Evidence based cardiology: Psychosocial factors in the aetiology and prognosis of coronary heart disease: systematic review of prospective cohort studies

Summary points: In healthy populations, prospective cohort show a possible aetiological role for type /hostility (6/14 studies), depression and (11/11 studies), psychosocial work (6/10 studies), social support (5/8 studies). In populations of patients with coronary heart, prospective studies show a prognostic for depression and anxiety (6/6 studies), work characteristics (1/2 studies), social support (9/10 studies) ; none of five showed a prognostic role for type /hostility. this review can not discount the of publication bias, prospective cohort provide strong evidence that psychosocial, particularly depression and social support, independent aetiological and prognostic for coronary heart disease.