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Modification of Coronary-Prone Behaviors in Coronary Patients of Low Socio-Economic Status

Published online by Cambridge University Press:  10 April 2014

Antonio del Pino ,
Mª Teresa Gaos ,
Ruth Dorta  and
Martín García
Antonio del Pino*
Affiliation:
La Laguna University
Mª Teresa Gaos
Affiliation:
La Laguna University
Ruth Dorta
Affiliation:
La Laguna University
Martín García
Affiliation:
Cardiology Service of La Laguna University Hospital
*
Correspondence concerning this article should be addressed to: Antonio del Pino, Department of Personality, Assessment, and Psychological Treatments., La Laguna University. Campus de Guajara, 38205. La Laguna. Islas Canarias (Spain). E-mail: apino@ull.es
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Abstract

The purpose of this study is to determine the effectiveness of a group cognitive-behavioral treatment to modify coronary-prone behaviors in patients from a fairly low social and educational level. Participants were 98 male coronary patients randomly allocated to one experimental and two control groups. All groups received standard medical treatment. The experimental group received an additional psychological treatment and one of the two control groups received a health education treatment. Results showed that only the psychological treatment group significantly reduced Pressured Drive and Speed-Impatience after treatment, and at 1- and 2-year follow-ups. Depression was also significantly reduced only in this group at 2-year follow-up. The results are considered a reliable first step in the process of validating this program designed to improve coronary heart disease patients' quality of life.

Este estudio pretende conocer la efectividad de un tratamiento cognitivo-conductual aplicado a grupos de enfermos coronarios de un nivel educativo y status social predominantemente bajo para modificar conductas prono-coronarias. Método: La distribución de los 98 varones enfermos coronarios en un grupo experimental y dos de control se realizó al azar. Los tres grupos recibieron el tratamiento médico estándar. El grupo experimental recibió adicionalmente un tratamiento psicológico y uno de los dos grupos de control recibió además un programa de educación para la salud. Los resultados mostraron que sólo el grupo que recibió el tratamiento psicológico redujo significativamente su Comportamiento Apresurado y su Prisa-Impaciencia después del tratamiento y durante los dos años de seguimiento posteriores al tratamiento. La depresión también se redujo sólo en este grupo tras los dos años de seguimiento. Los resultados se consideran un primer paso fiable en el proceso de validar este programa diseñado para mejorar la calidad de vida de los pacientes coronarios.

Keywords

coronary patientscoronary-prone behaviorsdepressionlow socio-economic statuscognitive-behavioral treatmentType A behaviorpacientes coronariosconductas prono-coronariasdepresiónestatus socio-económico bajotratamiento cognitivo-conductualconducta tipo A
Type
Articles
Information
The Spanish Journal of Psychology , Volume 8 , Issue 1 , May 2005 , pp. 68 - 78
Copyright
Copyright © Cambridge University Press 2005

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