Skip to main content

Psychosocial Aspects in Prevention and Rehabilitation

  • Chapter
Book cover Cardiovascular Prevention and Rehabilitation
  • 2103 Accesses

Abstract

According to popular opinion, stress is one of the most important risk factors for coronary heart disease (CHD). This view has not, however, so far been altogether accepted by the medical profession. However, accumulating evidence does demonstrate that it is likely that stress and other psychosocial factors are causally related to CHD, and possibly to stroke. Other than stress, some of the psychosocial factors that have been investigated in relation to CHD include socioeconomic factors, social support, adverse life events, personality factors, perceived control, anxiety, and depression.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rosengren A, Hawken S, Ounpuu S, et al. Association of psychosocial risk factors with risk of acute myocardial infarction in 11119 cases and 13648 controls from 52 countries (the INTERHEART study): case-control study. Lancet 2004;364:953–962.

    Article  PubMed  Google Scholar 

  2. Yusuf S, Hawken S, Ounpuu S, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet 2004;364:937–952.

    Article  PubMed  Google Scholar 

  3. Ferketich AK, Binkley PF. Psychological distress and cardiovascular disease: results from the 2002 National Health Interview Survey. Eur Heart J 2005;26(18):1923–1928.

    Article  PubMed  Google Scholar 

  4. Hemingway H, Marmot M. Evidence based cardiology: psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. BMJ 1999;318:1460–1467.

    PubMed  CAS  Google Scholar 

  5. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 1999;99:2192–2217.

    PubMed  CAS  Google Scholar 

  6. Kivimaki M, Leino-Arjas P, Luukkonen R, Riihimaki H, Vahtera J, Kirjonen J. Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees. BMJ 2002;325:857–861.

    Article  PubMed  Google Scholar 

  7. Orth-Gomer K, Wamala SP, Horsten M, et al. Marital stress worsens prognosis in women with coronary heart disease: The Stockholm Female Coronary Risk Study. JAMA 2000;284:3008–3014.

    Article  PubMed  CAS  Google Scholar 

  8. Welin C, Rosengren A, Wedel H, Wilhelmsen L. Myocardial infarction in relation to work, family and life events. Cardiovasc Risk Factors 1995;5:30–38.

    Google Scholar 

  9. Rosengren A, Wilhelmsen L, Orth-Gomer K. Coronary disease in relation to social support and social class in Swedish men. A 15 year follow-up in the study of men born in 1933. Eur Heart J 2004;25:56–63.

    Article  PubMed  Google Scholar 

  10. Kaplan GA, Keil JE. Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation 1993;88:1973–1998.

    PubMed  CAS  Google Scholar 

  11. Marmot MG. Socio-economic factors in cardiovascular disease. J Hypertens 1996;14:S201–S205.

    CAS  Google Scholar 

  12. Rugulies R. Depression as a predictor for coronary heart disease. A review and meta-analysis. Am J Prev Med 2002;23:51–61.

    Article  PubMed  Google Scholar 

  13. Ferketich AK, Schwartzbaum JA, Frid DJ, Moeschberger ML. Depression as an antecedent to heart disease among women and men in the NHANES I study. National Health and Nutrition Examination Survey. Arch Intern Med 2000;160:1261–1268.

    Article  PubMed  CAS  Google Scholar 

  14. Karasek R, Baker D, Marxer F, Ahlbom A, Theorell T. Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health 1981;71:694–705.

    Article  PubMed  CAS  Google Scholar 

  15. Marmot MG, Bosma H, Hemingway H, Brunner E, Stansfeld S. Contribution of job control and other risk factors to social variations in coronary heart disease incidence. Lancet 1997;350:235–239.

    Article  PubMed  CAS  Google Scholar 

  16. Lynch J, Krause N, Kaplan GA, Salonen R, Salonen JT. Workplace demands, economic reward, and progression of carotid atherosclerosis. Circulation 1997;96:302–307.

    PubMed  CAS  Google Scholar 

  17. Muntaner C, Nieto FJ, Cooper L, Meyer J, Szklo M, Tyroler HA. Work organization and atherosclerosis: findings from the ARIC study. Atherosclerosis Risk in Communities. Am J Prev Med 1998;14:9–18.

    Article  PubMed  CAS  Google Scholar 

  18. Nordstrom CK, Dwyer KM, Merz CN, Shircore A, Dwyer JH. Work-related stress and early atherosclerosis. Epidemiology 2001;12:180–185.

    Article  PubMed  CAS  Google Scholar 

  19. Moller J, Theorell T, de Faire U, Ahlbom A, Hallqvist J. Work related stressful life events and the risk of myocardial infarction. Case-control and casecrossover analyses within the Stockholm heart epidemiology programme (SHEEP). J Epidemiol Community Health 2005;59:23–30.

    Article  PubMed  Google Scholar 

  20. Tenkanen L, Sjoblom T, Kalimo R, Alikoski T, Harma M. Shift work, occupation and coronary heart disease over 6 years of follow-up in the Helsinki Heart Study. Scand J Work Environ Health 1997;23:257–265.

