title: Predicting patient expectations about survival following cardiac events.
abstract: OBJECTIVE
  To assess modifiable cognitive and behavioral factors following cardiac events and their association to patients' 3-month survival expectations.
  
  
  METHODS
  Patients (N = 233, 71% male; mean age 68years) hospitalized following cardiac events completed study packets assessing mood, behavior change, health behavior domains, and medical recommendation adherence at hospital discharge and 3 months later.
  
  
  RESULTS
  In univariate analyses, baseline depression, health distress, behavior change, and adherence were associated with positive expectations at follow-up. Multivariate regression analysis found (Adj. R²=0.43) baseline expectations and adherence were significant predictors of expectations for recovery and survival at follow-up (p < .01).
  
  
  CONCLUSIONS
  Patients' perception of adherence following a cardiac event is a potent predictor of later expectations.
authors.affiliation: Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA. howell.lisa@mayo.edu
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Howell
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Clark
authors.forename: Ross A
authors.initials: RA
authors.lastname: Dierkhising
authors.forename: Randal J
authors.initials: RJ
authors.lastname: Thomas
authors.forename: Kristin S
authors.initials: KS
authors.lastname: Vickers
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000523:psychology*; D003863:Depression / Q000523:psychology; D004644:Emotions; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology*; D010349:Patient Compliance; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires