Men deny and women cry, but who dies? Do the wages of “denial” include early ischemic coronary heart disease?
In this study patients with documented ischemic coronary heart disease (ICHD; prior MI or CAD per catheterization) were tested for the association of various measures of emotional distress with Age at Initial Diagnosis. The measures were chosen because of a published track record at predicting morta...
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creator | Ketterer, MW Denollet, J Chapp, J Thayer, B Keteyian, S Clark, V John, S Farha, AJ Deveshwar, S |
description | In this study patients with documented ischemic coronary heart disease (ICHD; prior MI or CAD per catheterization) were tested for the association of various measures of emotional distress with Age at Initial Diagnosis.
The measures were chosen because of a published track record at predicting mortality in this population. Females were oversampled to achieve equivalent numbers of each sex (
n=50), and thus equivalent statistical power. In a subset of patients (38 males and 32 females), Spouse/Friend Ketterer Stress Symptom Frequency Checklists (KSSFCs) were received.
Females reported more depression and anxiety than males. However, spouses or friends reported more anger for males. Denial (spouse/friend minus self-ratings) was greater in males for all three scales of the KSSFC (Anger,
P=.005; Depression,
P=.024; Anxiety,
P=.001). Although females showed the same trend, self and spouse or friend ratings of distress were significantly associated with Age at Initial Diagnosis only in males. When split at the sample mean on the Spouse/Friend KSSFC AIAI (Anger) scale, Age at Initial Diagnosis occurred 14.2 years earlier in males.
Use of a significant other in assessing psychosocial/emotional distress in males may confer greater accuracy, and therefore predictive power for clinical endpoints. |
doi_str_mv | 10.1016/S0022-3999(03)00501-4 |
format | Article |
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The measures were chosen because of a published track record at predicting mortality in this population. Females were oversampled to achieve equivalent numbers of each sex (
n=50), and thus equivalent statistical power. In a subset of patients (38 males and 32 females), Spouse/Friend Ketterer Stress Symptom Frequency Checklists (KSSFCs) were received.
Females reported more depression and anxiety than males. However, spouses or friends reported more anger for males. Denial (spouse/friend minus self-ratings) was greater in males for all three scales of the KSSFC (Anger,
P=.005; Depression,
P=.024; Anxiety,
P=.001). Although females showed the same trend, self and spouse or friend ratings of distress were significantly associated with Age at Initial Diagnosis only in males. When split at the sample mean on the Spouse/Friend KSSFC AIAI (Anger) scale, Age at Initial Diagnosis occurred 14.2 years earlier in males.
Use of a significant other in assessing psychosocial/emotional distress in males may confer greater accuracy, and therefore predictive power for clinical endpoints.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/S0022-3999(03)00501-4</identifier><identifier>PMID: 14987973</identifier><identifier>CODEN: JPCRAT</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cardiology. Vascular system ; Clinical outcomes ; Coronary artery disease ; Coronary Disease - mortality ; Coronary Disease - surgery ; Coronary diseases ; Coronary heart disease ; Crying ; Denial ; Denial (Psychology) ; Depression - diagnosis ; Depression - epidemiology ; Depression - psychology ; Diagnosis ; Emotional distress ; Female ; Fundamental and applied biological sciences. Psychology ; Gender differences ; Heart ; Humans ; Illness and personality ; Illness, stress and coping ; Male ; Medical sciences ; Middle Aged ; Mood Disorders - diagnosis ; Mood Disorders - epidemiology ; Mood Disorders - psychology ; Myocardial Ischemia - mortality ; Predictive Value of Tests ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Retrospective Studies ; Risk Factors ; Sex differences ; Sex Factors ; Social Behavior ; Stress ; Survival Rate</subject><ispartof>Journal of psychosomatic research, 2004, Vol.56 (1), p.119-123</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-a63a85aa55902a2fecd23857f3438f30e74383cafb3ab9a3765cfaf9e6063d2c3</citedby><cites>FETCH-LOGICAL-c469t-a63a85aa55902a2fecd23857f3438f30e74383cafb3ab9a3765cfaf9e6063d2c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3999(03)00501-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,31000,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15599567$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14987973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ketterer, MW</creatorcontrib><creatorcontrib>Denollet, J</creatorcontrib><creatorcontrib>Chapp, J</creatorcontrib><creatorcontrib>Thayer, B</creatorcontrib><creatorcontrib>Keteyian, S</creatorcontrib><creatorcontrib>Clark, V</creatorcontrib><creatorcontrib>John, S</creatorcontrib><creatorcontrib>Farha, AJ</creatorcontrib><creatorcontrib>Deveshwar, S</creatorcontrib><title>Men deny and women cry, but who dies? Do the wages of “denial” include early ischemic coronary heart disease?</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>In this study patients with documented ischemic coronary heart disease (ICHD; prior MI or CAD per catheterization) were tested for the association of various measures of emotional distress with Age at Initial Diagnosis.
