title: Alternative coping strategies and decision delay in seeking care for acute myocardial infarction.
abstract: OBJECTIVE
  In attempting to manage acute myocardial infarction (AMI) symptoms, individuals often engage in coping strategies that cause them to delay seeking timely medical care. Review of the literature revealed that several coping strategies were examined in relation to AMI delay, but there were no studies investigating the extent of use of each coping strategy. The purpose of this study was to examine the extent of use of 15 coping strategies and their associations with the time taken to decide to seek medical care.
  
  
  METHODS
  Secondary data analyses were performed on a sample of 135 patients with AMI from Canada and the United States from whom data were collected via structured interviews. Descriptive analyses were used to identify the extent of use of alternative coping strategies. Spearman rho was used to test the associations of these strategies with decision delay.
  
  
  CONCLUSIONS
  The 3 most frequently used coping strategies were trying to relax, wishing/praying for symptoms to disappear, and discussing symptoms with someone. Nine coping strategies were significantly associated with decision delay. The findings of this study are useful in teaching patients about avoiding the use of coping strategies when faced with AMI symptoms. This can potentially help reduce delays in seeking care for AMI, which will result in better health outcomes for patients with AMI.
authors.affiliation: Windsor Regional Hospital, Windsor, Ontario. mihaz2004@yahoo.com
authors.forename: Mihaela
authors.initials: M
authors.lastname: Zegrean
authors.forename: Susan M
authors.initials: SM
authors.lastname: Fox-Wasylyshyn
authors.forename: Maher M
authors.initials: MM
authors.lastname: El-Masri
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010353:Patient Education as Topic; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D013997:Time Factors; D014481:United States