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July 5, 1971

Psychological Assessment of Therapy in Coronary Artery Disease

Author Affiliations

From the Department of Psychiatry, Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr. Pearson is now with the Wichita (Kan) Clinic.

JAMA. 1971;217(1):72-74. doi:10.1001/jama.1971.03190010054015

Psychologic assessment was attempted preoperatively and postoperatively in 19 patients who had cardiac revascularization. Results suggest that there is some validity in the common stereotype of the personality of the patient with myocardial ischemia as tense, striving, and overcontrolled. Two disparate modes of reacting to the threat of surgery may be distinguished—one of overt depression and anxiety, the other of hysteroid denial. Also postoperatively, two different responses were observed—placebo effect and psychologic disability.