title: [Psychological development up to the 1st year following acute myocardial infarct in relation to physical and social rehabilitation].
abstract: In 64 patients with definitive myocardial infarction the development of the neurotic-functional disturbances up to the 12th month after myocardial infarction depending upon the duration of the rehabilitation phase I, the physical functional capacity, the cardiovascular morbidity and the professional rehabilitation was examined by means of the standardized questionnaire of complaints and the questionnaire of behaviour after Hess and Höck. The great proportion of psychic disturbances (questionnaire of complaints = 39%, questionnaire of behaviour = 33%) after admission of the patients from the intensive care unit had reduced spontaneously by 1/3 both in a 5-6 weeks and in a 3 weeks duration of the phase I without fully decreasing to the level of the average population. In these cases patients with low watt energy up to the 3rd month showed more frequently neuroses, whereas cardiovascular complications, the enlargement of the left ventricle and the unsolved situation of the professional rehabilitation increased the number of neuroses in rehabilitands in phase III. The investigations confirmed the connection of physical and social with psychic rehabilitation, particularly the use of the further shortening of the early mobilisation in suitable patients for their psychic stability. But the results of the study also emphasize the necessity of the early beginning psychotherapy, in order to prevent neurotic developments after myocardial infarction.
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology* / Q000534:rehabilitation; D009497:Neurotic Disorders / Q000523:psychology; D012803:Sick Role; D012917:Social Adjustment
vernacular_title: Die psychische Entwicklung bis zum ersten Jahr nach akutem Myokardinfarkt in Abhängigkeit vom Stand der physischen und sozialen Rehabilitation.