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Journal of Health Psychology
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Goal Processes in Relation to Goal Attainment

Predicting Health-related Quality of Life in Myocardial Infarction Patients

Sandra N. Boersma

Leiden University, The Netherlands

Stan Maes

Leiden University, The Netherlands

Katherine Joekes

Leiden University, The Netherlands

Elise Dusseldorp

Leiden University, The Netherlands

Goal theory suggests that both goal attainment and psychological processes concerning goal pursuit can influence a patient’s (health-related) quality of life (HRQL) (e.g. Carver & Scheier, 1999). In the present longitudinal study, 46 MI patients completed questionnaires shortly after hospitalization and four months later, assessing a health, social and individual goal for the coming year, goal conflict, goal self-efficacy, goal attainment and HRQL. The results of a multiple regression analysis suggest that both goal conflict and goal self-efficacy predict goal attainment. Furthermore, goal self-efficacy appeared to be an independent predictor of physical and social HRQL. Goal attainment had a medium effect on social HRQL, but its effect was mediated by goal conflict and goal self-efficacy. A goal theory perspective seems to offer additional insights into HRQL after an MI.

Key Words: goal attainment • goal conflict • goal self-efficacy • health-related quality of life • myocardial infarction

Journal of Health Psychology, Vol. 11, No. 6, 927-941 (2006)
DOI: 10.1177/1359105306069095
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