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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Veröffentlicht in:Journal of psychosomatic research 2004, Vol.56 (1), p.119-123
Hauptverfasser: Ketterer, MW, Denollet, J, Chapp, J, Thayer, B, Keteyian, S, Clark, V, John, S, Farha, AJ, Deveshwar, S
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container_issue 1
container_start_page 119
container_title Journal of psychosomatic research
container_volume 56
creator Ketterer, MW
Denollet, J
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Thayer, B
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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.
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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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