+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Psychosocial factors in the epidemiology of coronary heart disease in women

, : Psychosocial factors in the epidemiology of coronary heart disease in women. Psychiatric Clinics of North America 12(1): 167-173

Although the study of coronary heart disease has provided a fruitful area of research for the psychosocial risk factors for disease, the amount of information among women is limited. Many of the psychological concepts tested in women have been developed from studies of men. The assumption that these psychological constructs (such as type A behavior) are pertinent to the psychology of women must be questioned. When women are included in studies of any disease, the questions asked of them must be applicable to their environment, behaviors, and psychological milieu. Because of the limited amount of data on women, it is difficult to draw conclusions regarding the relationships of psychosocial variables and the development of CHD. Several studies have indicated, however, that the change from a positive to an inverse relationship of SES to CHD in men has not been observed in women. Across various time periods and in different populations low SES is related to the occurrence of CHD in women. The reason for this is not known, and this is clearly an area for future investigations. Several measures of low social support have been found to be related to increase risk of CHD mortality and morbidity in women. A problem with this research is that each study demonstrated a different measure of social support to be the detrimental factor. This may be due to true differences between populations or may be a result of bias introduced from studying different age groups and different populations. It seems to be fairly clear that type A behavior, as measured in Framingham, is not related to definite CHD in women. The fact, however, that type A is related to anginal pain should not be minimized. These men and women are suffering from chest pain and are at increased risk to develop subsequent acute coronary events. For the most part, other personality variables, such as emotional lability, anxiety, depression, and neuroticism, have not been shown to be related to coronary disease in women. This may also be due to a true lack of effect or may be the result of not being able to separate the various manifestations of CHD and perhaps to limited sample sizes of women, which leads to a lack of power to detect at true effect. In the field of coronary heart disease epidemiology, as more studies include women and ask questions that are meaningful to them, a clearer understanding of the possible psychosocial etiology of disease will be possible.(ABSTRACT TRUNCATED AT 400 WORDS)


PMID: 2652106

Other references

von Eisenhart-Rothe, R.; Wiedemann, E.; Bonel, H.; Eckstein, F.; Reiser, M.; Englmeier, K.H.; Graichen, H., 2001: MRI-based 3-D analysis of the glenohumeral translation in patients with shoulder instability. Until now, pathological translation of the glenohumeral joint could not be assessed three-dimensionally and in functionally important arm positions in the living. The objektive of this study was therefore to develop an MR-based technique for deter...

Zorzin, R.; Bona, F.; Accordini, M., 2005: The cave bear from Covoli di Velo - Preliminary studies of the Ursus spelaeus population of the Grotta inferiore VR - Italia Lorso delle caverne dei Covoli di Velo - Primi studi sulla popolazione di Ursus spelaeus della Grotta inferiore VR - Italia. A large number of fossils, the majority belonging to the Ursus spelaeus species, were discovered during the first three paleontological excavations in the Grotta inferiore of Covoli di Veto (2001, 2002, 2003). The first morphometric analysis of th...

Fassolt, A., 1964: Experiences With Halothane In Gynecology And Obstetrics. Gynaecologia. International Monthly Review of Obstetrics and Gynecology. Revue Internationale Mensuelle D'obstetrique et de Gynecologie. Monatsschrift für Geburtshilfe und Gynakologie 157: 260-263

Tsagikian, T.A.; Frolova, I.A.; Paramonova, E.G., 1984: Status of the kallikrein-kinin system of the blood in young and middle-aged patients with ischemic heart disease. Increase in BAEE-esterase and kallikrein activities, simultaneously with decrease in alpha 2-macroglobulin and prekallikrein activities were found in blood plasma of young and middle age patients with heart ischemic disease. The maximal alteration...

Sinclair, Hb, 1969: Di-O-bromethylidene-d-mannitol formation. Journal of organic chemistry: 34 (12) 3845-3848

Kim, J.; Scott, S.V.; Klionsky, D.J., 2000: Alternative protein sorting pathways. The term "nonclassical protein targeting" has been used to describe those pathways that have been recently discovered and differ mechanistically from the more studied "classical pathways." Because this nomenclature is rather ar...

Akesson, A.; Ingvarsson, S.; Brady, K.; Moynagh, P.; Borrebaeck, C.A.K., 2000: Rapid polarization of Th2 cells during induction of antigen-specific IgE antibodies in vitro. Background: Type 2 T-helper cells (Th2) are involved in the regulation of the humoral immune response against antigens and allergens and directly affect which isotype will be produced. The mechanism that regulates antigen-specific IgE secretion an...

Baugh, M.E.; Stoltz, M.L.; Vanbeber, A.D.; Gorman, M.A., 2001: Are lipid values and BMI related to hospitalizations in the hemodialysis population?. To examine the relationship between lipid values and BMI (body mass index) on hospitalizations in hemodialysis (HD) patients. Retrospective (2-year) study. Outpatient dialysis center in a large metropolitan city. This study used 158 HD patients st...

Gumaniuc, N.P.curar, I.S.rca, V., 1976: Harvesting plots of seed production in cereals, leguminous plants and of hybrid plots of maize. Productia vegetala: 28 (6) 18-23

Rich, K., C.; Brambilla, D.; Pitt, J.; Moye, J.; Cooper, E.; Hillyer, G.; Mendez, H.; Fowler, M.-Glenn; Landay, A., 1997: Lymphocyte phenotyping in infants: Maturation of lymphocyte subpopulations and the effects of HIV infection. Changes in the distribution of lymphocyte subpopulations in infants with perinatally acquired HIV infection are confounded by the rapid changes that are the result of normal maturation of the immune system. We describe the changes in seven lymphoc...