The relationship of psychosocial factors to coronary heart disease in the Framingham study. II. Prevalence of coronary heart disease.

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  • Author(s): Haynes SG; Feinleib M; Levine S; Scotch N; Kannel WB
  • Source:
    American journal of epidemiology [Am J Epidemiol] 1978 May; Vol. 107 (5), pp. 384-402.
  • Publication Type:
    Journal Article; Research Support, U.S. Gov't, P.H.S.
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Oxford University Press Country of Publication: United States NLM ID: 7910653 Publication Model: Print Cited Medium: Print ISSN: 0002-9262 (Print) Linking ISSN: 00029262 NLM ISO Abbreviation: Am J Epidemiol Subsets: MEDLINE
    • Publication Information:
      Publication: Cary, NC : Oxford University Press
      Original Publication: Baltimore, School of Hygiene and Public Health of Johns Hopkins Univ.
    • Subject Terms:
      Behavior* ; Stress, Psychological*; Coronary Disease/*psychology; Adult ; Age Factors ; Aged ; Blood Pressure ; Cholesterol/blood ; Emotions ; Female ; Humans ; Male ; Massachusetts ; Middle Aged ; Myocardial Infarction/psychology ; Psychiatric Status Rating Scales ; Sex Factors ; Smoking ; Social Mobility
    • Abstract:
      In a cross-sectional study of 1822 persons aged 45 to 77 years of age, the association of 20 psychosocial scales with coronary heart disease (CHD) prevalence was assessed. Women (aged 45 to 64 years) with coronary disease scored significantly higher on the Framingham Type A behavior, emotional lability, aging worries, tension, and anger symptoms scales than women free of CHD. The prevalence of CHD was significantly higher among working women and housewives classified as Type A than as Type B behavior. Among men under 65 years, Framingham Type A behavior, aging worries, daily stress, and tension were associated with the prevalence of myocardial infarction (MI). For men and women over 65 years, marital dissatisfactions or disagreements were significantly related to the prevalence of CHD. In a multivariate analysis, the above associations were controlled for age, blood pressure, cholesterol, smoking, and other psychosocial scales. Among women under 65 years of age, Framingham Type A behavior and emotional lability remained significant discriminators of CHD prevalence. Aging worries significantly differentiated men under 65 with and without MI. Issues related to the interpretation of results from cross-sectional studies are discussed, and four hypotheses are suggested for future prospective work in this area.
    • Accession Number:
      97C5T2UQ7J (Cholesterol)
    • Publication Date:
      Date Created: 19780501 Date Completed: 19780814 Latest Revision: 20190509
    • Publication Date:
      20240513
    • Accession Number:
      10.1093/oxfordjournals.aje.a112557
    • Accession Number:
      665655