Advertisement

Streß und Streßverarbeitung

  • Othmar W. Schonecke
Chapter

Zusammenfassung

Ein leitender Angestellter eines Betriebes mit mehreren Standorten in Deutschland erlitt auf der Rückfahrt mit dem Auto von einer Konferenz der Abteilungsleiter einen Herzinfarkt. Der Patient war 43 Jahre alt, ohne Kinder verheiratet, Nichtraucher, sportlich mäßig aktiv (gelegentliches Joggen), normalgewichtig. Nichts deutete auf ein derartig gravierendes gesundheitliches Ereignis hin. Bis vor einiger Zeit hatte er nur selten unter körperlichen Beschwerden gelitten, nur im Zusammenhang mit üblichen Erkältungskrankheiten. Herzbeschwerden hätte er nicht gehabt. Er war schon viele Jahre in der Firma tätig gewesen und bekleidete eine angesehene Position in einer Abteilung, die vor allem rechnerische Planungen durchführte.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. [1]
    Andrasik F., Blanchard E. B., Arena, J. G., Teders, S. J., Teevan, R. C., und Rodichok, L. D.: Psychological functioning in headache sufferers. Psychosom. Med. 1982, 44, 171–182 PubMedGoogle Scholar
  2. [2]
    Berkman, L. F. und Syme, S. L.: Social networks, host resistance, and mortality: A nine year follow-up study od Alameda county residents. Amer. J. Epidemiol. 1979, 109, 186 Google Scholar
  3. [3]
    Bland, S. H., Krogh, V., Winkelstein, W., und Trèvisan, M.: Social network and blood pressure: A population study. Psychosom. Med. 1991, 53, 598–607 PubMedGoogle Scholar
  4. [4]
    Cannon, W. B.: Bodily changes in pain, hunger, fear and rage. Appleton Century Crofts, New York, 1929 Google Scholar
  5. [5]
    Eaker, E. D., Haynes, S.G., und Feinleib, M.: Spouse behavior and coronary heart disease in men: Prospective results from the framing-ham heart study. II Modification of risk in type. A husbands according to the social and psychological status of their wives. Amer. J. Epidemiol. 1983, 118, 23–41 Google Scholar
  6. [6]
    Haynes, S. G., Feinleib, M., und Kannel, W. B.: The relationship of psychosocial factors to coronary heart disease in the framingham study. III. Eight-year incidence of coronary heart disease. Amer.J. Epidemiol. 1980,111, 37–58 Google Scholar
  7. [7]
    Henry, J. P., und Stephens, P. M.: Stress, health and the social anvironment. A socio-biologic approach to medicine. Springer, New York, 1977 Google Scholar
  8. [8]
    Holroyd, K. A., Andrasik, F., und Westbrook, T.: Cognitive control of tension headache. Cogn. Ther. and Research 1977, 121–133 Google Scholar
  9. [9]
    Jern, C., Eriksson, E., Tengborn, L., Wadenvik, H., und Jern, S.: Changes of plasma coagulation and fibrinolysis in response to mental Streß. Thrombosis and Haemostasis 1989,62,767–771 PubMedGoogle Scholar
  10. [10]
    Kamarck, T. W., Manuck, S. B., und Jennings, J. R.: Social Support Reduces cardiovascular Reactivity To Psychological Challenge: A Laboratory Model. Psychosom. Med, 1990 52, 42–58 PubMedGoogle Scholar
  11. [11]
    Larsson, P. T., Hjemdahl, P., Olsson, G., Egberg, N., und Hornstra, G.: Altered platelet function during mental Streß and adrenaline infusion in humans: evidence for an increased aggregability in vivo as measured by filtragometry. Clinical. Science 1989 76, 369–376 PubMedGoogle Scholar
  12. [12]
    Lazarus, R. S.: From Psychologicalstress to the emotions: A history of changing outlooks. Ann. Rev. Psychol. 1993, 44, 1–21 CrossRefGoogle Scholar
  13. [13]
    Light, K. C., Dolan, C. A., Davis, M. R. und Sherwood, A.: Cardiovascular responses to an active coping challenge as a predictor of blood pressure patterns 10 to 15 years later. Psychosom. Med, 1992 54, 217–230 PubMedGoogle Scholar
