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Psychological correlates of coronary heart disease

Published online by Cambridge University Press:  09 July 2009

Christopher C. Tennant  and
Pauline M. Langeluddecke
Christopher C. Tennant*
Affiliation:
Professorial Psychiatric Unit, Concord Hospital, Concord, New South Wales, Australia
Pauline M. Langeluddecke
Affiliation:
Professorial Psychiatric Unit, Concord Hospital, Concord, New South Wales, Australia
*
1 Address for correspondence: Associate Professor Christopher C. Tennant, Academic Department of Psychiatry, Royal North Shore Hospital, St Leonards, New South Wales 2065, Australia.
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Synopsis

The Type A behaviour pattern and other measures of psychological traits and symptom states were assessed in 92 subjects (predominantly male) presenting for coronary angiography. These measures were correlated with three angiographic indices of coronary heart disease (CHD) severity and two clinical indices (angina and the duration of CHD). The only psychological measures associated with atherosclerosis (assessed by angiography) were indices of personality: Type A (the Jenkins Activity Survey), trait tension, trait anxiety and suppression of anger. It was concluded that these traits may have some role in the pathogenesis of coronary atherosclerosis. None of the measures of psychological symptoms showed a significant association with angiography indices. However, depressive symptoms and expressed hostility were associated with the severity of angina and duration of heart disease. It was concluded that these affects are the consequences of the physical disability of CHD.

Type
Research Article
Information
Psychological Medicine , Volume 15 , Issue 3 , August 1985 , pp. 581 - 588
Copyright
Copyright © Cambridge University Press 1985

