Abstract
To study perceived health problems in subjects with differing cardiovascular status, the Nottingham Health Profile (NHP) was administered to 210 subjects 55 years of age and over. Subjects were categorized as being cardiovascular “Normals,” being hypertensive, having isolated coronary artery disease, or both being hypertensive and having coronary artery disease. An analysis of variance between the four cardiovascular strata on each of the six subscales of the NHP yielded significant differences between the groups on the subscales Pain, Physical Mobility, Energy, and Social Isolation. Subsequent conservative post hoc analyses of the group means on each of these variables indicated that the group with isolated coronary artery disease differed significantly from both the hypertensives and the Normals in Physical Mobility. For the Pain subscale the subjects with isolated coronary artery disease differed significantly from those with hypertension. There were no differences among the four cardiovascular groups in perceived health problems on the subscales Emotional Reactions and Sleep.
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References
Arnetz, B. B. (1985). Gerontic occupational therapy—psychological and social predictors of participation and therapeutic benefits.Am. J. Occup. Ther. 39(7): 219–224.
Belloc, N. B., Breslow, L., and Hochstim, J. R. (1971). The measurement of physical health in a general population survey,Am. J. Epidemiol. 93: 328.
Cape, R. D. (1986). A clinical perspective on aging.J. Otolaryngol. 15(4): 208–210.
Chen, P. C. (1987). Psychosocial factors and the health of the elderly Malaysian.Ann. Acad. Med. Singapore 16(1): 110–114.
Hessler, R. M., New, P. K., Kubish, P., and Elison, D. L. (1971). Demographic context, social interaction, and perceived health status.J. Health Soc. Behav. 12: 191.
Hunt, S. M., McKenna, S. P., McEwen, J., Backett, E. M. Williams, J., and Papp, E. (1980). A quantitative approach to perceived health status: A validation study.J. Epidemiol. Commun. Health. 34: 281–286.
Hunt, S. M. McKenna, S. P., McEwen, J., Williams, J., and Papp, E. (1981). The Nottingham Health Profile: Subjective health status and medical consultations.Social Sci. Med. 15A: 221–229.
Hunt, S. M., McEwen, J., McKenna, S. P., Backett, E. M., and Papp, E. (1982). Subjective health of patients with peripheral vascular disease.Practitioner 226: 133–136.
Hunt, S. M., McKenna, S. P., and McEwen, J. (1987).The Nottingham Health Profile Manual (Courtesy Dr. James McEwen), Kings College Hospital Medical School, University of London, London.
Imperial, E. S., Kelleher, P., Burnett, P., Holmes, M., Glodoveza, M., McQuarrie, J., Wick, D., and Mitchell, R. A. (1987).The Lidcombe Hospital Cardiac Screening for the Non-institutionalized Elderly (LH-Case). 3rd Asia/Oceania Region International Congress of Gerontology, Bangkok, Thailand.
Lawton, M. P., and Cohen, J. (1974). The generality of housing impact on the well-being of older people.J. Gerontol. 29: 194.
Levkoff, S. E., Cleary, P. D., and Wetle, T. (1987). Differences in the appraisal of health between aged and middle-aged adults.
Maddox, G. L. (1964). Self-assessment of health status.J. Chron. Dis. 17: 449.
Magaziner, J., Cadigan, D. A., Hebel, J. R., and Parry, R. E. (1988). Health and living arrangements among older women: Does living alone increase the risk of illness?J. Gerontol. 43(5): 127–133.
McDowell, F., Martini, C. J. M., and Waugh, W. (1978). A method for self-assessment of disability before and after hip replacement operations.Br. Med. J. 2: 857–859.
Mullins, L. C., Shepard, H. L., and Andersson, L. (1988) A study of loneliness among a national sample of Swedish elderly.Compr. Gerontol. (B) 2(1): 36–43.
Mullins, L. C., Tucker, R., Longino, C. F., Jr., and Marshall, V. (1989). An examination of loneliness among elderly Canadian seasonal residents in Florida.J. Gerontol. 44(2): 80–86.
Pearlman, R. A., and Uhlmann, R. F. (1988). Quality of life in chronic diseases: perceptions of elderly patients.J. Gerontol. 43(2): 25–30.
Reker, G. T., and Wong, P. T. P. (1984). Psychological and physical well-being in the elderly: The Perceived Well-Being Scale (PWB).Can. J. Aging 3: 23–32.
Reker, G. T., Peacock, E. J., and Wong, P. T. P. (1987). Meaning and purpose in life and well-being: A life-span perspective.J. Gerontol. 42: 44–49.
Schultz, R., and Fritz, S. (1987). Origins of stereotypes of the elderly: An experimental study of the self-other discrepancy.Exp. Aging Res. 13(4): 189–195.
van Zonneveld, R. J. (1987). The role of longitudinal surveys among the elderly in predicting disability and longevity.Rev. Epidemiol. Sante Publique 35(3–4): 274–281.
Wan, T. (1976). Predicting self-assessed health status: A multivariate approach.Health Ser. Res. 11: 464–477.
Willits, F. K., and Crider, D. M. (1988). Health rating and life satisfaction in the later middle years.J. Gerontol 43(5): 172–176.
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This research was supported in part by a grant from the Commonwealth Department of Health.
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Mitchell, R.A., Imperial, E., Kelleher, P. et al. Perceived health problems in subjects with varying cardiovascular diagnoses. J Behav Med 14, 505–512 (1991). https://doi.org/10.1007/BF00845107
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DOI: https://doi.org/10.1007/BF00845107