Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 31575
The Experiences of Coronary Heart Disease Patients: Biopsychosocial Perspective

Authors: Christopher C. Anyadubalu


Biological, psychological and social experiences and perceptions of healthcare services in patients medically diagnosed of coronary heart disease were investigated using a sample of 10 participants whose responses to the in-depth interview questions were analyzed based on inter-and-intra-case analyses. The results obtained revealed that advancing age, single status, divorce and/or death of spouse and the issue of single parenting negatively impacted patients- biopsychosocial experiences. The patients- experiences of physical signs and symptoms, anxiety and depression, past serious medical conditions, use of self-prescribed medications, family history of poor mental/medical or physical health, nutritional problems and insufficient physical activities heightened their risk of coronary attack. Collectivist culture served as a big source of relieve to the patients. Patients- temperament, experience of different chronic life stresses/challenges, mood alteration, regular drinking, smoking/gambling, and family/social impairments compounded their health situation. Patients were satisfied with the biomedical services rendered by the healthcare personnel, whereas their psychological and social needs were not attended to. Effective procedural treatment model, a holistic and multidimensional approach to the treatment of heart disease patients was proposed.

Keywords: Biopsychosocial, Coronary Heart Disease, Experience, Patients, Perception, Perspective.

Digital Object Identifier (DOI):

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 2289


[1] World Health Organization, "Report on cardiovascular disease," 2005. Accessed April 6, 2008, from
[2] American Heart Association, "Report on risk factors and coronary heart disease," 1998. Accessed April 6, 2008, from
[3] American Heart Association, "Heart attack and angina statistics report," 2004. Accessed April 6, 2008, from
[4] American Heart Association, "Report on coronary heart disease," 2008. Accessed April 6, 2008, from
[5] Office of the National Statistics, "Case-oriented paper." Journal of the operational Research Society, 2005. Accessed April 10, 2008, from
[6] N. P. Paynter, "Improving and assessing coronary heart disease risk prediction at the individual and population levels." (Ph.D. dissertation, John Hopkins University, United States - Maryland), 2007. Accessed April 8, 2008, from ProQuest Digital Dissertations database (Publication No. AAT 3262486).
[7] P. A. Bradley, "The lived experience of wives & husbands with coronary heart disease." (Ph.D. Dissertation, University of San Diego, United States - California), 2007. Accessed April 8, 2008, from ProQuest Digital Disertations database (Publication No. AAT 3266734).
[8] R. Baranyai, "Biopsychosocial and behavioral correlates of coronary heart disease," 2006. Accessed April 7, 2008, from
[9] World Health Organization, "Thailand: Health and development," 2006. Accessed May 1, 2008, from pdf
[10] D. Bradshaw, P. Groenewald, and R. Laubscher, "Initial burden of disease estimates for South Africa 2000." South African Medical Journal; 2004, Vol. 92, pp.682-688.
[11] R. Norman, D. Bradshaw, M. Schneider, D. Pieterse, and P. Groenwald, "Revised burden of disease estimates for the comparative risk factor assessment, South Africa 2000." Cape Town: Medical Research Council, 2006.
[12] A. R. Walker, and P. Sareli, "Coronary heart disease: Outlook for Africa." Journal of Royal Society of Medicine; 1997, Vol. 90, no. 1, pp. 23-27.
[13] F. G. Yanowitz, Coronary heart disease prevention (Fundamental & Clinical Cardiology, No 9). Informa HealthCare, August 13th, 1992.
[14] M. Q. Patton, Qualitative research and evaluation methods, (3rd ed.). Thousand Oaks, CA: Sage, 2002.
[15] C. Robson, Real world research, (2nd ed.). Oxford: Blackwell, 2002.
[16] World Health Organization, "Cardiovascular disease risk factors," 2002. Accessed April 6, 2008, from rs.pdf
[17] P. A. Poole-Wilson, "Treatment of chronic stable angina - Clinical consequences of recent trials." European Cardiology, 2005. Accessed April 7, 2008, from
[18] J. McSweeney, M. Cody, P. O-Sullivan, K. Elberson, D. Moser, and B. Garvin, "Women-s early warning symptoms of acute myocardial infarction." Circulation, 2003, Vol. 108, no. 21, pp. 2619-2623.
[19] T. R. Wessel, C. B. Arant, and M. B. Olson, "Relationship of physical fitness vs body mass index with coronary artery disease and cardiovascular events in women". JAMA, 2004, Vol. 292, no. 1, pp. 179-1,187.
[20] A. Wolk, J. E. Manson, M. J. Stampfer, G. A. Colditz, F. B. Hu, F. E. Speizer, C. H. Hennekens, and W. C. Willett, "Long-term intake of dietary fiber and decreased risk of coronary heart disease among women." Journal of the American Medical Association, 1999, Vol. 281, no. 21, pp. 1998 - 2004.
[21] F. B. Hu, and W. C. Willett, "Optimal diets for prevention of coronary heart disease." Journal of the American Medical Association, 2002, Vol. 288, no. 20, pp. 2569 - 2578.
[22] P. Happonen, S. Voutilainen, and J. T. Salonen, "Coffee drinking is dose dependently related to the risk of acute coronary events in middle-aged men." Journal of Nutrition, 2004, Vol. 134, no. 9, pp. 2381 - 2386.
[23] R. Niaura, and D. B. Abrams, "Smoking cessation: Progress, priorities, and prospectus." Journal of Consulting & Clinical Psychology, 2002, Vol. 70, no. 3, pp. 494 - 509.
[24] E. D. Eaker, C. M. Sullivan, M. Kelly-Hayes, R. B. D-Agostino, and E. J. Benjamin, "Anger and hostility predict the development of a trial fibrillation in men in the Framingham Offspring Study." Circulation, 2004, Vol. 109, no. 10, pp. 1267 - 1271.
[25] K. W. Grothe, "The psychosocial vulnerability model of hostility as a predictor of coronary heart disease," 2005. Accessed November 1st, 2008, from entId=58702&RQT=309&VName=PQD
[26] H. Wechsler, J. E. Lee, M. Kuo, M. Seibring, T. F. Nelson, and H. Lee, (2002). "Trends in college binge drinking during a period of increased prevention efforts." Journal of American College Health, 2002, Vol. 50, no. 5, pp. 203 - 217.
[27] W. Weiten, and M. A. Lloyd, Psychology applied to modern life: Adjustment in the 21st Century, (8th ed.). Canada: Thomson Learning, Inc., 2006
[28] J. M. Schmitz, and K. A. Delaune, "Nicotine." In Substance abuse: A comparative textbook, J. H. Lowinson, P. Ruiz, R. B. Millman, and J. G. Langrod (Eds.). Philadephia: Lippincott/Wilkins, 2005.
[29] K. E. Williams, and M. J. Bond, "The role of self-efficacy, outcome expectancies and social support in the self-care behaviors of diabetics." Psychology, Health & Medicine, 2002, Vol. 7, no. 2, pp. 127 - 141.
[30] K. Gardner, and A. Chapple, "Barriers to referral in patients with angina: Qualitative study." British Medical Journal, 1999, Vol. 319, pp. 418 - 421.