title: Longitudinal study of patients after myocardial infarction: sense of coherence, quality of life, and symptoms.
abstract: BACKGROUND
  Myocardial infarction has pronounced effects on an individual that demand changes in lifestyle. Health is influenced by whether the individual experiences the world as comprehensible, meaningful, and manageable, that is, has a sense of coherence (SOC). High SOC scores indicate that the individual probably manages the situation by understanding the context and connections: action and effect.
  
  
  OBJECTIVE
  The study objective was to identify the SOC, assess the quality of life (Short Form-12 Health Survey Questionnaire), assess the symptoms using the Seattle Angina Questionnaire, and create health curves from a baseline for patients with a first myocardial infarction.
  
  
  METHODS
  A longitudinal and predictive study of 100 participants in the heart care unit of a county hospital in southern Sweden was performed.
  
  
  RESULTS
  Women score lower on SOC than men. Persons with high SOC scores have fewer angina attacks, are more physically active, drink more alcohol, are more satisfied with their treatments, and have better disease perception.
  
  
  CONCLUSIONS
  By following SOC scores, a trend emerges that suggests it may be a useful tool for identifying those who will need extra support.
authors.affiliation: Department of Internal Medicine, Division of Cardiology, County Hospital Ryhov, Jönköping, Sweden.
authors.forename: Eva
authors.initials: E
authors.lastname: Bergman
authors.forename: Dan
authors.initials: D
authors.lastname: Malm
authors.forename: Jan-Erik
authors.initials: JE
authors.lastname: Karlsson
authors.forename: Carina
authors.initials: C
authors.lastname: Berterö
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009203:Myocardial Infarction / Q000503:physiopathology / Q000523:psychology*; D016017:Odds Ratio; D011594:Psychometrics; D011788:Quality of Life; D012307:Risk Factors; D012737:Sex Factors; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology; D011795:Surveys and Questionnaires; D013997:Time Factors