    PubMed  CAS  Google Scholar 

  21. Karlsson B, Alfredsson L, Knutsson A, Andersson E, Toren K. Total mortality and cause-specific mortality of Swedish shift-and day-workers in the pulp and paper industry in 1952–2001. Scand J Work Environ Health 2005;31:30–35.

    PubMed  Google Scholar 

  22. Rosengren A, Tibblin G, Wilhelmsen L. Self-perceived psychological stress and incidence of coronary artery disease in middle-aged men. Am J Cardiol 1991;68:1171–1175.

    Article  PubMed  CAS  Google Scholar 

  23. Iso H, Date C, Yamamoto A, et al. Perceived mental stress and mortality from cardiovascular disease among Japanese men and women: the Japan Collaborative Cohort Study for Evaluation of Cancer Risk Sponsored by Monbusho (JACC Study). Circulation 2002;106:1229–1236.

    Article  PubMed  Google Scholar 

  24. Ferrie J, Martikainen P, Shipley M, Marmot M. Selfreported economic difficulties and coronary events in men: evidence from the Whitehall II study. Int J Epidemiol 2005;34:640–648.

    Article  PubMed  CAS  Google Scholar 

  25. Li J, Hansen D, Mortensen PB, Olsen J. Myocardial infarction in parents who lost a child: a nationwide prospective cohort study in Denmark. Circulation 2002;106:1634–1639.

    Article  PubMed  Google Scholar 

  26. Salomaa V, Niemela M, Miettinen H, et al. Relationship of socioeconomic status to the incidence and prehospital, 28-day, and 1-year mortality rates of acute coronary events in the FINMONICA myocardial infarction register study. Circulation 2000;101:1913–1918.

    PubMed  CAS  Google Scholar 

  27. Engstrom G, Tyden P, Berglund G, et al. Incidence of myocardial infarction in women. A cohort study of risk factors and modifiers of effect. J Epidemiol Community Health 2000;54:104–107.

    Article  PubMed  CAS  Google Scholar 

  28. Wamala SP, Mittleman MA, Horsten M, et al. Job stress and the occupational gradient in coronary heart disease risk in women. The Stockholm Female Coronary Risk Study. Soc Sci Med 2000;51:481–489.

    Article  PubMed  CAS  Google Scholar 

  29. Lawlor DA, Davey Smith G, Patel R, Ebrahim S. Lifecourse socioeconomic position, area deprivation, and coronary heart disease: findings from the British Women’s Heart and Health Study. Am J Public Health 2005;95:91–97.

    Article  PubMed  Google Scholar 

  30. House JS, Landis KR, Umberson D. Social relationships and health. Science 1988;241:540–545.

    Article  PubMed  CAS  Google Scholar 

  31. Berkman LF, Melchior M, Chastang JF, et al. Social integration and mortality: a prospective study of French employees of Electricity of France-Gas of France: the GAZEL Cohort. Am J Epidemiol 2004;159:167–174.

    Article  PubMed  Google Scholar 

  32. Sundquist K, Lindstrom M, Malmstrom M, Johansson SE, Sundquist J. Social participation and coronary heart disease: a follow-up study of 6900 women and men in Sweden. Soc Sci Med 2004;58:615–622.

    Article  PubMed  Google Scholar 

  33. Barefoot JC, Gronbaek M, Jensen G, Schnohr P, Prescott E. Social network diversity and risks of ischemic heart disease and total mortality: findings from the Copenhagen City Heart Study. Am J Epidemiol 2005;161:960–967.

    Article  PubMed  Google Scholar 

  34. Berkman LF, Leo-Summers L, Horwitz RI. Emotional support and survival after myocardial infarction. A prospective, population-based study of the elderly. Ann Intern Med 1992;117:1003–1009.

    PubMed  CAS  Google Scholar 

  35. Welin C, Lappas G, Wilhelmsen L. Independent importance of psychosocial factors for prognosis after myocardial infarction. J Intern Med 2000;247:629–639.

    Article  PubMed  CAS  Google Scholar 

  36. Barefoot JC, Brummett BH, Helms MJ, Mark DB, Siegler IC, Williams RB. Depressive symptoms and survival of patients with coronary artery disease. Psychosom Med 2000;62:790–795.

    PubMed  CAS  Google Scholar 

  37. Frasure-Smith N, Lesperance F. Depression and other psychological risks following myocardial infarction. Arch Gen Psychiatry 2003;60:627–636.

    Article  PubMed  Google Scholar 

  38. Horsten M, Mittleman MA, Wamala SP, et al. Depressive symptoms and lack of social integration in relation to prognosis of CHD in middle-aged women. The Stockholm Female Coronary Risk Study. Eur Heart J 2000;21:1072–1080.

    Article  PubMed  CAS  Google Scholar 

  39. Lane D, Carroll D, Ring C, Beevers DG, Lip GY. Inhospital symptoms of depression do not predict mortality 3 years after myocardial infarction. Int J Epidemiol 2002;31:1179–1182.