The measures were chosen because of a published track record at predicting mortality in this population. Females were oversampled to achieve equivalent numbers of each sex (
n=50), and thus equivalent statistical power. In a subset of patients (38 males and 32 females), Spouse/Friend Ketterer Stress Symptom Frequency Checklists (KSSFCs) were received.
Females reported more depression and anxiety than males. However, spouses or friends reported more anger for males. Denial (spouse/friend minus self-ratings) was greater in males for all three scales of the KSSFC (Anger,
P=.005; Depression,
P=.024; Anxiety,
P=.001). Although females showed the same trend, self and spouse or friend ratings of distress were significantly associated with Age at Initial Diagnosis only in males. When split at the sample mean on the Spouse/Friend KSSFC AIAI (Anger) scale, Age at Initial Diagnosis occurred 14.2 years earlier in males.
Use of a significant other in assessing psychosocial/emotional distress in males may confer greater accuracy, and therefore predictive power for clinical endpoints.</description><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Clinical outcomes</subject><subject>Coronary artery disease</subject><subject>Coronary Disease - mortality</subject><subject>Coronary Disease - surgery</subject><subject>Coronary diseases</subject><subject>Coronary heart disease</subject><subject>Crying</subject><subject>Denial</subject><subject>Denial (Psychology)</subject><subject>Depression - diagnosis</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Diagnosis</subject><subject>Emotional distress</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gender differences</subject><subject>Heart</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood Disorders - diagnosis</subject><subject>Mood Disorders - epidemiology</subject><subject>Mood Disorders - psychology</subject><subject>Myocardial Ischemia - mortality</subject><subject>Predictive Value of Tests</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex differences</subject><subject>Sex Factors</subject><subject>Social Behavior</subject><subject>Stress</subject><subject>Survival Rate</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc9u1DAQxi0EokvhEUC-UIFEYBzHzvq0QuWvVMQBOFuzzpg1SuLWTljtrQ8CL9cnwe2u6LGnkTW_b2b8fYw9FfBagNBvvgHUdSWNMS9AvgRQIKrmHluIZWsqITXcZ4v_yBF7lPMvANCmVg_ZkWhMwVq5YBdfaOQdjTuOY8e3cShPl3av-Hqe-HYTeRcor_i7yKcN8S3-pMyj51eXf4ooYH91-ZeH0fVzR5ww9TsestvQEBx3McUR045vSmMqgzJhptVj9sBjn-nJoR6zHx_efz_9VJ19_fj59O1Z5Rptpgq1xKVCVMpAjbUn19VyqVovG7n0EqgtVTr0a4lrg7LVynn0hjRo2dVOHrOT_dzzFC9mypMdymnU9zhSnLNthV4qUPJOULWiBSNMAdUedCnmnMjb8xSG8kMrwF6HYm9CsdeOW5D2JhTbFN2zw4J5PVB3qzqkUIDnBwCzw94nHF3It1zxwCjdFm6156j49jtQstkFGh11IZGbbBfDHaf8AxQdqps</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Ketterer, MW</creator><creator>Denollet, J</creator><creator>Chapp, J</creator><creator>Thayer, B</creator><creator>Keteyian, S</creator><creator>Clark, V</creator><creator>John, S</creator><creator>Farha, AJ</creator><creator>Deveshwar, S</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>Men deny and women cry, but who dies? Do the wages of “denial” include early ischemic coronary heart disease?</title><author>Ketterer, MW ; Denollet, J ; Chapp, J ; Thayer, B ; Keteyian, S ; Clark, V ; John, S ; Farha, AJ ; Deveshwar, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-a63a85aa55902a2fecd23857f3438f30e74383cafb3ab9a3765cfaf9e6063d2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Clinical outcomes</topic><topic>Coronary artery disease</topic><topic>Coronary Disease - mortality</topic><topic>Coronary Disease - surgery</topic><topic>Coronary diseases</topic><topic>Coronary heart disease</topic><topic>Crying</topic><topic>Denial</topic><topic>Denial (Psychology)</topic><topic>Depression - diagnosis</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Diagnosis</topic><topic>Emotional distress</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gender