Chest pain self-management training for patients with coronary artery disease.
This study was designed to evaluate the efficacy of a brief, structured pain management program to improve control over chest pain episodes in patients diagnosed with coronary artery disease. Twenty-six male veterans who attended the three-session program were compared with twenty-six matched controls. Results indicated significant short-term reductions in self-report of number of chest pain episodes in treated subjects. Self-report of pretreatment daily physical activity level moderated treatment outcome, as individuals reporting lower levels of physical activity derived greater benefit than their high-activity counterparts. These results suggest the potential utility of incorporating chest pain control strategies into comprehensive cardiac rehabilitation programs.
Veterans Affairs Medical Center, Jackson, Mississippi 39216.
T J
TJ
Payne
C A
CA
Johnson
D B
DB
Penzien
J
J
Porzelius
G
G
Eldridge
S
S
Parisi
J
J
Beckham
L
L
Pbert
R
R
Prather
G
G
Rodriguez
D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000523:psychology* / Q000534:rehabilitation; D001143:Arousal; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000523:psychology; D003327:Coronary Disease / Q000523:psychology* / Q000534:rehabilitation; D015444:Exercise / Q000523:psychology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology / Q000534:rehabilitation; D010147:Pain Measurement; D010555:Personality Inventory; D012648:Self Care / Q000523:psychology*; D016896:Treatment Outcome