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References

REFERENCES

American Heart Association Committee Report (1975). A reporting system on patients evaluated for coronary artery disease. Circulation 51, 7.Google Scholar
Barefoot, J. C., Dahlstrom, W. G. & Williams, R. B. (1983). Hostility, CHD incidence and total mortality: a 25 year follow-up study of 225 physicians. Psychosomatic Medicine 45 (1), 59–63.Google Scholar
Bass, C. & Wade, C. (1982). Type A behaviour: Not specifically pathogenic? Lancet 1147–1149.Google Scholar
Bastiaans, J. (1969). The role of aggression in the genesis of psychosomatic disease. Journal of Psychosomatic Research 13, 307–314.CrossRefGoogle ScholarPubMed
Blumenthal, J. A., Williams, R. B., Kong, Y., Schanberg, S. M. & Thompson, L. W. (1978). Type A behaviour pattern and coronary atherosclerosis. Circulation 48 (4), 634–639.Google Scholar
Blumenthal, J. A., Thompson, L. W., Williams, R. B. & Kong, Y. (1979). Anxiety-proneness and coronary heart disease. Journal of Psychosomatic Research 23, 17–21.CrossRefGoogle ScholarPubMed
Broom, L., Duncan-Jones, P., Jones, F. L. & McDonnell, P. (1977). Investigating Social Morbidity. Department of Sociology. Departmental Monograph 1. Research School of Social Sciences. Australian National University: Canberra.Google Scholar
Craig, A. R., Franklin, J. A. & Andrews, G. (1984). A scale to measure locus of control of behaviour. British Journal of Medical Psychology 57, 173–180.CrossRefGoogle ScholarPubMed
Diamond, E. L. (1982). The role of anger and hostility in essential hypertension and coronary heart disease. Psychological Bulletin 92, 410–433.CrossRefGoogle ScholarPubMed
Dimsdale, J. E., Hackett, T. P., Hutter, R. M., Block, P. C. & Catanzano, D. (1978). Type A personality and extent of coronary atherosclerosis. American Journal of Cardiology 42, 583–586.Google Scholar
Dimsdale, J. E., Hackett, T. P., Catanzano, D. M. & White, P. J. (1979). The relationship between diverse measures for Type A personality and coronary angiographic findings. Journal of Psychosomatic Research 23, 289–293.CrossRefGoogle ScholarPubMed
Eysenck, H. J. & Eysenck, S. B. G. (1975). Manual for the Eysenck Personality Questionnaire. Hodder and Stoughton: London.Google Scholar
Frank, K. A., Heller, S. S., Kornfeld, D. S., Sporn, A. A. & Weiss, M. B. (1978). Type A behaviour pattern and coronary angiographic findings. Journal of the American Medical Association 240 (8), 761–763.Google Scholar
Friedman, M. & Rosenman, R. H. (1974). Type A Behavior and Your Heart. Fawcett Crest: New York.Google Scholar
Gensini, G. G. (1975). Coronary Arteriography. Future Publishing Co: Mount Kisco, N.Y.Google Scholar
Haynes, S. G., Feinleib, M. & Kannel, W. B. (1980). The relationship of psychosocial factors to coronary heart disease in the Framingham study. III. Eight-year incidence of coronary heart disease. American Journal of Epidemiology 111(1), 37–58.CrossRefGoogle ScholarPubMed
Jackson, D. N. (1967). Personality Research Form Manual. Research Psychologists Press: New York.Google Scholar
Jenkins, C. D. (1982). Psychosocial risk factors for coronary heart disease. Acta Medica Scandinavica 660, 123–136.Google Scholar
Jenkins, C. D., Rosenman, R. H. & Friedman, M. (1967). Development of an objective psychological test for the determination of the coronary-prone behavior pattern in employed men. Journal of Chronic Disease 20, 371–379.Google Scholar
Jenkins, C. D., Zyzanski, S. J. & Rosenman, R. H. (1979) Manual for the Activity Scale. The Psychological Corporation: New York.Google Scholar
Lovibond, S. (1982). Unpublished manuscript. University of New South Wales.Google Scholar
Rosenman, R. H., Brand, R. J., Jenkins, D., Friedman, M., Straus, R. & Wurm, M. (1975). Coronary heart disease in the western collaborative group study. Journal of the American Medical Association 233 (8), 872–877.CrossRefGoogle ScholarPubMed
Sanmarco, M. E., Brooks, S. H. & Blankenhom, D. H. (1978). Reproducibility of a consensus panel in the interpretation of coronary angiograms. American Heart Journal 96 (4), 430–437.CrossRefGoogle ScholarPubMed
Scherwitz, L., McDelvain, R., Laman, C., Patterson, J., Dutton, L., Solomon, Y., Lester, J., Kraft, I., Rochelle, D. & Leachman, R. (1983). Type A behaviour, self-involvement, and coronary atherosclerosis. Psychosomatic Medicine 45 (1), 47–57.Google Scholar
Spielberger, C. D., Gorsuch, R. L. & Lushene, R. E. (1970). The State-Trait Anxiety Inventory. Consulting Psychologists Press Inc.: California.Google Scholar
Watson, M. & Greer, S. (1983). Development of a questionnaire measure of emotional control. Journal of Psychosomatic Research 27 (4), 299–305.CrossRefGoogle ScholarPubMed
Williams, R. B., Haney, T. L., Lee, K. L., Kong, Y., Blumenthal, J. A. & Whalen, R. E. (1980). Type A behavior, hostility, and coronary atherosclerosis. Psychosomatic Medicine 42 (6), 539–549.CrossRefGoogle ScholarPubMed
Zir, L. M., Miller, S. W., Dinsmore, R. E., Gilbert, J. P. & Harthorne, J. W. (1980). Interobserver variability in coronary angiography. Circulation 53 (4), 627–632.Google Scholar
Zung, W. W. K. (1965). (Questionnaire) A self rating depression scale. Archives of General Psychiatry 12, 63–70.Google Scholar
Zyzanski, S. J., Jenkins, D., Ryan, T. J., Flessas, A. & Everist, M. (1976). Psychological correlates of coronary angiographic findings. Archives of International Medicine 136, 1234–1237.Google Scholar