Comparison of psychological risk factors among patients with and without myocardial infraction relapses

Introduction: This research has been established with the aim of the comparison of psychological risk factors such az depression, anxiety, psychosocial stress, type D personality, mindfulness among patients with and without myocardial infarction relapse. Materials and Methods: In this quasi-experimental study, 60 heart patients were selected amoung the patients admitted to the H. Zahra hospital in Sari city (Iran). The patient divided into two groups: 30 patients with one myocardial infarction and 30 patients with two or more myocardial infraction. Psychological risk factors such as type D personality, depression, anxiety, psycho-social stress, mindfulness were evaluated by the questionnaires including Denollet type D personality, anxiety, depression and stress Lovibond & Lovibond and Brawn & Ryan’s mindfulness scales. Results: No significant differences were found between two groups regarding to blood pressure, heredical problem, diet, kidney stone, cholesterol (LDL), smoking, and diabetes (P> 0.05). Anxiety with a direct effect (P=0.017) and type D personality with an indirect effect (P = 0.011) could predict relapse of myocardial infraction (p 0.05). Conclusion: Given the role of anxiety and type D personality in myocardial infraction, it is suggested for the sufficient training to reduce anxiety and inhibition of expression of negative excitement and social dissuasion to prevention of relapse myocardial infraction