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Counselling after a myocardial infarction improved mood for patients and their partners and decreased patient functional limitations

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QUESTION: For patients who have had a myocardial infarction (MI) and their partners, is an inpatient cardiac education and counselling programme more effective than usual care and as effective as extended care after discharge for improving knowledge, mood (anxiety and depression), function, and satisfaction?


Randomised (unclear allocation concealment), blinded (outcome assessors) controlled trial with follow up at discharge and 2, 6, and 12 months.


6 medical wards of a hospital in Dundee, Scotland.


117 patients were enrolled and 100 patients (mean age 56 y, 65% men) who were discharged from the coronary care unit after a first MI and their partners completed the study. Inclusion criteria were confirmed MI (World Health Organisation criteria), age ≤70 years, fluency in English, and …

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  • Source of funding: Chief Scientist Office, the Scottish Home and Health Department.

  • For correspondence: Dr M Johnston, School of Psychology, University of St Andrews, St Andrews, Fife KY16 9JU, UK.