Intended for healthcare professionals

Research Article

Psychological rehabilitation after myocardial infarction.

Br Med J 1979; 1 doi: (Published 17 February 1979) Cite this as: Br Med J 1979;1:439
  1. L D Naismith,
  2. J F Robinson,
  3. G B Shaw,
  4. M M MacIntyre


    The value of psychological counselling in rehabilitating patients after myocardial infarction was assessed. A total of 143 men who had recently had a myocardial infarction were randomly allocated to either a group receiving intensive rehabilitation or a control group, their outcome being examined after six months. Patients with neurotic, introverted personalities had a poor outcome in the control group but a satisfactory outcome when rehabilitated. Neurotic personalities responded to help, and rehabilitative measures did not increase neurosis. In addition all patients with a negative attitude towards their illness and future had a poor outcome but those with a positive attitude did well. Selection by simple methods of patients who would benefit from psychological rehabilitation seems desirable.