Individual Factors Influencing Medical Conditions

  • Kristine L. Brady
  • Patricia L. Fiero

Abstract

This chapter is concerned with actual medical conditions that are significantly influenced by psychological, behavioral, and/or environmental factors. Psychological factors that contribute to medical conditions include personality variables such as negative stress appraisal styles or excessive worrying. Contributing maladaptive behaviors or coping strategies can include smoking, overeating, or working excessively. Environmental factors (e.g., job stress and divorce) are typically unrelated to individuals, yet can interact with their physiology, behaviors, and personality type. Medical conditions that are mediated by individual and environmental factors include (but are not limited to) cardiovascular disorders, gastritis, headache, insomnia, irritable bowel syndrome, asthma, cancer, diabetes, and skin problems. Unlike somatoform disorders for which no physical cause can be detected, these disorders present themselves as real medical problems which have been caused or exacerbated by individual and environmental factors.

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References

  1. Aivazyan, T. A., Zaitsev, V. P, Salenko, B. B., Yurenev, A. P. & Patrusheva, I. F. (1988). Efficacy of relaxation techniques in hypertensive patients. Health Psychology, 7, 193–200.PubMedCrossRefGoogle Scholar
  2. American Council for Headache Education. (1996). Understanding headache. Mt. Royal, NJ: Author.Google Scholar
  3. American Diabetes Association. (1998). Annual report. Alexandria, VA: Author.Google Scholar
  4. American Heart Association. (1999). Heart and stroke statistical update. Dallas, TX: American Heart Association.Google Scholar
  5. American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders, 2nd ed. Washington, DC: Author.Google Scholar
  6. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders, 3rd ed. Washington, DC: Author.Google Scholar
  7. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders, 3rd ed., rev. Washington, DC: Author.Google Scholar
  8. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC: Author.Google Scholar
  9. Aromaa, M. A., Sillanpaa, M. L., Rautava, P., & Helenius, H. (1998). Childhood headache at school entry: A controlled clinical study. Neurology, 50, 1729–1736.PubMedCrossRefGoogle Scholar
  10. Barefoot, J. C, Dahlstrom, W. G., & Williams, R. B. (1983). Hostility, CHD incidence, and total mortality: A 25-year follow-up study of 255 physicians. Psychosomatic Medicine, 45, 59–63.PubMedGoogle Scholar
  11. Bamett, R. C, Biener, L., & Baruch, G. K. (Eds.). (1987). Gender and stress. New York: Macmillan.Google Scholar
  12. Bernard, L. C, & Krupat, E. (1994). Heath psychology: Biopsychosocialfactors in health and illness. Fort Worth, TX: Harcourt Brace.Google Scholar
  13. Blanchard, E. B. (1990). Biofeedback treatments of essential hypertension. Biofeedback and Self-Regulation, 15, 563–579.Google Scholar
  14. Blanchard, E. B., Andrasik, F., Ahles, T. A., Teders, S., & O’Keefe, D. (1980). Migraine and tension headache: A meta-analytic review. Behavior Therapy, 11, 613–631.CrossRefGoogle Scholar
  15. Booth-Kewley, S., & Friedman, H. S. (1987). Psychological predictors of heart disease: A quantitative review. Psychological Bulletin, 101, 343–362.PubMedCrossRefGoogle Scholar
  16. Breslau, N., Roth, T., Rosenthal, L., & Andreski, P. (1996). Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young adults. Biological Psychiatry, 39, 411–418.PubMedCrossRefGoogle Scholar
  17. Chen, A. C. (1993). Headache: Contrast between childhood and adult pain. International Journal of Adolescent Medicine and Health, 6(2), 75–93.CrossRefGoogle Scholar
  18. Clayman, C. B. (1994). The American Medical Association Family Medical Guide, 3rd ed. New York: Random House.Google Scholar
  19. Congdon, P. J., & Forsythe, W. I. (1979). Migraine in childhood. Clinical Pediatrics, 18, 353–359.PubMedCrossRefGoogle Scholar
  20. Connors, M. J. (1995). Cluster headache: A review. Journal of the American Osteopathology Association, 95, 533–539.Google Scholar
