“…In the case of the coping tape, however, the inclusion of possible setbacks might have made male spouses more hesitant about encouraging certain behaviors, for example, exercise, fearing that their wives might experience one of those setbacks. Considerable evidence suggests that spousal overprotectiveness is common among cardiac patients (e.g., Croog & Fitzgerald, 1978; Dracup, 1994; Mayou, Foster, & Williamson, 1978) and is associated with poorer posthospital recovery (e.g., Jenkins, Stanton, Savageau, et al, 1983; Miller & Brewer, 1969; Wishnie, Hackett, & Cassem, 1977). Thus, patients whose spouses received the mastery preparation may have benefited relative to controls from their spouses being less uncertain and more optimistic (as indicated in Table 2) and, perhaps, also from their spouses more actively encouraging them during the recovery period.…”