Emotional Responsivity and Transient Myocardial Ischemia

This study examined the relationship between "emotional responsivity" (i.e., individuals who exhibit relatively large variations of self-reported tension levels) and myocardial ischemia. One hundred thirty-six patients with coronary artery disease underwent 48 hr ambulatory eletrocardiogra...

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Veröffentlicht in:Journal of consulting and clinical psychology 1999-08, Vol.67 (4), p.605-610
Hauptverfasser: Carels, Robert A, Sherwood, Andrew, Babyak, Michael, Gullette, Elizabeth C. D, Coleman, R. Edward, Waugh, Robert, Jiang, Wei, Blumenthal, James A
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container_end_page 610
container_issue 4
container_start_page 605
container_title Journal of consulting and clinical psychology
container_volume 67
creator Carels, Robert A
Sherwood, Andrew
Babyak, Michael
Gullette, Elizabeth C. D
Coleman, R. Edward
Waugh, Robert
Jiang, Wei
Blumenthal, James A
description This study examined the relationship between "emotional responsivity" (i.e., individuals who exhibit relatively large variations of self-reported tension levels) and myocardial ischemia. One hundred thirty-six patients with coronary artery disease underwent 48 hr ambulatory eletrocardiographic (ECG) monitoring and laboratory mental stress testing using radionuclide angiocardiography. Compared with individuals characterized as low emotional responders, a higher proportion of individuals characterized as high emotional responders exhibited wall motion abnormalities in response to laboratory mental stress testing and were more likely to exhibit ECG ST-segment depression (≥1 mm for ≥1 min) during routine daily activities. These results suggest that emotional responsivity may represent an individual difference characteristic that is associated with an increased likelihood of exhibiting myocardial ischemia in both the laboratory and the real-world setting.
doi_str_mv 10.1037/0022-006X.67.4.605
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Compared with individuals characterized as low emotional responders, a higher proportion of individuals characterized as high emotional responders exhibited wall motion abnormalities in response to laboratory mental stress testing and were more likely to exhibit ECG ST-segment depression (≥1 mm for ≥1 min) during routine daily activities. These results suggest that emotional responsivity may represent an individual difference characteristic that is associated with an increased likelihood of exhibiting myocardial ischemia in both the laboratory and the real-world setting.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.67.4.605</identifier><identifier>PMID: 10450634</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Angina Pectoris - psychology ; Angiocardiography ; Arousal ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Coronary Disease - psychology ; Coronary diseases ; Electrocardiography, Ambulatory ; Emotional Responses ; Emotional responsiveness ; Emotions ; Exercise - psychology ; Female ; Fundamental and applied biological sciences. Psychology ; Heart ; Heart Disorders ; Human ; Humans ; Illness and personality ; Illness, stress and coping ; Individuality ; Ischaemia ; Ischemia ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - psychology ; Myocarditis. Cardiomyopathies ; Patients ; Psychological Stress ; Psychology ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. 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D</creatorcontrib><creatorcontrib>Coleman, R. Edward</creatorcontrib><creatorcontrib>Waugh, Robert</creatorcontrib><creatorcontrib>Jiang, Wei</creatorcontrib><creatorcontrib>Blumenthal, James A</creatorcontrib><title>Emotional Responsivity and Transient Myocardial Ischemia</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>This study examined the relationship between "emotional responsivity" (i.e., individuals who exhibit relatively large variations of self-reported tension levels) and myocardial ischemia. One hundred thirty-six patients with coronary artery disease underwent 48 hr ambulatory eletrocardiographic (ECG) monitoring and laboratory mental stress testing using radionuclide angiocardiography. 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Vascular system</subject><subject>Cardiovascular disease</subject><subject>Coronary Disease - psychology</subject><subject>Coronary diseases</subject><subject>Electrocardiography, Ambulatory</subject><subject>Emotional Responses</subject><subject>Emotional responsiveness</subject><subject>Emotions</subject><subject>Exercise - psychology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Heart</subject><subject>Heart Disorders</subject><subject>Human</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Individuality</subject><subject>Ischaemia</subject><subject>Ischemia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - psychology</subject><subject>Myocarditis. Cardiomyopathies</subject><subject>Patients</subject><subject>Psychological Stress</subject><subject>Psychology</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. 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subjects Adaptation, Psychological
Adult
Aged
Angina Pectoris - psychology
Angiocardiography
Arousal
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular disease
Coronary Disease - psychology
Coronary diseases
Electrocardiography, Ambulatory
Emotional Responses
Emotional responsiveness
Emotions
Exercise - psychology
Female
Fundamental and applied biological sciences. Psychology
Heart
Heart Disorders
Human
Humans
Illness and personality
Illness, stress and coping
Individuality
Ischaemia
Ischemia
Male
Medical sciences
Middle Aged
Myocardial Infarction - psychology
Myocarditis. Cardiomyopathies
Patients
Psychological Stress
Psychology
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Relationship
Risk Factors
Stress
Stress Reactions
title Emotional Responsivity and Transient Myocardial Ischemia
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