  21. Costae Silva, J. A., Chase, M., Sartorius, N., & Roth, T. (1996). Special report from a symposium held by the World Health Organization and the World Federation of Sleep Research Societies: An overview of insomnias and related disorders—recognition, epidemiology and rational management. Sleep, 19, 412–416.Google Scholar
  22. Cox, D. J., Gonder-Frederick, L., Antoun, B., Cryer, P. E., & Clarke, W. L. (1993). Perceived symptoms in the recognition of hypoglycemia. Diabetes Care, 16, 519–527.PubMedCrossRefGoogle Scholar
  23. Davison, G. C, Williams, M. E., Nezami, E., Bice, T. L., & DeQuattro, V. L. (1991). Relaxation, reduction in angry articulated thoughts, and improvements in borderline hypertension and heart rate. Journal of Behavioral Medicine, 14, 453–468.PubMedCrossRefGoogle Scholar
  24. Denollet, J. (1997). Personality, emotional distress, and coronary heart disease. European Journal of Personality, 11, 343–357.CrossRefGoogle Scholar
  25. Diabetes Control and Complications Trial (DCCT) Research Group. (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine, 329, 977–986.CrossRefGoogle Scholar
  26. Eisler, R. M., Skidmore, J. R., & Ward, C. H. (1988). Masculine gender-role stress: Predictor of anger, anxiety, and health-risk behaviors. Journal of Personality Assessment, 52, 133–141.PubMedCrossRefGoogle Scholar
  27. Eysenck (1991). Personality as a risk factor in coronary heart disease. European Journal of Personality, 5(2), 81–92.CrossRefGoogle Scholar
  28. Finley, W. W, & Jones, L. (1992). Biofeedback with children. In C. E. Walker & M. C. Roberts (Eds.), Handbook of clinical child psychology (pp. 809–827). New York: Wiley.Google Scholar
  29. Foley, D. J., Monjan, A. A., Brown, S. L., Simonsick, E. M., Wallace, R. B., & Blazer, D. G. (1995). Sleep complaints among elderly persons: An epidemiologic study of three communities. Sleep, 18, 425–432.PubMedGoogle Scholar
  30. Ford, D. E., & Kamerow, D. B. (1989). Epidemiologic study of sleep disturbances and psychiatric disorders: An opportunity for prevention? Journal of the American Medical Association, 262, 1479–1484.PubMedCrossRefGoogle Scholar
  31. Gherpelli, J., Nagae Poetscher, L. M., Souza, A. M., Bosse, E. M., Rabello, G. D., Diament, A., & Scoff, M. (1998). Migraine in childhood and adolescence: A critical study of the diagnostic criteria and the influence of age on clinical findings. Cephalagia, 18, 333–341.CrossRefGoogle Scholar
  32. Gidron, Y, & Davidson, K. (1996). Development and preliminary testing of a brief intervention for modifying CHD predictive hostility components. Journal of Behavioral Medicine, 19, 203–220.PubMedCrossRefGoogle Scholar
  33. Guilleminault C, Clerk, A., Black, J., Labanowski, M., Pelayo, R., & Claman D. (1995). Nondrug treatment trials in psychophysiologic insomnia. Archives of Internal Medicine, 155, 838–844.PubMedCrossRefGoogle Scholar
  34. Gupta, M. A., Gupta, A. K., Kirkby, S., Schork, N. J., Corr, S. K., Ellis, C. N., & Voorhees, J. J. (1989). A psychocutaneous profile of psoriasis patients who are stress reactors. A study of 127 patients. General Hospital Psychiatry, 11(3), 166–173.PubMedCrossRefGoogle Scholar
  35. Hahn, Y. H., Ro, Y. J., Song, H. H., Kim, N. C, Kim, H. S., & Yoo, Y. S. (1993). The effect of thermal biofeedback and progressive muscle relaxation training in reducing blood pressure of patients with essential hypertension. IMAGE: Journal of Nursing Scholarship, 25, 204–207.CrossRefGoogle Scholar
  36. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias, and facial pain. Cephalalgia, 8, 1–96.Google Scholar
  37. Heath, A. C, Kendler, K. S., Eaves, L. J., & Martin, N. G. (1990). Evidence for genetic influences on sleep disturbance and sleep pattern in twins. Sleep, 13, 318–335.PubMedGoogle Scholar
  38. Helgeson, V. S. (1990). The role of masculinity in a prognostic predictor of heart attack severity. Sex Roles, 22, 755–774.CrossRefGoogle Scholar
  39. Hoelscher, T. J., & Lichstein, K. L. (1983). Blood volume pulse biofeedback treatment of chronic cluster headache. Biofeedback Self Regulation, 8, 533–541.CrossRefGoogle Scholar
  40. Holroyd, K. A., & Penzien, D. B. (1994). Psychosocial interventions in the management of recurrent headache disorders 1: Overview and effectiveness behavioral medicine synthesis. Behavioral Medicine, 20(2), 53–64.PubMedCrossRefGoogle Scholar
