Understanding and reducing stress and psychological distress in older women with heart disease |
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Authors: | Janz Nancy K Dodge Julia A Janevic Mary R Lin Xihong Donaldson Amy E Clark Noreen M |
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Institution: | School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029, USA. nkjanz@umich.edu |
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Abstract: | Stress and psychological distress were assessed in 457 older women who were subsequently randomized to a six-week heart disease management program ("Women take PRIDE") or to a "usual care" control group. Baseline distress was significantly associated with age, symptoms, physical functioning, social support, optimism, and self-esteem (p < .05). Only 20% of women reported their physician had recommended reducing stress. At four months follow-up, intervention women compared to controls were significantly more likely to report reductions in stress levels (p = 0.02) and also showed improvement in emotional behavior (p = 0.09). |
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