PMID: 7079798Jan 1, 1982Paper

The social context of active distress in patients with early myocardial infarction

Social Science & Medicine
J SiegristI Weber

Abstract

Data of a retrospective case control study on 380 male patients with clinically documented first myocardial infarction (MI) (age 30-55) as well as findings of a follow-up over 18 months of 70% of this sample are presented. Results show first, that specific work stressors, lack of social support, and acute life changes are each significantly more prevalent among subjects with MI than among healthy controls; second, that significantly greater parts of MI subjects can be classified as simultaneously exposed to several chronic and acute social risks; third, that social stressors are related to the recurrence of cardiac symptoms in a follow-up after rehabilitation. These findings are discussed with regard to possible methodological bias such as the role of denial and neuroticism in patients under study, influences caused by interviewers, and limited validity of subjective stress rating. After controlling for these biases, findings basically remain stable. It is argued that a certain class of critical socio-emotional experiences, labeled 'active distress' may be harmful to neurohormonal imbalance, and, consequently, to several precursors of cardiovascular diseases. This class of experiences is reinforced and sustained by social conte...Continue Reading

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Citations

Oct 1, 1986·Journal of Behavioral Medicine·N T BlaneyP H Blaney
Jul 1, 1994·Journal of General Internal Medicine·H C Bucher
Jun 1, 1996·Journal of Psychosomatic Research·C Tennant
Jan 1, 1982·Social Science & Medicine·D V McQueen, J Siegrist
Jan 1, 1982·Social Science & Medicine·R Grossarth-MaticekH Vetter
Jan 1, 1984·Social Science & Medicine·M J Stewart, F M Gregor
Jun 1, 1992·Social Science & Medicine·T A Glass, G L Maddox
Jan 1, 1987·Journal of Chronic Diseases·J Siegrist
Jul 1, 1985·Preventive Medicine·M G Marmot
May 1, 1987·General Hospital Psychiatry·W W Sikes, P Rodenhauser
Sep 1, 1986·Acta Psychiatrica Scandinavica·E Kringlen
Aug 15, 2000·Research in Nursing & Health·Debra K Moser, Kathleen Dracup
Dec 2, 2004·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Carin Alm-RoijerLeif Erhardt
Jul 24, 2004·Psychosomatic Medicine·Debra K Moser, Kathleen Dracup
Aug 6, 2005·European Journal of Epidemiology·Anna Lipowicz, Monika Lopuszanska
Nov 2, 1999·The Australian and New Zealand Journal of Psychiatry·C Tennant

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