  41. Juvenile Diabetes Foundation International. (1996). What you should know about diabetes. New York: Author.Google Scholar
  42. Kamarck, T. W., Annunziato, B. A., & Amateau, B. A. (1995). Affiliation moderates the effects of social threat on stress-related cardiovascular responses: Boundary conditions for a laboratory model of social support. Psychosomatic Medicine, 57, 183–194.PubMedGoogle Scholar
  43. Kulkarni, S., O’FarrelLL, Erasi, M., & Kochar, M. S. (1998). Stress and hypertension.“ Wisconsin Medical Journal, 11, 34–38.Google Scholar
  44. Labbe, E. E. (1988). Childhood muscle contraction headache: Current issues in assessment and treatment. Headache, 28, 430–434.PubMedCrossRefGoogle Scholar
  45. Labbe, E. E., & Williamson, D. A. (1983). Temperature biofeedback in the treatment of children with migraine headaches. Journal of Pediatrie Psychology, 8, 317–326.CrossRefGoogle Scholar
  46. Lash, S. J., Eisler, R. M., & Southard, D. R. (1995). Sex differences in cardiovascular reactivity as a function of the appraised gender relevance of the Stressor. Behavioral Medicine, 21(2), 86–94.PubMedCrossRefGoogle Scholar
  47. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
  48. Lee, D. D., DeQuattro, V., Allen, J., Kimura, S., Aleman, E., Konugres, G., & Davison, G. (1988). Behavioral vs betablocker therapy in patients with primary hypertension: Effects on blood pressure, left ventricular function and mass, and the pressor surge of social stress anger. American Heart Journal, 116, 637–644.PubMedCrossRefGoogle Scholar
  49. Lee, D. D., Kimura, S., DeQuattro, V., & Davison, G. (1989). Relaxation lowers blood pressure more effectively in hypertensives with raised plasma norepinephrine and blunts pressor response to anger. Clinical Experiments and Hypertension, 11, 191–198.Google Scholar
  50. Little, B. C, Hayworth, J., Benson, P., Hall, F., Beard, R. W., Dewhurst, J., & Priest, R. G. (1984). Lancet, 21(8382), 865–867.CrossRefGoogle Scholar
  51. Marks, D. R., & Rapoport, A. M. (1997). Practical evaluation and diagnosis of headache. Seminars in Neurology, 17, 307–312.PubMedCrossRefGoogle Scholar
  52. Maytal, J., Lipton, R. B., Solomon, S., & Shinnar, S. (1992). Childhood onset cluster headaches. Headache, 32, 275–279.PubMedCrossRefGoogle Scholar
  53. McCarren, M., Goldberg, J., Ramakrishnan, V., & Fabsitz, R. (1994). Insomnia in Vietnam era veteran twins: Influence of genes and combat experience. Sleep, 17, 456–461.PubMedGoogle Scholar
  54. McGrady, A., Nadsady, P. A., & Schumann-Brzezinski, C. (1991). Sustained effects of biofeedback-assisted relaxation therapy in essential hypertension. Biofeedback and Self-Regulation, 16, 399–411.PubMedCrossRefGoogle Scholar
  55. Mellinger, G. D., Balter, M. B., & Uhlenhuth, E. H. (1985). Insomnia and its treatment, prevalence and correlates. Archives of General Psychiatry, 42, 225–232.PubMedCrossRefGoogle Scholar
  56. Merikangas, K. M., Fenton, B. T., Cheng, S. H., Stolar, M. J., & Risch, N. 1997. Association between migraine and stroke in a large-scale epidemiological study of the United States. Journal of the American Medical Association, 54, 362–368.Google Scholar
  57. Morin, C. M., Colecchi, C, Stone, J., Sood, R., & Brink, D. (1999). Behavioral and pharmacological therapies for latelife insomnia—a randomized controlled trial. Journal of the American Medical Association, 281, 991–999.PubMedCrossRefGoogle Scholar
  58. National Center for Health Statistics. (1994). Current estimates from the National Health Interview Survey, 1993. Vital and Health Statistics, Series 10, no. 190. Washington, DC: Centers for Disease Control and Prevention.Google Scholar
  59. National Center for Health Statistics. (1995). Monitoring health care in America: Quarterly fact sheet, December. Washington, DC: Centers for Disease Control and Prevention.Google Scholar
  60. National Diabetes Data Group. (1995). Diabetes in America, 2nd ed. Washington, DC: National Institutes of Health.Google Scholar
  61. National Institute of Diabetes and Digestive and Kidney Diseases. NIH publication No. 95-1468.Google Scholar
  62. National Institutes of Health Consensus Statement. (1990). The treatment of sleep disorders of older people. March 26-28, 8(3), 1–22. Washington, DC: National Institutes of HealthGoogle Scholar