differences</topic><topic>Heart</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mood Disorders - diagnosis</topic><topic>Mood Disorders - epidemiology</topic><topic>Mood Disorders - psychology</topic><topic>Myocardial Ischemia - mortality</topic><topic>Predictive Value of Tests</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex differences</topic><topic>Sex Factors</topic><topic>Social Behavior</topic><topic>Stress</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ketterer, MW</creatorcontrib><creatorcontrib>Denollet, J</creatorcontrib><creatorcontrib>Chapp, J</creatorcontrib><creatorcontrib>Thayer, B</creatorcontrib><creatorcontrib>Keteyian, S</creatorcontrib><creatorcontrib>Clark, V</creatorcontrib><creatorcontrib>John, S</creatorcontrib><creatorcontrib>Farha, AJ</creatorcontrib><creatorcontrib>Deveshwar, S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ketterer, MW</au><au>Denollet, J</au><au>Chapp, J</au><au>Thayer, B</au><au>Keteyian, S</au><au>Clark, V</au><au>John, S</au><au>Farha, AJ</au><au>Deveshwar, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Men deny and women cry, but who dies? Do the wages of “denial” include early ischemic coronary heart disease?</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2004</date><risdate>2004</risdate><volume>56</volume><issue>1</issue><spage>119</spage><epage>123</epage><pages>119-123</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><coden>JPCRAT</coden><abstract>In this study patients with documented ischemic coronary heart disease (ICHD; prior MI or CAD per catheterization) were tested for the association of various measures of emotional distress with Age at Initial Diagnosis.
The measures were chosen because of a published track record at predicting mortality in this population. Females were oversampled to achieve equivalent numbers of each sex (
n=50), and thus equivalent statistical power. In a subset of patients (38 males and 32 females), Spouse/Friend Ketterer Stress Symptom Frequency Checklists (KSSFCs) were received.
Females reported more depression and anxiety than males. However, spouses or friends reported more anger for males. Denial (spouse/friend minus self-ratings) was greater in males for all three scales of the KSSFC (Anger,
P=.005; Depression,
P=.024; Anxiety,
P=.001). Although females showed the same trend, self and spouse or friend ratings of distress were significantly associated with Age at Initial Diagnosis only in males. When split at the sample mean on the Spouse/Friend KSSFC AIAI (Anger) scale, Age at Initial Diagnosis occurred 14.2 years earlier in males.
Use of a significant other in assessing psychosocial/emotional distress in males may confer greater accuracy, and therefore predictive power for clinical endpoints.</abstract><cop>Amsterdam</cop><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>14987973</pmid><doi>10.1016/S0022-3999(03)00501-4</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
subjects | Biological and medical sciences Cardiology. Vascular system Clinical outcomes Coronary artery disease Coronary Disease - mortality Coronary Disease - surgery Coronary diseases Coronary heart disease Crying Denial Denial (Psychology) Depression - diagnosis Depression - epidemiology Depression - psychology Diagnosis Emotional distress Female Fundamental and applied biological sciences. Psychology Gender differences Heart Humans Illness and personality Illness, stress and coping Male Medical sciences Middle Aged Mood Disorders - diagnosis Mood Disorders - epidemiology Mood Disorders - psychology Myocardial Ischemia - mortality Predictive Value of Tests Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Retrospective Studies Risk Factors Sex differences Sex Factors Social Behavior Stress Survival Rate |
title | Men deny and women cry, but who dies? Do the wages of “denial” include early ischemic coronary heart disease? |
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