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The clinical impact of negative psychological states: expanding the spectrum of risk for coronary artery disease.

机译:负面心理状态的临床影响:扩大冠状动脉疾病风险的范围。

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OBJECTIVES: Research has demonstrated a gradient relationship between depression and the risk of adverse cardiovascular events among both initially healthy individuals and those with known cardiac disease. Moreover, recent investigators have demonstrated that adverse outcomes are even associated with the presence of relatively mild symptoms, as measured by self-report scales like the Beck Depression Inventory. The association between even mild depressive symptoms and sequelae of cardiac disease raises the following question: Is the spectrum of psychological factors associated with cardiac disease greater than previously recognized? METHODS: To address this issue, we consider a small but emerging literature that has focused on effects of other negative psychologic states on cardiovascular health. RESULTS: Five negative states that have been linked in varying degrees to cardiovascular disease or disturbances are identified, including hopelessness, pessimism, rumination, anxiety, and anger. Considering a broader spectrum of risk may help to understand more fully the mechanisms by which depression and other negative affective states influence coronary heart disease risk.
机译:目的:研究表明,在最初健康的个体和已知心脏病的个体中,抑郁与不良心血管事件风险之间存在梯度关系。而且,最近的研究者已经证明,不良反应甚至与相对轻度的症状有关,这是通过像贝克抑郁量表这样的自我报告量表来衡量的。甚至轻度的抑郁症状与心脏病后遗症之间的联系也提出了以下问题:与心脏病有关的心理因素的范围是否大于以前公认的?方法:为了解决这个问题,我们考虑了一个小型但新兴的文献,该文献侧重于其他负面心理状态对心血管健康的影响。结果:确定了与心血管疾病或疾病有不同程度联系的五个负面状态,包括绝望,悲观,反省,焦虑和愤怒。考虑更大范围的风险可能有助于更充分地了解抑郁症和其他负面情感状态影响冠心病风险的机制。

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