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Overcommitment predicts restenosis after coronary angioplasty in cardiac patients

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Abstract

The objective of this study is to examine the role of a particular stress-enhancing psychosocial risk factor, termed overcommitment, in predicting restenosis after successful percutaneous transluminal coronary angioplasty (PTCA). Overcommitment defines a personal pattern of coping with demands characterized by excessive striving in combination with a strong desire of being approved and esteemed. One hundred six consecutive male patients with coronary artery disease who underwent PTCA were followed over a mean of 12 months. The restenosis rate as defined by quantitative angiography was 34%. Multivariate analysis revealed independent effects of high density lipoprotein cholesterol (odds ratio [OR] 3.19), age (OR 3.43), and overcommitment (OR 2.86) on risk of restenosis. In conclusion, a stress-enhancing psychosocial person characteristic termed overcommitment acts as an independent predictor of coronary restenosis after PTCA. As overcommitment is subject to cognitive-behavioral intervention, results have implications for a more comprehensive approach to secondary prevention in cardiac patients.

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Authors and Affiliations

  1. Department of Medical Sociology, Heinrich-Heine University, Universitästraße 1, P.O. Box 101007, D-40001, Düsseldorf, Germany

    Ljiljana Joksimovic, Johannes Siegrist, Marianne Meyer-Hammer & Birgit Franke

  2. Department of Medical Sociology, University Ulm, Germany

    Richard Peter

  3. Department of Cardiology, Heinrich-Heine University, Düsseldorf, Germany

    Waldemar J. Klimek, Matthias P. Heintzen & Bodo E. Strauer

Authors
  1. Ljiljana Joksimovic
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  2. Johannes Siegrist
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  3. Marianne Meyer-Hammer
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  4. Richard Peter
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  5. Birgit Franke
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  6. Waldemar J. Klimek
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  7. Matthias P. Heintzen
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  8. Bodo E. Strauer
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Correspondence to Ljiljana Joksimovic.

Additional information

This research was supported by the German Research Foundation (DFG-SFB 242/D18).

We thank Dr. Myriam Valk-Draad for her collaboration.

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Joksimovic, L., Siegrist, J., Meyer-Hammer, M. et al. Overcommitment predicts restenosis after coronary angioplasty in cardiac patients. Int. J. Behav. Med. 6, 356–369 (1999). https://doi.org/10.1207/s15327558ijbm0604_4

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  • DOI: https://doi.org/10.1207/s15327558ijbm0604_4

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