title: The role of sexual satisfaction, age, and cardiac risk factors in the reduction of post-MI anxiety.
abstract: BACKGROUND
  Anxiety is common after myocardial infarction (MI); however, little is known about the role of sexual satisfaction and return to sexual activity on anxiety post-MI.
  
  
  OBJECTIVE
  To examine the role of sexual satisfaction in reducing anxiety post-MI.
  
  
  METHODS
  Patients with acute myocardial infarction (MI) recruited from one U.S. medical center completed questionnaires at baseline while hospitalized and at 1, 3, and 5 months post-MI. This analysis includes 64 patients compared on low or high anxiety at 5 months post-MI using sexual satisfaction and selected demographic and clinical variables in the analysis.
  
  
  RESULTS
  Patients with high anxiety scores reported lower sexual satisfaction (p < .001) and a higher percentage of coronary risk factors (p < .01). The OLS regression model provided similar results with an adjusted R-square of .422, accounting for approximately 42% of anxiety (p < .001). Sexual satisfaction accounted for the most variance in the model, showing an inverse relationship between sexual satisfaction and anxiety. An inverse relationship also existed between age and anxiety.
  
  
  CONCLUSIONS
  Anxiety is common after MI, and decreased sexual satisfaction appears to contribute to heightened anxiety. Attention to sexual concerns of MI patients before and after hospital discharge may improve psychosocial outcomes.
authors.affiliation: School of Nursing, Wichita State University, 1845 Fairmount, Wichita, Kansas, 67260-0041, USA. elaine.steinke@wichita.edu
authors.forename: Elaine E
authors.initials: EE
authors.lastname: Steinke
authors.forename: David W
authors.initials: DW
authors.lastname: Wright
mesh_terms: D000367:Age Factors; D000368:Aged; D000704:Analysis of Variance; D001007:Anxiety / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D003289:Convalescence / Q000523:psychology; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D016018:Least-Squares Analysis; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D015404:Nursing Methodology Research; D010351:Patient Discharge; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012720:Severity of Illness Index; D012725:Sexual Behavior / Q000523:psychology*; D011795:Surveys and Questionnaires