Psychosocial factors, including hostility, depression, anxiety, social isolation, and job stress, confer increased risk for the development and progression of coronary heart disease.
Do psychosocial factors and interventions influence the development and course of coronary heart disease?
Psychosocial factors such as hostility, depression, anxiety, and social isolation are important risk factors for the development and progression of coronary heart disease.
Psychosocial characteristics predict the development and course of coronary heart disease (CHD). In this review, the authors discussed human and animal research on psychophysiological mechanisms influencing coronary artery disease and its progression to CHD. They then reviewed literature on personality and characteristics of the social environment as risk factors for CHD. Hostility confers increased risk, and a group of risk factors involving depression and anxiety may be especially important following myocardial infarction. Social isolation, interpersonal conflict, and job stress confer increased risk. Psychosocial interventions may have beneficial effects on CHD morbidity and mortality, although inconsistent results and a variety of methodological limitations preclude firm conclusions. Finally, they discussed implications for clinical care and the agenda for future research.
Smith et al. (2002) conducted a review in Coronary heart disease. Psychosocial factors (hostility, depression, anxiety, social isolation, job stress) was evaluated on Development and course of coronary heart disease. Psychosocial factors, including hostility, depression, anxiety, social isolation, and job stress, confer increased risk for the development and progression of coronary heart disease.
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