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Nine male CHD patients volunteered for testing to determine variations in heart rate response (HR), walk-jog velocity (W) and compliance to the target heart rate zone under three monitoring conditions. Determination of variations in W, peripheral perceived exertion (RPEL) chest perceived exertion (RPEC) and post-exercise lactate accumulation (La) during exercise which was held constant between 60-80% maximum HR reserve were also made. Procedures consisted of three 20 min walk-jog exercise conditions. First, two baseline condition (BC) trials were performed on separate days with exercise intensity regulated through intermittent defibrillator-ECG HR checks and radial/carotid artery palpation. Next, continuous telemetry monitoring of HR by staff was added during a single exercise trial (TC). Finally, two ExersentryRcondition (EC) trials were performed on separate days with continuous feedback concerning HR response provided to the patient via ExersentryR devices. Evaluation of HR and W revealed no significant variation between conditions. However, % target HR reserve attained was significantly (p>0.05) lower during early and late BC, as compared to TC. Furthermore, "frequency in" vs "frequency out" of target HR zone was significantly (p>0.05) greater during EC, as compared to TC. During EC, no significant variations in HR, W, La, RPEL and RPEC were noted. Correlation coefficient values between 0.76-0.95 and 0.58-0.80 were reported for RPEL and RPEC, respectively. This data suggested that continuous feedback concerning HR response resulted in the greatest compliance to the target HR zone. With the exception of the first five min of EC, only RPEL reliably mirrored HR and W. Index terms: Intermittent heart rate monitoring, continuous heart rate monitoring, heart rate response, walk-jog velocity, target heart rate compliance, peripheral perceived exertion, chest perceived exertion, post-exercise lactate accumulation. M.S.

M.S.

Former heart attack patients and spouses in 140 Families completed a mailed self-report questionnaire containing the Family Inventory of Life Events and Changes, the Coping and Health Inventory For Parents, three scales developed For this study measuring family process variables and demographic questions. Dependent measures were the Spielberger trait anxiety and Zung depression scales. Criteria for inclusion in the study were (a) a heart attack in the past 19 months b) married at the time of infarction and (c) ages between 30-65. The analyses included frequency distributions, correlations between the 11 variables and depression/anxiety and stepwise regression analyses using each dependent variable For both patient and spouse. Eighty-two percent of the independent variables in the patient group were correlated with anxiety and depression at at least the p≤.01 level. Thirty-nine percent of the spouse variables were correlated at at least the p≤.01 level. Variables from each of the major factors of the Double ABCX model were included. Regression analyses for the patient population showed 7 variables contributing 63 & of the variance in predicting depression and 5 variables contributing 58% of the variance in predicting anxiety. Regression analyses for the spouse population showed 4 variables that contributed 25% of the variance in predicting depression and 4 variables that contributed 32% of the variance in predicting anxiety. The results were discussed in reference to the use of these measures in further theory development and in clinical settings. Implications for further research are presented. Ph. D. incomplete_metadata