Psychological adjustment in individuals with coronary heart disease

Abstract

Psychological adjustment is one of the most important things needed by individuals with chronic disease to have a positive life regardless of the impact caused by their illness. This study aims to determine the dynamics of psychological adjustment in individuals with coronary heart disease (CHD). The method used in this research is phenomenological qualitative approach. Respondents in this research are four people (three men and one woman) who suffered from coronary heart disease. Data were collected through a semi-structured interview, then analyzed by using interpretive analysis technique. The results showed that all respondents had not succeeded in making adjustments to their chronic illness. Three of the four respondents were able to overcome the emotional, cognitive, and physiological effects of chronic disease, but still failed in behavioral aspect especially in terms of lifestyle changes and routine check-up. In contrast, one other respondent showed a negative adjustment on physiological and emotional aspects, but instead had a much more positive adjustment in behavioral aspect because of the high level of compliance in terms of self-management. Factors found to influence psychological adjustment processes in individuals are belief, coping, and family support.