lock Open Access lock Peer-Reviewed




Psychological profile of patients that underwent coronary angioplasty

Lourdes Helena de Campos; Gláucia Faé Nascimento

DOI: 10.1590/S0102-76381990000300010


This paper presents psychological and emotional characteristics that were found common to patients that underwent a first coronary angioplasty at Instituto Dante Pazzanese de Cardiologia. We studied 84 patients of both sexes, with mean age of 55 years. Two semi-directed interviews were conducted by the psychology team, and during each of them the State-Trait - Anxiety Inventory STAI and the Hamilton Scale were applied. Such interviews were conducted immediately before PTCA and repeated one day after it, at patient's discharge. We concluded that most patients had a type A personality, typical of patients with coronary artey disease, high constitutional stress and anxiety-trace higher than the average population. There was also a high incidence of tension, depression, competitivity and humor lability.


Este trabalho teve por objetivo a identificação de traços psicológicos e características emocionais comuns aos pacientes que foram, pela primeira vez, submetidos a angioplastia transluminal coronária (ATC), no Instituto Dante Pazzanese de Cardiologia. Foram analisados 84 pacientes, de ambros os sexos, com idade média de 55 anos. Foram realizadas, pela equipe de psicólogos, duas entrevistas semidirigidas, durante cada uma das quais foram aplicados o Inventário de Ansiedade Traço - Estado (IDATE) e a Escala de Hamilton. Essas entrevistas foram realizadas imediatamente anterior à ATC e um dia após o procedimento, na alta dos pacientes. Os resultados permitiram-nos concluir que a grande maioria apresentou padrão comportamental tipo A, próprio do coronariano, alto estresse constitucional e ambiental e ansiedade - traço acima da média. Obtiveram alta porcentagem, também, as variáveis tensão, depressão, grau de competitividade e labilidade de humor.
Full text available only in portuguese PDF format.


1. ASENDORPF, J. B. & SCHERER, K. R. - The discrepant repressor differentiation between low anxiety, high anxiety, and repression of anxiety by autonomic-facial-verbal patterns of behavior. J. Pers. Soc. Psychol., 45: 1334-1346. 1983. [MedLine]

2. CROMWELL, R. L.; BUTTERFIELD, D. C.; BRAYFIELD, F. M.; CURRY, J. J. - Acute myocardial infarction: reaction and recovery. St. Louis, Mosby, 1977.

3. CROWNE, D. P. & MARLOWE, D. - A new scale of social desiderability independent of psychopathology. J. Consult. Psychol., 24: 349-354, 1960. [MedLine]

4. FRIEDMAN, M. & ROSENMAN, R. H. - Stress, comportamento tipo A e modelo bioquímico na aterosclerose coronária. AC Cardiologia, 5: 25-33, 1983.

5. HAMILTON M. - The assessment of anxiety states by rating. Br. J. Med. Psychol., 32: 50-55, 1959. [MedLine]

6. The National, Heart, Lung and Blood Institute's PTCA Registry. N. Engl. J. Med., 318: 265-270, 1988. [MedLine]

7. SHAW, R. E.; COHEN, F.; DOYLE, B.; PALESKY, J. - The impact of denial and repressive style on information gain and rehabilitation outcomes in myocardial infarction patients. Psychosom. Med., 47: 262-273, 1985. [MedLine]

8. SHAW, R. E.; COHEN, F.; FISHMAN-ROSSEN, J.; MURPHY, M. C.; STERTZER, S. H.; CLARK, D. A.; MYLER, R. K. - Psychologic predictors of psychosocial and medical outcomes in patients undergoing coronary angioplasty. Psychosom. Med., 48: 582-597, 1986. [MedLine]

9. SHIPLEY, R. H.; BUTT, J. E.; HORWITZ, B. - Preparation to reexperience a stressful medical examination: effect of repetitions videotape exposure and copying style. J. Consult. Clin. Psychol., 47: 485-492, 1979. [MedLine]

10. SHIPLEY, R. H.; BUTT, J. E.; HORWITZ, B.; FARBY, J. E. - Preparation for a stressful medical procedure: effect of amount of stimulus preexposure and copying style. J. Consult. Clin. Psychol., 46: 499-507, 1978. [MedLine]

11. SPIELBERGER, C. D.; GORSUCH, R. L.; IUSHENE, R. E. - Inventário de ansiedade traço-estado -IDATE - Manual de psicologia aplicada, tradução de Angela Biaggio e Luís Natalicio. Rio de Janeiro, 1979.

12. TAYLOR, J. A. - A personality scale of manifest anxiety. J. Abnorm. Soc. Psychol., 48: 285-290, 1953.

13. WEINBERGER, D. A.; SCHWARTZ, G. E.; DAVIDSON, J. R. - Low anxious, hight anxious, and depressive copying styles: psychometric patterns and behavioral physiological responses to stress. J. Abnorm. Psychol., 88: 369-380, 1979. [MedLine]

Article receive on Saturday, December 1, 1990

CCBY All scientific articles published at are licensed under a Creative Commons license


All rights reserved 2017 / © 2024 Brazilian Society of Cardiovascular Surgery DEVELOPMENT BY