Negative Emotion and Coronary Heart Disease

Sirois, Brian C.; Burg, Matthew M.

doi:10.1177/0145445502238695

Cited by 136 publications

(124 citation statements)

References 54 publications

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“…Relatively little has been reported concerning an association between anxiety and CHD, although the studies conducted appear consistent in finding a positive association. 25 As is evident from the present results, anxiety may be associated with preexisting coronary vulnerability or with external matters such as family problems and problems related to work.…”

Section: Anxiety and Uneasinesssupporting

confidence: 52%

“…This represents a prevalence within the range of that reported for major depression in patients with CHD, such estimates ranging from 16% to 23%. 25 Although the CHD patients reported dejection significantly more often than the referents, factors in addition to the severity of CHD, such as not living with a partner, 26 may play an important role in mediating or moderating the effects of dejection in patients with CHD.…”

Section: Anxiety and Uneasinessmentioning

confidence: 95%

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Perspectives that lay persons with and without health problems show toward coronary heart disease: An integrated biopsychosocial approach

2007

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To study what patients with acute coronary heart disease (CHD) considered the three most stressful factors experienced during the month prior to testing and what they attributed their heart disease to.Methods: Studied the occurrence and severity of physiological, psychological, and psychosocial stressors in 117 patients with acute CHD and 117 referents, not diagnosed as having CHD, matched by age, sex, and municipality. Subjects were first to select from a list of potentially stressful factors those they themselves considered stressful. They were then to select the three they regarded as most stressful and to provide situational accounts of these. Results:The CHD patients were found to less frequently live with a partner, more frequently have a BMI higher than 30.0 and to report a greater number of stressors. The stressors best differentiating them from the referents were fatigue, shortness of breath, pain, and high blood pressure. The causal factors they most frequently named were heart problems, smoking, heredity, high workload, and poor eating habits. Conclusions:The situational accounts the patients provided illustrate the biopsychosocial complexities involved in the various categories of stressful factors. ___________________________________________________________________________CHD from an integrated biopsychosocial perspective 3 In coronary heart disease (CHD), conventional risk factors such as smoking, hypertension, diabetes and hyperlipidemia have been reported to explain 50-90% of the risk involved. 1,2Recent studies have also provided substantial evidence for various psychological and psychosocial factors (e.g., stress, hostility, depression, social support, socioeconomic status) being connected with the morbidity and mortality associated with CHD.3,4 The increased risk produced such factors produce, although reportedly more consistent for certain factors such as depression and lack of social support, has been regarded as similar in strength to that produced by the conventional risk factors. and -due to a lack of large controlled trials -uncertainties persist regarding the therapeutic efficacy of psychological and psychosocial interventions. 3,6,7 Additional issues arise from using different conceptualizations and measures of the psychological and psychosocial variables involved (e.g., stress, depression, hostility). 3 In the literature, there is a striking overlap between what have been described both as traditional features of masculinity (such as hostility, independence, and self-confidence), and as characteristics of the coronary-prone individual. 8 Also, the quality of life-questionnaires employed generally involve use of only global measures and fail to address the problems experienced by the patients within a contextual framework defined by the patients themselves.As several authors have pointed out, understanding lay persons' experience of their illness is important for prevention and education in CHD. 5,9-11 To explore such understanding, CHD from an integrated biopsychosocial perspective 4 ...

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Section: Anxiety and Uneasinesssupporting

confidence: 52%

Section: Anxiety and Uneasinessmentioning

confidence: 95%

Perspectives that lay persons with and without health problems show toward coronary heart disease: An integrated biopsychosocial approach

2007

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“…Among the psychological aspects the following also stand out: hyperactivity, restlessness, rapidity, hurry, impatience, time urgency, hostility, competitiveness, low frustration tolerance, feeling of being under pressure, need to show competence, high sense of responsibility and inattention to symptoms of pain or fatigue. As fatigue is the earliest and most common symptom of an impending heart attack, the individual postpones seeking help by denying or ignoring it (Laham, 2001;Sirois & Burg, 2003). Interpersonal relationships are problematic, with characteristics of dominance, tension and emotional aggressivity, anger, marital and professional problems, and social mobility and inconsistency (Laham, 2001;Sirois & Burg, 2003).…”

Section: Type a Behavior Patternmentioning

confidence: 99%

Psychological Approach to the Cardiac Arrhythmias: Focus on the Emotions

Bonomo¹,

Araújo²

2012

Cardiac Arrhythmias - New Considerations

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“…This risk may result from activation of the sympathetic nervous system and hypothalamic-pituitary-adrenal (HPA) axis. [11] Investigators have shown that anxiety after AMI is associated with increased in-hospital complications such as lethal dysrhythmias, continued ischemia, and reinfarction. [6] Furthermore, anxiety has been shown to predict future coronary events and long-term survival after AMI.…”

Section: Introductionmentioning

confidence: 99%

A Five-Country Comparison of Anxiety Early after Acute Myocardial Infarction

Jong

Chung

Roser

et al. 2004

European Journal of Cardiovascular Nursing

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Background: Anxiety is common after acute myocardial infarction (AMI) and has the potential to negatively affect physical and psychosocial recovery. There have been no cross-cultural comparisons of anxiety among AMI patients. Aims: To evaluate whether anxiety after AMI differs across five diverse countries and to determine whether an interaction between country, and sociodemographic and clinical variables contributes to variations in reporting anxiety. Methods and Results: A total of 912 individuals with confirmed AMI were enrolled in this prospective, comparative, cross-cultural study. Anxiety was assessed within 72 h of hospital admission using the Brief Symptom Inventory. The mean level of anxiety in the entire sample was 0.62"0.76, which is 44% higher than the normal mean level. Anxiety levels were not significantly different among the countries with the exception that patients in England reported lower levels of anxiety than those in the US (Ps0.03). However, this difference disappeared after controlling for sociodemographic variables on which the countries differed. Conclusion: Patients from each country studied experienced high anxiety after AMI. Even though various cultures were represented in this study, culture itself did not account for variations in anxiety after AMI. It appears that anxiety after AMI is a universal phenomenon.

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Negative Emotion and Coronary Heart Disease

Cited by 136 publications

References 54 publications

Perspectives that lay persons with and without health problems show toward coronary heart disease: An integrated biopsychosocial approach

Perspectives that lay persons with and without health problems show toward coronary heart disease: An integrated biopsychosocial approach

Psychological Approach to the Cardiac Arrhythmias: Focus on the Emotions

A Five-Country Comparison of Anxiety Early after Acute Myocardial Infarction

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