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Psychological correlates of coronary heart disease

Published online by Cambridge University Press:  09 July 2009

Christopher C. Tennant  and
Pauline M. Langeluddecke
Christopher C. Tennant*
Affiliation:
Professorial Psychiatric Unit, Concord Hospital, Concord, New South Wales, Australia
Pauline M. Langeluddecke
Affiliation:
Professorial Psychiatric Unit, Concord Hospital, Concord, New South Wales, Australia
*
1 Address for correspondence: Associate Professor Christopher C. Tennant, Academic Department of Psychiatry, Royal North Shore Hospital, St Leonards, New South Wales 2065, Australia.
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Synopsis

The Type A behaviour pattern and other measures of psychological traits and symptom states were assessed in 92 subjects (predominantly male) presenting for coronary angiography. These measures were correlated with three angiographic indices of coronary heart disease (CHD) severity and two clinical indices (angina and the duration of CHD). The only psychological measures associated with atherosclerosis (assessed by angiography) were indices of personality: Type A (the Jenkins Activity Survey), trait tension, trait anxiety and suppression of anger. It was concluded that these traits may have some role in the pathogenesis of coronary atherosclerosis. None of the measures of psychological symptoms showed a significant association with angiography indices. However, depressive symptoms and expressed hostility were associated with the severity of angina and duration of heart disease. It was concluded that these affects are the consequences of the physical disability of CHD.

Type
Research Article
Information
Psychological Medicine , Volume 15 , Issue 3 , August 1985 , pp. 581 - 588
Copyright
Copyright © Cambridge University Press 1985

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