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Clinical Health Psychology and Cardiovascular Disorders

  • Andrew Steptoe
Chapter
Part of the Applied Clinical Psychology book series (NSSB)

Abstract

This presentation will focus on clinical psychological contributions to the understanding and management of coronary heart disease and high blood pressure (hypertension). Cardiovascular disease is the leading cause of death in western society. Statistics from the World Health Organisation (1987) indicate that in 1986, cardiovascular diseases were responsible for 46% of male and 53% of female deaths in the Federal Republic of Germany (FRG); the corresponding rates in England and Wales were 48% and 49% for men and women. By way of contrast, cancer accounted for just over 24% of male and 22% of female deaths in the FRG over the same period.

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References

  1. Basler, H.-D., (1988). Group treatment with obese essential hypertensive patients in a general practice setting: results of six years research. In T. Elbert, W. Langosch, A. Steptoe and D. Vaitl (Eds.), Behavioural Medicine in Cardiovascular Disorders (pp 129–137). Chichester: Wiley.Google Scholar
  2. Falkner, B., Kushner, H., Onesti, G., & Angelakos, E.T. (1981). Cardiovascular characteristics in adolescents who develop essential hypertension. Hypertension, 3, 521–527.PubMedCrossRefGoogle Scholar
  3. Friedman, M., Thoresen, C.E., Gill, J.J., Powell, L.H., Ulmer, D., Thompson, L., Price, V.A., Rabin, D.D. Brea U, W.S., Dixon, T.. Levy, R., & Bourg, E. (1984). Alteration of Type A behaviour and reduction in cardiac recurrences in post-myocardial infarction patients. American Heart Journal, 108, 237–248.PubMedCrossRefGoogle Scholar
  4. Johnson, J.E., & Hall, F.M. (1988). Job strain, workplace social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. American Journal of Public Health. 78, 1333–1341.CrossRefGoogle Scholar
  5. Johnston, D.W., (1989). Prevention of cardiovascular disease by psychological methods. British Journal of Psychiatry, 154, 183–194.PubMedCrossRefGoogle Scholar
  6. Johnston, D.W., & Steptoe, A. (1989). Hypertension. In S. Pearce & J. Wardle (Eds.), The Practice of Behavioural Medicine (pp 1–25). Oxford: Oxford University Press.Google Scholar
  7. Karasek, R. (1989). Control in the workplace and its health-related aspects. In S.L. Sauter, J.J. Hurrell & C.L. Cooper (Eds), Job Control and Worker Health (pp 129–159). Chichester: Wiley.Google Scholar
  8. Kittel, F. (1986). Type A and other social factors in relation to coronary heart disease. In T.H. Schmidt, T.M. Dembroski & G. Blümchen (Eds), Biological and Psychological Factors in Cardiovascular Disease (pp 63–84). Berlin: Springer-Verlag.CrossRefGoogle Scholar
  9. Mayou, R. (1989). Cardiac rehabilitation. In J.H. Lacey & T. Bums (Eds) Psychological Management of the Physically Ill (pp 95–113). Edinburgh: Churchill Livingstone.Google Scholar
  10. Ornish, D.M., Brown, S.E., Scherwitz, L.W., Billings, J.H., Armstrong, W.T., Ports, T.A., McLanahan, S.M., Kirkeeide, R.L., Brand, R.J., & Gould, K.L. (1989). Can lifestyle changes reverse coronary atherosclerosis? Paper to 2nd International Conference on Preventive Cardiology, Washington DC.Google Scholar
  11. Ragland, D.R., & Brand, R.J. (1988). Coronary heart disease mortality in the Western collaborative group study: follow-up experience of 22 years. American Journal of Epidemiology, 127, 462–475.PubMedGoogle Scholar
  12. Rocella, E.J. (1985). Hypertension prevalence and the status of awareness, treatment and control in the US. Hypertension, 7, 457–468.Google Scholar
  13. Rozanski, A., Bairey, M., Krantz, D.S., Friedman, J., Resser, K.J., Morell, M., Hilton-Chalfen, S., Hestrin, L., Bietendorf, J., & Burman, D.S. (1988). Mental stress and the induction of silent myocardial ischemia in patients with coronary artery disease. New England Journal of Medicine. 318, 1005–1012.PubMedCrossRefGoogle Scholar
  14. Shekelle, R.B., Billings, J.H., Borhani, N.O., Gerace, T.A., Hulley, S.B., Jacobs, D.R., Lasser, N.L., Mittlemark, M.B., Neaton, J.D., & Stamler, J. (1985). The MRFIT Behavior Pattern Study: II. Type A behavior and incidence of coronary heart disease. American Journal of Epidemiology, 122, 559–570.PubMedGoogle Scholar
  15. Shaper, A.G., Ashby, D., & Pocock, SJ. (1988). Blood pressure and hypertension in middle-aged British men. Journal of Hypertension, 6, 367–374.PubMedGoogle Scholar
  16. Steptoe, A. (1981). Psychological Factors in Cardiovascular Disorders. London: Academic Press.Google Scholar
  17. World Health Organisation (1987). World Health Statistics Annual. Geneva: WHO.Google Scholar

Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • Andrew Steptoe
    • 1
  1. 1.Department of Psychology, St George’s Hospital Medical SchoolUniversity of LondonCranmer TerraceLondonUK

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