  63. Patel, C, & Marmot, M. (1988). Can general practitioners use training in relaxation and management of stress to reduce mild hypertension? British Medical Journal, 296, 21–24.PubMedCrossRefGoogle Scholar
  64. Pearce, J. M. (1993). Natural history of cluster headache. Headache, 33, 253–256.PubMedCrossRefGoogle Scholar
  65. Räikkönen, K., Matthews, K. A., Flory, J. D., Owens, J. F., & Gump, B. B. (1999). Effects of optimism, pessimism, and trait anxiety on ambulatory blood pressure and mood during everyday life. Journal of Personality and Social Psychology, 76, 104–113.PubMedCrossRefGoogle Scholar
  66. Roy, M. P., Kirschbaum, C, & Steptoe, A. (1998). Life events and social support as moderators of individual differences in cardiovascular and cortisol reactivity. Journal of Personality and Social Psychology, 75, 1273–1281.PubMedCrossRefGoogle Scholar
  67. Russell, M. B., Andersson, P. G., & Iselius, L. (1996). Cluster headache is an inherited disorder in some families. Headache, 36(10), 138–140.CrossRefGoogle Scholar
  68. Russell, M. B., & Olesen, J. (1996). Migrainous disorder and its relation to migraine without aura and migraine with aura. A genetic epidemiological study. Cephalalgia, 16, 431–435.PubMedCrossRefGoogle Scholar
  69. Russell, M. B., Iselius, L., Ostergaard, S., & Olesen, J. (1998). Inheritance of chronic tension-type headache investigated by complex segregation analysis. Human Genetics, 102, 138–140.PubMedCrossRefGoogle Scholar
  70. Ryan, R. E., & Ryan, R. E. (1989). Cluster headaches. Otolaryngology Clinics of North America, 22, 1131–1144.Google Scholar
  71. Sandyk, R. (1992). The influence of the pineal gland on migraine and cluster headaches and effects of treatment with picotesla magnetic fields. International Journal of Neuroscience, 67, 145–171.PubMedCrossRefGoogle Scholar
  72. Sartory, G., Mueller, B., Metsch, J., & Pothmann, R. (1998). A comparison of psychological and pharmacological treatment of pédiatrie migraine. Behaviour Research and Therapy, 36, 1155–1170.PubMedCrossRefGoogle Scholar
  73. Schwartz, B. S., Stewart, W. F, Simon, D., & Lipton, R. B. (1998). Epidemiology of tension-type headache. Journal of the American Medical Association, 279, 381–383.PubMedCrossRefGoogle Scholar
  74. Segerstrom, S. C, Taylor, S. E., Kemeny, M. E., & Fahey, J. L. (1998). Optimism is associated with mood, coping, and immune change in response to stress. Journal of Personality and Social Psychology, 74, 1646–1655.PubMedCrossRefGoogle Scholar
  75. Sherrill, D. L., Kotchou, K., & Quan, S. F. (1998). Association of physical activity and human sleep disorders. Archives of Internal Medicine, 158, 1894–1898.PubMedCrossRefGoogle Scholar
  76. Solomon, G. D., Skobleranda, F. G., & Gragg, L. A. (1993). Quality of life and well-being of headache patients: Measurement by the medical outcomes study instrument. Headache, 33, 361–368.CrossRefGoogle Scholar
  77. Sorenson, G., Lewis, B., & Bishop, R. (1996). Gender, job factors, and coronary heart disease risk. American Journal of Health Behavior, 20, 3–13.Google Scholar
  78. Southam, M. A., Agras, W. S., Taylor, C. B., & Kraemer, H. C. (1982). Relaxation training. Blood pressure lowering during the working day. Archives of General Psychiatry, 39, 715–717.PubMedCrossRefGoogle Scholar
  79. Stone, S. V., Dembroski, T. M., Costa, P. T, & MacDougall, J. M. (1990). Gender differences in cardiovascular reactivity. Journal of Behavioral Medicine, 13, 137–156.PubMedCrossRefGoogle Scholar
  80. Surwit, R. S., Ross, S. L., & Feinglos, M. N. (1991). Stress, behavior, and glucose control in diabetes mellitus. In P. M. McCabe, N. Schneiderman, T. M. Field, & J. S. Skyler (Eds.), Stress, coping and disease (pp. 97–117). Hillsdale, NJ: Erlbaum.Google Scholar
  81. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Child Health and Human Development. (1993). NTH Pub. No. 93-2788. Washington, DC: Author.Google Scholar
  82. Wall, V. R. (1992). Breastfeeding and migraine headaches. Human Lactation, 8, 209–212.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Kristine L. Brady
    • 1
  • Patricia L. Fiero
    • 2
  1. 1.California School of Professional PsychologySan DiegoUSA
  2. 2.Medical University of South CarolinaCharlestonUSA

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