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Do chronic psychological stressors accelerate the progress of cardiovascular disease?

This critical review discusses available evidence concerning whether chronic psychological stressors affect the progress of cardiovascular disease. Emphasis is placed upon prospective cohort studies. The report largely reflects comprehensive reviews by others, but also discusses recent empirical res...

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Published in:Stress & Health: Journal of the International Society for the Investigation of Stress Vol. 24; no. 3; pp. 203 - 213
Main Authors: Goble A, Le Grande M
Format: research systematic review tables/charts Journal Article
Published: Wiley-Blackwell Aug2008
Online Access:View this record in EBSCOhost
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      dt: Aug2008
      vid: 24
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        105660959
        2010016282
        10.1002/smi.1202
        105660959
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        atl: Do chronic psychological stressors accelerate the progress of cardiovascular disease?
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        au:
          Goble A
          Le Grande M
        affil: Heart Research Centre, The Royal Melbourne Hospital, VIC 3050, Australia
      sug:
        subj:
          Cardiovascular Diseases Pathology
          Cardiovascular Diseases Psychosocial Factors
          Cardiovascular Risk Factors
          Stress, Occupational Complications
          Stress, Psychological Complications
          Anxiety
          Cardiovascular Diseases Etiology
          Case Control Studies
          Depression
          Hypertension
          Medline
          Personality
          Prospective Studies
          Socioeconomic Factors
          Human
      ab: This critical review discusses available evidence concerning whether chronic psychological stressors affect the progress of cardiovascular disease. Emphasis is placed upon prospective cohort studies. The report largely reflects comprehensive reviews by others, but also discusses recent empirical research attempting to understand the basis for conflicting conclusions. The role of stressors is reviewed in the framework of possible personality features. It is probable that personality differences affect behavioural responses to stressors in a subset of subjects prone to introversion and negative affectivity. It is also probable that psychological depression is a factor inducing adverse outcomes including death and acute myocardial infarction. We remain unable to assert a definite cause and effect relationship between some stressors such as occupational characteristics. There appears to be sufficient evidence to suggest that psychological depression as a response to life's stressors may well accelerate the progress of cardiovascular disease. Copyright © 2008 John Wiley & Sons, Ltd.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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