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EARLY ATTACHMENT EXPERIENCE
AS A PREDICTOR OF RESTENOSIS
AFTER CORONARY ANGIOPLASTY
Linda A. Yerzley, RN, PsyD
ABSTRACT: The study was designed to test the hypothesis
that the degree of psychological stress resulting from
early attachment
experienced by patients who had undergone percutaneous
transluminal coronary artery
angioplasty (PTCA) is strongly related to the need to
undergo a second or third angioplasty because of restenosis. The
literature suggests that psychological factors play a large part
in the development of coronary disease. The investigator
believes that psychological factors also play a large part in
the maintenance of coronary health, and argues that long-term
advantages of secure attachment parenting include improved
cardiac health.
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Coronary Artery Angioplasty
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She asserts that insufficient attention is paid
to understanding the impact of poor parenting on the individual
in every aspect of his or her development throughout the entire
lifespan.
The study was based on a causal-comparative
ex-post-facto outcome design, with statistical analysis of the
relationships between independent and dependent
variables. The Experiences in Close Relationships
Inventory
(ECRI), designed to measure a participant’s perception of early
attachment experiences and extensively validated as a
measurement instrument, was used to
determined levels of avoidance and anxiety behaviors in each
of twenty case studies. The statistical analysis showed that
participants who restenosed had levels of anxiety and avoidance
which were significantly higher than those who did not
restenose, indicative of poorer early attachment experiences.
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