The purpose of this study was to compare the life change unit, coping behaviors, percived social support, functional disability in patients who had a negative coronary arteriogram and those who had arteriographic evidence of coronary artery stenosis with the matched controls. Patients admitted for coronary arteriography to the cardiovascular department of the Chonnam University Hospital were assessed, on the day before coronary arteriography, on the psychological characteristics using self-rating scales such as Social Readjustment Rating Scale, Interpersonal Support Evaluation List, The Ways of Coping Checklist, and Functional Disability Sack. The results of comparing the psychological characteristics of groups with and without significant coroanry artery stenosis and normal controls are as follows ： In life change unit, patients with chest pain had significantly elevated health-related life events but no statistically significant differences in total life change. In coping behaviros, patients with chest pain were showed to have more passive coping(especially, tension-reduction coping) than normal controls. In social support, patients with chest pain and negative coronary arteriogram were the most negative cognition but there were no statistically significant differences. In functional disability, patients with chest pain showed much higher functional disability score than normal controls. We recognized the relationship of psychological factors to the chest pain patients, psychological terapeutic intervention may provide prevention of symptom relapse and rehabilitation for the negative coronary arteriogram patients with persistent chest pain, and functional disability.
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