Psychosocial Variables as Predictors of Psychological Stress–Induced Ischemia in the Laboratory

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• 作者：Carr ; Blaine H. ; Ghormley ; Michael R. ; Juncker ; Brian D. ; McCarthy ; Christopher J. ; Fouladi ; Rachel T. ; Worchel ; Jason
• 关键词：psychological stress ; myocardial ischemia ; psychosocial predictors ; physiological reactivity ; coronary artery disease
• 刊名：Journal of Clinical Psychology in Medical Settings
• 出版年：2003
• 出版时间：2003
• 年：2003
• 卷：10
• 期：2
• 页码：79-89
• 全文大小：96 KB

文摘

This study examined ischemic reactivity to a psychological stress protocol and whether psychological variables could reliably classify individuals as ischemic reactors. Participants were 54 male Veterans Administration patients who had or were suspected of having CAD. Psychological inventories were administered prior to a psychological stress protocol consisting of a surgical video, the Stroop Color–Word task, an arithmetic task, and discussion of a stressful event. Cardiac functioning was evaluated using an ECG Holter monitor and 23.53% of participants were classified as reactors. Mean differences between reactors and nonreactors were found for State Anger, Health Locus of Control—Powerful Others (MHLC-PO), and Depression. State Anger and MHLC-PO emerged as significant predictors of reactor status in logistic regression analyses. Models based on individual scale items suggested three items could be used to achieve higher classification rates. Implications for revising screening procedures for determining risk and possible mechanisms underlying psychological stress–induced ischemia are discussed.