Social support and coronary heart disease: epidemiologic evidence and implications for treatment

Psychosomatic Medicine
Heather S LettAndrew Sherwood


The present paper reviews theories of social support and evidence for the role of social support in the development and progression of coronary heart disease (CHD). Articles for the primary review of social support as a risk factor were identified with MEDLINE (1966-2004) and PsychINFO (1872-2004). Reviews of bibliographies also were used to identify relevant articles. In general, evidence suggests that low social support confers a risk of 1.5 to 2.0 in both healthy populations and in patients with established CHD. However, there is substantial variability in the manner in which social support is conceptualized and measured. In addition, few studies have simultaneously compared differing types of support. Although low levels of support are associated with increased risk for CHD events, it is not clear what types of support are most associated with clinical outcomes in healthy persons and CHD patients. The development of a consensus in the conceptualization and measurement of social support is needed to examine which types of support are most likely to be associated with adverse CHD outcomes. There also is little evidence that improving low social support reduces CHD events.


Feb 25, 1992·American Journal of Epidemiology·T E OxmanJ Barrett
Apr 1, 1989·The British Journal of Psychiatry : the Journal of Mental Science·L K GeorgeN Fowler
Sep 1, 1989·Psychosomatic Medicine·N Frasure-Smith, R Prince
Jan 1, 1988·Social Science & Medicine·P O'Reilly
Jan 1, 1988·Sozial- Und Präventivmedizin·U HärtelU Keil
Oct 1, 1988·American Journal of Epidemiology·I WiklundL Wilhelmsen
Aug 1, 1986·Journal of Personality and Social Psychology·S E HobfollJ Leiberman
Dec 1, 1986·American Journal of Epidemiology·D S Strogatz, S A James
Sep 1, 1985·Psychosomatic Medicine·N Frasure-Smith, R Prince
Jan 1, 1984·Social Psychiatry. Sozialpsychiatrie. Psychiatrie Sociale·A S Henderson
Aug 30, 1984·The New England Journal of Medicine·W RubermanB S Chaudhary
Apr 1, 1983·American Journal of Epidemiology·D ReedM Feinleib
May 1, 1995·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·S J Lepore
May 1, 1995·Psychosomatic Medicine·L F Berkman
Feb 1, 1995·The British Journal of Clinical Psychology·E J BurkerJ G Reves
Mar 1, 1995·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·C J HolahanP L Brennan
Feb 1, 1993·The American Journal of Cardiology·L GorkinS Shumaker
Jan 1, 1993·Psychosomatic Medicine·K Orth-GomérL Wilhelmsen
Oct 1, 1996·American Journal of Public Health·N Krieger, S Sidney
Jun 1, 1996·Journal of Epidemiology and Community Health·I KawachiW C Willett
Jan 1, 1997·Journal of Advanced Nursing·C P LangfordP P Lillis
Jan 1, 1997·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·T E Oxman, J G Hull
Feb 1, 1997·Journal of Behavioral Medicine·B N Uchino, T S Garvey
Apr 15, 1997·Biological Psychiatry·C A ShivelyR F Anton

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