Abstract • Six hundred fifty-one men who suffered at least one myocardial infarction eight weeks to 36 months earlier were randomly assigned to participate for at least two years as control subjects or subjects in a prescribed, supervised exercise training program. Psychosocial results at baseline and at the sixth-month, one-year, and two-year follow-ups are presented. With minimal exception, no differences were noted between the control and exercise groups at any of the testing periods. Several explanations for the lack of exercise-induced psychosocial benefit are provided. (Arch Intern Med 1982;142:1093-1097) References 1. Hackett T, Cassem N: Psychological factors related to exercise , in Wenger N (ed): Exercise and the Heart. Philadelphia, FA Davis Co, 1978, pp 223-242. 2. Hellerstein H, Hornsten T: Assessing and preparing the patient for return to a meaningful and productive life. J Rehabil 1966;32:48-52. 3. Naughton J, Bruhn J, Lategola M: Effects of physical training on physiologic and behavioral characteristics of cardiac patients. Arch Phys Med Rehabil 1968;49:131-137. 4. Plavsic C, Turkulin K, Perman Z, et al: The results of exercise therapy in coronary prone individuals and coronary patients. G Ital Cardiol 1976;6:422-432. 5. Hackett T, Cassem N: Psychological adaptation to convalescence in myocardial infarction patients , in Naughton J, Hellerstein H (eds): Exercise Testing and Exercise Training in Coronary Heart Disease. New York, Academic Press Inc, 1973, pp 253-262. 6. Cardiac Rehabilitation 1975—Report of a joint working party of the Royal College of Physicians of London and the British Cardiac Society on Rehabilitation after cardiac illness. J R Coll Physicians Lond 1975;9:281-346. 7. Kavanaugh T, Shephard R, Tuck J, et al: Depression following myocardial infarction: The effects of distance running. Ann NY Acad Sci 1977;301:1029-1037.Crossref 8. Selvester R, Camp J, Sanmarco M: Effects of exercise training on progression of documented coronary arteriosclerosis in men. Ann NY Acad Sci 1977;301:495-508.Crossref 9. Naughton J (for the Project Staff): The National Exercise and Heart Disease Project: Development, recruitment and implementation , in Wenger N (ed): Exercise and the Heart. Philadelphia, FA Davis Co, 1978, pp 205-222. 10. Shaw L (for the Project Staff): Effects of a prescribed, supervised exercise program on mortality and cardiovascular morbidity in myocardial infarction subjects. Am J Cardiol 1981;48:39-46.Crossref 11. Rotter J: Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr 1966;80:1-28.Crossref 12. Holmes T, Rahe R: The social readjustment rating scale. JPsychosom Res 1967;11:213-218.Crossref 13. Hathaway S, Meehl P: An Atlas for the Clinical Use of the MMPI. Minneapolis, University of Minnesota Press, 1951. 14. Katz M, Lyerly S: Methods of measuring adjustment and social behavior in the community: I. Rationale, discriminative validity and scale development. Psychol Rep 1963;13:503-535.Crossref 15. Naughton J (for the Project Staff): The National Exercise and Heart Disease Project: The pre-randomization exercise program. Cardiology 1978;63:352-367.Crossref 16. Stern M, Cleary P (for the Project Staff): The National Exercise and Heart Disease Project: Psychosocial changes observed during a low-level exercise program. Arch Intern Med 1981;141:1463-1467.Crossref 17. Kavanaugh T, Shephard R, Pandit V, et al: Exercise and hypnotherapy in the rehabilitation of the coronary patient. Arch Phys Med Rehabil 1970;51:578-587. 18. Kavanaugh T, Shephard R: Intensive exercise in coronary rehabilitation. Med Sci Sports 1973;5:34-39.
Archives of Internal Medicine – American Medical Association
Published: Jun 1, 1982