心理社会因素与冠心病相关的综合研究(1)——单因素分析

The relationship of psychosocial risk factors and coronary heart disease:a comprehensive study

本文为社会心理危险因素与冠心病相关的综合研究报告之一。99例冠心病(CHD)患者,经冠状动脉选择性造影(CAG),A 型人格、生活事件、社会支持,情绪反应有关量表评定,与99例正常人对照组比较,结果显示:CAG 阳性者(69例) A 型行为所占比例明显高于对照组,A 型行为与冠状动脉病变程度呈正相关,A 型行为中 CH (竞争性,敌意,不耐心)是 CHD 主要危险因子,生活应激事件,社会支持差,负性情绪反应等与 CHD 发病有关。提示社会心理因素通过一定中介与冠心病存在肯定关系。

This is one of the series of comprehensive study oh the relationship betweenpsychosocial risk factors and coronary heart disease (CHD),with special reference of the re-sults from single variable analysis.99 CHD were examined with coronary arteriograph (CAG)and assessed quantitativly on behavior type,life events,social support and negative emotionreaction by standard instruments,in a comparison with 99 matched healthy controls.It wasfound that the precentage of A behavior among 69 positive CAG were significantly more thanthat in controls.The number of A behavior was positively correlated with the severity ofcoronary occlusion.CH scores in MMPI was proved as the major risk factor to CHD whilestressful life events,poor social support and negative emotion were all related to the develop-ment of CHD,suggesting that psychosocial risk factor plays definitely role in the developmentof CHD,though through certain mediation mechanism.