Work

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

Year: 1999

Type: article

Abstract: Summary points: In healthy populations, prospective cohort studies show a possible aetiological role for typeA/hostility (6/14 studies), depression andanxiety (11/11 studies), psychosocial workcharacteristics (6/10 studies), social support(5/8 studies). In populations of patients with coronary heartdisease, prospective studies show a prognosticrole for depression and anxiety (6/6 studies),psychosocial work characteristics (1/2 studies),and social support (9/10 studies); none of fivestudies showed a prognostic role for typeA/hostility. Although this review can not discount thepossibility of publication bias, prospective cohortstudies provide strong evidence that psychosocialfactors, particularly depression and social support,are independent aetiological and prognosticfactors for coronary heart disease.

Source: BMJ

DOI: 10.1136/bmj.318.7196.1460

Authors: H. Hemingway, M. Marmot

Institution: University College London

Language: English

Topic: Cardiac Health and Mental Health

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funders: Agency for Healthcare Research and Quality, National Institute on Aging, National Heart, Lung, and Blood Institute