Facteurs psychologiques et cardiopathies ischémiques

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Cardiopathies ischémiques et profil psychologique dans trois cohortes masculines: Données de prévalence

Three surveys have been completed on 3.202 male subjects aged 40-59 yr. according to a common protocole; mean ages are 48,3 +/- 10,8 in Brussels-Ghent, 48,5 +/- 8,9 in Marseilles and 43,9 +/- 1,7 in Paris. A higher prevalence of coronary heart disease (CHD) was observed in Brussels (18,2%) as compared to Marseilles (10,5%) and Paris (5,8%). Psychological pattern has been defined according to the answers on 2 questionnaires: a French adaptation of the Bortner Scale and a combination of the questionnaire of Sandler and Hazari with the Eysenck Personality Inventory (S.H.-E.P.I.). The data suggest that the psychological pattern is independent of the other coronary risk factors. In this retrospective study, the score of neuroticism is significantly higher in subjects with CHD (angina, myocardial infarction or coronary insufficiency on the ECG), as compared to normal controls. The score on the Bortner Scale being highly correlated with the score of neuroticism, the former disappears in the discriminant function analysis. The psychological variables do not discriminate normal subjects from those with CHD according to their ECG, but without clinical symptoms of angina. In this study, neuroticism and less so obsessionality has a discriminating power between "coronary free" and "non-free" subjects. This power disappears in the absence of clinical symptoms (angina). As the 3 cohorts are followed during at least 5 years, the predictive power of neuroticism for CHD will be examined in a prospective manner.English AbstractJournal ArticleSCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe

Assessment of type A behaviour by the Bortner scale and ischaemic heart disease

In a French -Belgian collaborative study the incidence of coronary heart disease (CHD) in 2699 middle-aged males was related to the type A behaviour pattern assessed by means of the Bortner scale, which had been validated against the structured interview of Rosenman and Friedman in the Belgian subgroup. The relative risks of the fourth to the first quartile of the Bortner Scale were 1.70, 1.64 and 1.84 for total CHD, hard and soft events, respectively. The relationships of type A behaviour to CHD was independent of age, smoking, systolic blood pressure, serum cholesterol, body build and socio-professional status.Journal ArticleResearch Support, Non-U.S. Gov'tinfo:eu-repo/semantics/publishe

Ischemic Heart Disease and Psychological Patterns

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