The role of denial in recovery from coronary heart disease

J. Levine, S. Warrenburg, R. Kerns, Gary E Schwartz, R. Delaney, A. Fontana, A. Gradman, S. Smith, S. Allen, R. Cascione

Research output: Contribution to journalArticle

141 Citations (Scopus)

Abstract

This longitudinal study investigated the relationship between denial of illness and the course of recovery in patients with coronary heart disease. Using a newly developed interview instrument, the Levine Denial of Illness Scale (LDIS), the level and modes of denial were assessed in 45 male patients who were hospitalized for myocardial infarction or for coronary bypass surgery, of whom 30 were followed for 1 year after discharge. The reliability, internal consistency, and validity of the LDIS were found to be satisfactory. Furthermore, the LDIS showed discriminant validity from trait measures of denial. LDIS scores were not associated with severity of illness or risk factors. High deniers spent fewer days in intensive care and had fewer signs of cardiac dysfunction during their hospitalization relative to low deniers. However, in the year following discharge, high deniers adapted more poorly than low deniers: high deniers were more noncompliant with medical recommendations and required more days of rehospitalization. The findings suggest that denial of illness is adaptive during acute hospital recovery, but is maladaptive in the long-run after hospital discharge.

Original languageEnglish (US)
Pages (from-to)109-117
Number of pages9
JournalPsychosomatic Medicine
Volume49
Issue number2
StatePublished - 1987
Externally publishedYes

Fingerprint

Coronary Disease
Critical Care
Longitudinal Studies
Hospitalization
Myocardial Infarction
Interviews

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Levine, J., Warrenburg, S., Kerns, R., Schwartz, G. E., Delaney, R., Fontana, A., ... Cascione, R. (1987). The role of denial in recovery from coronary heart disease. Psychosomatic Medicine, 49(2), 109-117.

The role of denial in recovery from coronary heart disease. / Levine, J.; Warrenburg, S.; Kerns, R.; Schwartz, Gary E; Delaney, R.; Fontana, A.; Gradman, A.; Smith, S.; Allen, S.; Cascione, R.

In: Psychosomatic Medicine, Vol. 49, No. 2, 1987, p. 109-117.

Research output: Contribution to journalArticle

Levine, J, Warrenburg, S, Kerns, R, Schwartz, GE, Delaney, R, Fontana, A, Gradman, A, Smith, S, Allen, S & Cascione, R 1987, 'The role of denial in recovery from coronary heart disease', Psychosomatic Medicine, vol. 49, no. 2, pp. 109-117.
Levine J, Warrenburg S, Kerns R, Schwartz GE, Delaney R, Fontana A et al. The role of denial in recovery from coronary heart disease. Psychosomatic Medicine. 1987;49(2):109-117.
Levine, J. ; Warrenburg, S. ; Kerns, R. ; Schwartz, Gary E ; Delaney, R. ; Fontana, A. ; Gradman, A. ; Smith, S. ; Allen, S. ; Cascione, R. / The role of denial in recovery from coronary heart disease. In: Psychosomatic Medicine. 1987 ; Vol. 49, No. 2. pp. 109-117.
@article{c4e6285ec6ea435ebaebee0e0080664e,
title = "The role of denial in recovery from coronary heart disease",
abstract = "This longitudinal study investigated the relationship between denial of illness and the course of recovery in patients with coronary heart disease. Using a newly developed interview instrument, the Levine Denial of Illness Scale (LDIS), the level and modes of denial were assessed in 45 male patients who were hospitalized for myocardial infarction or for coronary bypass surgery, of whom 30 were followed for 1 year after discharge. The reliability, internal consistency, and validity of the LDIS were found to be satisfactory. Furthermore, the LDIS showed discriminant validity from trait measures of denial. LDIS scores were not associated with severity of illness or risk factors. High deniers spent fewer days in intensive care and had fewer signs of cardiac dysfunction during their hospitalization relative to low deniers. However, in the year following discharge, high deniers adapted more poorly than low deniers: high deniers were more noncompliant with medical recommendations and required more days of rehospitalization. The findings suggest that denial of illness is adaptive during acute hospital recovery, but is maladaptive in the long-run after hospital discharge.",
author = "J. Levine and S. Warrenburg and R. Kerns and Schwartz, {Gary E} and R. Delaney and A. Fontana and A. Gradman and S. Smith and S. Allen and R. Cascione",
year = "1987",
language = "English (US)",
volume = "49",
pages = "109--117",
journal = "Psychosomatic Medicine",
issn = "0033-3174",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - The role of denial in recovery from coronary heart disease

AU - Levine, J.

AU - Warrenburg, S.

AU - Kerns, R.

AU - Schwartz, Gary E

AU - Delaney, R.

AU - Fontana, A.

AU - Gradman, A.

AU - Smith, S.

AU - Allen, S.

AU - Cascione, R.

PY - 1987

Y1 - 1987

N2 - This longitudinal study investigated the relationship between denial of illness and the course of recovery in patients with coronary heart disease. Using a newly developed interview instrument, the Levine Denial of Illness Scale (LDIS), the level and modes of denial were assessed in 45 male patients who were hospitalized for myocardial infarction or for coronary bypass surgery, of whom 30 were followed for 1 year after discharge. The reliability, internal consistency, and validity of the LDIS were found to be satisfactory. Furthermore, the LDIS showed discriminant validity from trait measures of denial. LDIS scores were not associated with severity of illness or risk factors. High deniers spent fewer days in intensive care and had fewer signs of cardiac dysfunction during their hospitalization relative to low deniers. However, in the year following discharge, high deniers adapted more poorly than low deniers: high deniers were more noncompliant with medical recommendations and required more days of rehospitalization. The findings suggest that denial of illness is adaptive during acute hospital recovery, but is maladaptive in the long-run after hospital discharge.

AB - This longitudinal study investigated the relationship between denial of illness and the course of recovery in patients with coronary heart disease. Using a newly developed interview instrument, the Levine Denial of Illness Scale (LDIS), the level and modes of denial were assessed in 45 male patients who were hospitalized for myocardial infarction or for coronary bypass surgery, of whom 30 were followed for 1 year after discharge. The reliability, internal consistency, and validity of the LDIS were found to be satisfactory. Furthermore, the LDIS showed discriminant validity from trait measures of denial. LDIS scores were not associated with severity of illness or risk factors. High deniers spent fewer days in intensive care and had fewer signs of cardiac dysfunction during their hospitalization relative to low deniers. However, in the year following discharge, high deniers adapted more poorly than low deniers: high deniers were more noncompliant with medical recommendations and required more days of rehospitalization. The findings suggest that denial of illness is adaptive during acute hospital recovery, but is maladaptive in the long-run after hospital discharge.

UR - http://www.scopus.com/inward/record.url?scp=0023114968&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023114968&partnerID=8YFLogxK

M3 - Article

C2 - 3575599

AN - SCOPUS:0023114968

VL - 49

SP - 109

EP - 117

JO - Psychosomatic Medicine

JF - Psychosomatic Medicine

SN - 0033-3174

IS - 2

ER -