Causal beliefs and behaviour change post-myocardial infarction: how are they related?

Br J Health Psychol. 2005 May;10(Pt 2):167-82. doi: 10.1348/135910705X26722.

Abstract

Introduction: Weinman, Petrie, Sharpe, and Walker (2000) showed that the causal attributions of a sample of first-time myocardial infarction (MI) patients and their spouses from Auckland, New Zealand, were associated with changes in health-related behaviour over the first 6 months post-MI. However, their analyses did not control for pre-MI health-related behaviour.

Method: This paper reports a re-analyses of the Auckland data, and a replication study conducted with 155 first-time MI patients in Brighton, United Kingdom (UK), to investigate whether baseline attributions for MI were related to health-related behaviour change at 6 months (N=132). Spouses (N=85) also completed the attribution questionnaire at baseline.

Results: There was no consistent relationship between the causal attributions of patients and subsequent behaviour change in Auckland and Brighton. For both samples, causal attributions were associated with pre-MI behaviour.

Conclusions: The data from both samples suggest that the causal attributions of MI patients and their spouses may be realistic, but not predictive of subsequent changes in behaviour.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Causality
  • Culture*
  • England
  • Exercise / psychology
  • Feeding Behavior / psychology
  • Female
  • Health Behavior*
  • Health Surveys
  • Humans
  • Internal-External Control
  • Life Style*
  • Male
  • Middle Aged
  • Myocardial Infarction / etiology
  • Myocardial Infarction / prevention & control
  • Myocardial Infarction / psychology*
  • New Zealand
  • Secondary Prevention
  • Statistics as Topic
  • Surveys and Questionnaires