&NA;This study investigated whether patients who seek an explanation for their heart attack, as compared to those who do not, differ in their affect, in expectations about their future recovery, and in expectations about coping with their future. Forty‐two myocardial infarction patients were interviewed, in both the acute and convalescent stages, as to whether they had thought about “Why me?” Approximately half of the patients at each stage reported searching for an answer to that question. The patients remained generally consistent in their self‐reported anxiety, depression, and hostility over time; however, patients who had not thought about “Why me?” reported less anxiety than those who had. No significant differences were found in affect in patients who gave a specific cause for their heart attack and in those who could not. Patients were significantly less optimistic about their future recovery at follow‐up than when they were in the hospital, but there were no differences in expectations for future recovery or for future coping of those who had and those who had not thought about “Why me?”