Abstract
Before we can consider the application of behavioral approaches in the prevention, treatment and rehabilitation of coronary heart disease (CHD) ╌ the central theme of this Section ╌ it is necessary to consider first the various means whereby behavioral factors appear to be playing a role in the etiology and course of CHD. In this chapter I shall first review the epidemiologic evidence indicating a role of behavioral factors in the precipitation of acute clinical events, the pathogenesis of the atherosclerotic plaque and the clinical outcome of relief of anginal pain with either medical or surgical management. Following this initial review, I shall consider the various physiological and neuroendocrine mechanisms whereby the associations shown in the epidemiological research might be mediated.
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References
Blumenthal, J. A., Williams, R. B., Kong, Y., Schanberg, S. M. & Thompson, L. W. Type A behavior pattern and coronary atherosclerosis. Circulation, 1978, 58, 634–639.
Cook, W. W. & Medley, D. M. Proposed hostility and pharisaic-virtue scales for the MMPI. Journal of Applied Psychology, 1954, 38, 414–418.
Dembroski, T. M., MacDougall, J. M., Herd, J. M., & Shields, J. L. Effect of level of challenge on pressor and heart rate response in Type A and B subjects. Journal of Applied Social Psychology, 1979, 9, 209.
Dembroski, T. M., Weiss, S. M., Shields, J.L., Haynes, S. G., & Feinleib, M. (eds.) Coronary-Prone Behavior. New York: Springer-Verlag, 1978.
Dimsdale, J. E., Hackett, T. P., Hutter, A. M., Block, P. C. & Catanzano, D. M. A personality and extent of coronary atherosclerosis. American Journal of Cardiology, 1978, 42, 583–586.
Dimsdale, J. E., Hackett, T. P., Hutter, A. M., Block, P. C. & Catanzano, D. M. Type A behavior and angiographic findings. Journal of Psychosomatic Research, 1979, 23, 273–276.
Frank, K. A., Heller, S. S., Kornfeld, D. S., Sporn, A. A. & Weiss, M. D. Type A behavior pattern and coronary atherosclerosis. Journal of American Medical Association, 1978, 240, 761–763.
Friedman, M., Byers, S. O., Diament, J., & Rosenman, R. H. Plasma catecholamine response of coronary prone subjects (Type A) to a specific challenge. Metabolism, 1975, 24, 205–210.
Glass, D. C., Krakoff, L. R., Contrada, R. H., Hilton, W. F,, Kehoe, K., Mannucci, E. G., Collins, C., Snow, B. & Elting, E. Effect of harassment and competition upon cardiovascular and catecholamine responses in Type A and Type B individuals. Psychophysiology, 1980, 453–463.
Haynes, S. G., Feinleib, M., Levine, S., Scotch, N. & Kannel, W. The relationship of psychosocial factors to coronary heart disease in The Framingham Study. American Journal of Epidemiology, 1978, 107, 384.
Katkin, E. S., Goldband, S. & Medine, B. Cardiovascular responses of Type A and Type B subjects differing in family history of heart disease. Paper presented at Annual Meeting, Society for Psychophysiological Research, Cincinnati, 1979.
Kolata, G. B. Consensus on bypass surgery. Science, 1981, 211; 42–43.
Krantz, D. S., Schaeffer, M. A., Davia, J. E., Dembroski, T. M., MacDouglas, J. M., & Shaffer, R. T. Paper presented at the Annual Meeting of Society for Psychophysiological Research, Vancouver, B.C., October, 1980.
Kvetnansky, R. Recent progress in catecholamines under stress. In Usdin, E., Kvetnovsky, R. & Kopin, I. J. (eds.) Catecholamines and Stress; Recent advances. Amsterdam: Elsevier/North Holland, 1980.
Lacey, J. 1. & Lacey, B. C. On heart rate responses and behavior; A reply to Elliot. Journal of Personality and Social Psychology, 1974, 1.
Manuck, S. B. & Garland, F. N. Coronary-prone behvior and cardiovascular response. Psychophysiology, 1979, 16, 13.
Mason, J. W. A review of psychoendocrine research on the pituitary-adrenal cortical system. Psychosomatic Medicine, 1968, 30, 791.
Matthews, K. A., Glass, D. C., Rosenman, R. H., & Bortner, R. W. Competitive drive, pattern A and coronary heart disease; A further analysis of some data from the Western Collaborative Group Study. Journal of Chronic Disease, 1977, 489–498.
Review panel on coronary-prone behavior and coronary heart disease. Coronary-prone behavior and coronary heart disease; A critical review. Circulation, 1981, 63, 1199–1215.
Rosenman, R. H. The interview method of assessment of the coronary-prone behavior pattern. In Coronary-Prone Behavior. Dembroski, T. M., Weiss, S. M., Shields, J. L. (eds.) New York: Springer-Verlag, 1978.
Rosenman, R. H., Brand, R. J., Jenkins, C. D., Friedman, M., Straus, R. & Wurm, M. Coronary heart disease in the Western Collaborative Group Study: Final follow-up experience of 8h years. Journal of American Medical Association, 1975, 233, 872.
Sternbach, R. A. Pain patients: Traits and treatment. New York: Academic Press, 1974.
Troxler, R. G., Sprague, E. A., Albanese, R. A., Fuchs, R., & Thompson, A. J. The association of elevated plasma Cortisol and early atherosclerosis as demonstrated by coronary angiography. Atherosclerosis, 1977, 26, 151–162.
Williams, R. B. Physiologic mechanisms underlying the association between psychosocial factors and coronary heart disease. In Gentry, W. D. & Williams, R. B. (eds.) Psychosocial aspects of myocardial infarction and coronary care. St. Louis: C.V. Mosby Company, 1975.
Williams, R. B., Bittker, J. E., Buchsbaum, M. S. & Wynne, L. C. Cardiovascular and neurophysiologic correlates of sensory intake and rejection: I. Effect of cognitive tasks. Psychophysiology, 1975, 427–434.
Williams, R. B., Friedman, M., Glass, D. C., Herd, J. A. & Schneiderman, W. Mechanisms linking behavioral and pathophysiological processes. In Dembroski, T.M., Weiss, S. M., Shields, J. E. (eds.) Coronary-Prone Behavior. New York: Springer-Verlag,1978.
Williams, R. B., Haney, T. L., Lee, K. L., Harrell, F. E., McKinnis, R. A., Blumenthal, J. A., Rosati, R. A., Kong, Y. & Sabiston, D. C. Psychosocial factors and pain relief in patients with CHD. Presented at American Heart Association, 53rd Scientific Session, November, 1980.
Williams, R. B., Haney, T. L., Lee, K. L., Kong, Y., Blumenthal, J. A. & Whalen, R. E. Type A behavior, hostility and coronary artherosclerosis. Psychosomatic Medicine, 1980, 42, 539–549.
Zyzanski, S. J., Jenkins, C. D., Ryan, T. J., Flessas, A. & Everist, M. Psychological correlates of coronary angiographic findings. Archives of Internal Medicine, 1976, 136, 1234–1237.
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© 1982 Plenum Press, New York
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Williams, R.B. (1982). Behavioral Mechanisms in the Pathophysiology of Coronary Heart Disease. In: Surwit, R.S., Williams, R.B., Steptoe, A., Biersner, R. (eds) Behavioral Treatment of Disease. NATO Conference Series, vol 19. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3548-1_2
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DOI: https://doi.org/10.1007/978-1-4613-3548-1_2
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