    Article  PubMed  Google Scholar 

  40. Dickens CM, McGowan L, Percival C, et al. Lack of a close confidant, but not depression, predicts further cardiac events after myocardial infarction. Heart 2004;90:518–522.

    Article  PubMed  CAS  Google Scholar 

  41. Kaplan JR, Pettersson K, Manuck SB, Olsson G. Role of sympathoadrenal medullary activation in the initiation and progression of atherosclerosis. Circulation 1991;84:VI23–V132.

    PubMed  CAS  Google Scholar 

  42. Strawn WB, Bondjers G, Kaplan JR, et al. Endothelial dysfunction in response to psychosocial stress in monkeys. Circ Res 1991;68:1270–1279.

    PubMed  CAS  Google Scholar 

  43. van Amelsvoort LG, Schouten EG, Maan AC, Swenne CA, Kok FJ. Occupational determinants of heart rate variability. Int Arch Occup Environ Health 2000;73:255–262.

    Article  PubMed  Google Scholar 

  44. Ghiadoni L, Donald AE, Cropley M, et al. Mental stress induces transient endothelial dysfunction in humans. Circulation 2000;102:2473–2478.

    PubMed  CAS  Google Scholar 

  45. Kop WJ, Krantz DS, Howell RH, et al. Effects of mental stress on coronary epicardial vasomotion and flow velocity in coronary artery disease: relationship with hemodynamic stress responses. J Am Coll Cardiol 2001;37:1359–1366.

    Article  PubMed  CAS  Google Scholar 

  46. Lewthwaite J, Owen N, Coates A, et al. Circulating human heat shock protein 60 in the plasma of British civil servants: relationship to physiological and psychosocial stress. Circulation 2002;106:196–201.

    Article  PubMed  CAS  Google Scholar 

  47. Brunner E, Davey Smith G, Marmot M, et al. Childhood social circumstances and psychosocial and behavioural factors as determinants of plasma fibrinogen. Lancet 1996;347:1008–1013.

    Article  PubMed  CAS  Google Scholar 

  48. von Kanel R, Mills PJ, Fainman C, Dimsdale JE. Effects of psychological stress and psychiatric disorders on blood coagulation and fibrinolysis: a biobehavioral pathway to coronary artery disease? Psychosom Med 2001;63:531–544.

    Google Scholar 

  49. Agatisa PK, Matthews KA, Bromberger JT, Edmundowicz D, Chang YF, Sutton-Tyrrell K. Coronary and aortic calcification in women with a history of major depression. Arch Intern Med 2005;165:1229–1236.

    Article  PubMed  Google Scholar 

  50. Rozanski A, Blumenthal JA, Davidson KW, Saab PG, Kubzansky L. The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology. J Am Coll Cardiol 2005;45:637–651.

    Article  PubMed  Google Scholar 

  51. Glassman AH, O’Connor CM, Califf RM, et al. Sertraline treatment of major depression in patients with acute MI or unstable angina. JAMA 2002;288:701–709.

    Article  PubMed  CAS  Google Scholar 

  52. Berkman LF, Blumenthal J, Burg M, et al. Effects of treating depression and low perceived social support on clinical events after myocardial infarction: the Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) Randomized Trial. JAMA 2003;289:3106–3116.

    Article  PubMed  Google Scholar 

  53. Carney RM, Blumenthal JA, Freedland KE, et al. Depression and late mortality after myocardial infarction in the Enhancing Recovery in Coronary Heart Disease (ENRICHD) study. Psychosom Med 2004;66:466–474.

    Article  PubMed  Google Scholar 

  54. Lawlor DA, Hopker SW. The effectiveness of exercise as an intervention in the management of depression: systematic review and meta-regression analysis of randomised controlled trials. BMJ 2001;322:763–767.

    Article  PubMed  CAS  Google Scholar 

  55. Blumenthal JA, Sherwood A, Babyak MA, et al. Effects of exercise and stress management training on markers of cardiovascular risk in patients with ischemic heart disease: a randomized controlled trial. JAMA 2005;293:1626–1634.

    Article  PubMed  CAS  Google Scholar 

  56. Blumenthal JA, Babyak MA, Carney RM, et al. Exercise, depression, and mortality after myocardial infarction in the ENRICHD trial. Med Sci Sports Exerc 2004;36:746–755.

    Article  PubMed  Google Scholar 

  57. Frasure-Smith N, Lesperance F, Prince RH, et al. Randomised trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction. Lancet 1997:350;473–479.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag London Limited

About this chapter

Cite this chapter

Rosengren, A. (2007). Psychosocial Aspects in Prevention and Rehabilitation. In: Perk, J., et al. Cardiovascular Prevention and Rehabilitation. Springer, London. https://doi.org/10.1007/978-1-84628-502-8_30

Download citation

  • DOI: https://doi.org/10.1007/978-1-84628-502-8_30

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-462-5

  • Online ISBN: 978-1-84628-502-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics