distress were assessed 5 years after AMI (T2) with the Mental Health Inventory.

Main outcome measures: Hierarchical regression was used to examine the relations among the outcome variables, psychologic well-being, and psychologic distress at T2 and the predictors, sociodemographic, medical, and psychologic variables at T1.

Results: Women had less long-term psychologic well-being and more psychologic distress after AMI than did men or the normative sample of women. Depression and concomitant medical problems were related to women's psychologic well-being; depression alone was related to their long-term psychologic distress.

Conclusions: Women with an AMI are more likely than men to have reduced psychologic well-being and increased psychologic distress. In addition, diminished mental health was related to medical and psychologic pathogenic factors.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Female
  • Humans
  • Longitudinal Studies
  • Mental Health*
  • Middle Aged
  • Myocardial Infarction / complications
  • Myocardial Infarction / psychology*
  • Myocardial Infarction / rehabilitation
  • Regression Analysis
  • Social Support
  • Stress, Psychological / epidemiology
  • Stress, Psychological / etiology*
  • Surveys and Questionnaires
  • Time Factors