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Biomedical subjects

M J Stern

Publications and source records attributed to M J Stern.

At least 55 records · Page 3Linked to original sources
PubMed1984

Group process expectations and outcome with post-myocardial infarction patients.

Post-myocardial infarction patients participating in a 12-session group therapy program completed self-rating measures ranking group process variables before and after therapy. Learning positive qualities, experimenting with new behavior, receiving advice and guidance, and gaining cognitive insight by learning how their lifestyle plays a role in the development and management of their coronary condition were most valued. Interpersonal learning, catharsis, and testing group acceptance by revealing embarrassing things about oneself were ranked lowest. These results are examined in the context of previous descriptions of coronary patients' behavior in therapy.

Adult↗
PubMed1983

The group counseling v exercise therapy study. A controlled intervention with subjects following myocardial infarction.

One hundred six postmyocardial infarction subjects who either achieved a mean work load of less than seven mets on treadmill testing, who were rated as anxious and/or depressed, or who met both criteria, participated in a controlled study comparing the rehabilitation effectiveness of exercise therapy and group counseling. Each intervention lasted 12 weeks. Follow-up evaluations were scheduled at three months, six months and one year. Exercise substantially increased mean work capacity, decreased fatigue, lessened anxiety and depression, and promoted independence and sociability. Counseling substantially reduced depression and promoted a sense of friendliness, and decreased interpersonal friction as well as greater independence and sociability. The control group reported no substantial change on any measured factor. Neither counseling nor exercise had an effect on mortality though subjects in the exercise group reported fewer major cardiovascular sequelae.

Aged↗
PubMed1982

The National Exercise and Heart Disease Project: Long-term psychosocial outcome.

Six hundred fifty-one men who suffered at least one myocardial infarction eight weeks to 36 months earlier were randomly assigned to participate for at least two years as control subjects or subjects in a prescribed, supervised exercise training program. Psychosocial results at baseline and at the sixth-month, one-year, and two-year follow-ups are presented. With minimal exception, no differences were noted between the control and exercise groups at any of the testing periods. Several explanations for the lack of exercise-induced psychosocial benefit are provided.

Adult↗
PubMed1981

Clinical presentation and non-invasive diagnosis of right heart masses.

Right-sided cardiac masses do not have a uniform clinical presentation. Successful diagnosis is dependent on a high index of suspicion and appropriate echocardiographic examination. Five cases of right sided intracardiac masses have been detected during the period that echocardiography has been routinely available to us--two of right atrial myxoma, one of right atrial thrombus, and two of right ventricular tumour. M-mode echocardiography identified four of the five cases. Two-dimensional echocardiography was necessary to establish the non-invasive diagnosis in the fifth case. Echocardiography should be used in any patient in whom a right sided mass is suspected, or in those patients presenting with signs of tricuspid regurgitation, tricuspid stenosis, pulmonary stenosis, cyanotic heart disease, progressive right heart failure, constrictive pericarditis, or pulmonary emboli without obvious source.

Adult↗
PubMed1981

National Exercise and Heart Disease Project. Psychosocial changes observed during a low-level exercise program.

Seven hundred eight-four men, 30 to 64 years of age, with documented myocardial infarctions less than three years prior to study admission, were admitted to a six-week low-level exercise program. Six hundred fifty-one subjects completed the program, in which exercise intensity was limited to a maximum of 72% of age-predicted heart rate. This report characterizes study dropouts. In addition, the results suggest that low-level exercise is sufficient to stimulate positive psychosocial, sexual, and vocational changes in an upper middle class volunteer population. Recency of infarct is significantly correlated with degree of change in work capacity but does not appear to influence significantly the outcome variables, with the possible exception of return to sexual functioning.

Adult↗
PubMed1977

Life adjustment postmyocardial infarction: determining predictive variables.

Sixty-eight patients with diagnosed myocardial infarctions were followed up for one year postinfarct onset to determine psychosocial adjustment. A previous pilot had differentiated between two groups of patients--depressive and deniers-who had poor vs good rehabilitation results, respectively. Results from this study substantiated previous findings in that 70% of those who were depressed postinfarct remained so throughout follow-up. These patients failed to remain at work and/or to function sexually and had a higher hospital readmission rate. The denial group, although still functioning with minimal psychosocial distress, was not distinguished from the remainder of the study population who generally also functioned well. Women postinfarct seemed to have the most difficult time, accounting for 80% of the deaths and 50% of the depressed group. Their noticeable type A behavior may account for this finding.

Adaptation, Psychological↗