Psychosocial Influences on the Development and Course of Coronary Heart Disease: Current Status and Implications for Research and Practice

Psychosocial characteristics predict the development and course of coronary heart disease (CHD). In this review, the authors discussed human and animal research on psychophysiological mechanisms influencing coronary artery disease and its progression to CHD. They then reviewed literature on personal...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2002-06, Vol.70 (3), p.548-568
Main Authors: Smith, Timothy W, Ruiz, John M
Format: Article
Language:English
Subjects:
Animal
Cardiovascular disease
Coronary Disease - etiology
Coronary Disease - prevention & control
Coronary diseases
Coronary Prone Behavior
Coronary vessels
Disease Course
Heart Disorders
Human
Humans
Medical research
Psychology
Psychophysiology
Psychosocial Factors
Risk Factors
Social Dominance
Social Environment
Social Environments
Stress, Psychological - psychology
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Summary:Psychosocial characteristics predict the development and course of coronary heart disease (CHD). In this review, the authors discussed human and animal research on psychophysiological mechanisms influencing coronary artery disease and its progression to CHD. They then reviewed literature on personality and characteristics of the social environment as risk factors for CHD. Hostility confers increased risk, and a group of risk factors involving depression and anxiety may be especially important following myocardial infarction. Social isolation, interpersonal conflict, and job stress confer increased risk. Psychosocial interventions may have beneficial effects on CHD morbidity and mortality, although inconsistent results and a variety of methodological limitations preclude firm conclusions. Finally, they discussed implications for clinical care and the agenda for future research.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.70.3.548