  14. [14]
    Malkoff, S. B., Muldoon, M. F., Zeigler, Z. R., und Manuck, S. B.: Blood platelet responsitivity to acute mental Streß. Psychosom. Med, 1993, 55, 477–482 PubMedGoogle Scholar
  15. [15]
    McCann, B. S., Veith, R. C., Schwartz, R. S., Lewis, N., Albers, J. J., Warnick, G. R., und Knopp, R. H.: Cardiovascular, neuroendocrine, and lipoprotein changes during Streß in hyperlipedemic and normolipedemic man. Psychophysiol, 1988 25,4,421 CrossRefGoogle Scholar
  16. [16]
    Meichenbaum, D., und Cameron, R.: Stress inocculation training: Toward a general paradigm for training coping skills. In: Meichenbaum , D. und Jaremko , M.E. : Stress reduction and prevention. Plenum Press, New York 1983 Google Scholar
  17. [17]
    Mest, H. J., Zehl, U., Sziegoleit, W., Traube, C., und Gorster, W.: Influence of mental Streß on plasma level of prostaglandins, throboxane B, and circulating platelet aggregates in man. Prostaglandines, Leukotrie-nes and Medicine, 1982, 8, 553–563 Google Scholar
  18. [18]
    Nunes, E. V., Frank, K. A., und Kornfeld, D. S.: Psychologic Treatment for the Type A Behavior Pattern and for Coronary Heart Disease: A Meta-Analysis of the Literature. Psychosom. Med, 1987, 48, 159–173 Google Scholar
  19. [19]
    Powell, L. H., Friedman, M., Thoresen, C. El, Gill, J. J., und Ulmer, D. K.: Can the type A behavior pattern be altered after myocardial infarction? A second year report from the recurrent coronary prevention project. Psychosom. Med, 1984 46, 293–313 PubMedGoogle Scholar
  20. [20]
    Rahe, R. H.: Life change, Streß responsivity, and captivity research. Psychosom. Med, 1990, 52, 373–396 PubMedGoogle Scholar
  21. [21]
    Scherwitz, L. W., Perkins, L. L., Chesney, M. A., Highes, G. H., Sidney, S., und Manolio, T. A.: Hostility and health behaviors in young adults: The CARDIA study. Amer. J. Epidemiol., 1992, 136, 136–145 Google Scholar
  22. [22]
    Schonecke, O. W., Muck-Weich, Ch., und Lehmann, K. A.: »Schmerzverhalten während der postoperativen, Patienten-kontrollierten Analgesie« (PCA). II. Prädiktoren von Schmerzverhalten und Schmerzerleben. Z. med. Psychol., 1994, 3, 28–38 Google Scholar
  23. [23]
    Selye, H.: The stress concept today. In: Kutash, I. L., und Schlesinger, L. B.: Handbook on stress and anxiety. Jossey Bass, San Francisco 1981 Google Scholar
  24. [24]
    Shekelle, R. B., Gale, M., Ostfeld, A. M., und Paul, O.: Hostility, risk of coronary heart disease, and mortality. Psychosom. Med., 1983, 45, 109–114 PubMedGoogle Scholar
  25. [25]
    Steptoe, A., Fieldman, C., und Evans, O.: An experimental study of the effects of control over work pace on cardiovascular responsivity. J. Psychophysiol, 1993, 7, 290–300 Google Scholar
  26. [26]
    Stoney, C. M., Metthews, K. A., McDonald, R. H., und Johnston, C. A.: Sex differences in lipid, lipoprotein, cardiovascular, and neuroendocrine responses to acute Streß. Psychophysiol, 1988, 25, 645–656 CrossRefGoogle Scholar
  27. [27]
    Suarez, E. C., und Williams, R. B.: The relationships between dimensions of hostility and cardiovascular reactivity as a function of task characteristics. Psychosom. Med., 1990, 52, 558–570 PubMedGoogle Scholar
  28. [28]
    Suarez, E. C., Williams, R. B., Kuhn, C. M., Zimmerman, E. H., und Schanberg, S. M.: Biobehavioral basis of coronary-prone behavior in middle-aged men. Part II: Serum cholesterol, the Type A behavior pattern, and hostility as interactive modulators of physiological reactivity. Psychosom. Med, 1991 53, 528–537 PubMedGoogle Scholar
  29. [29]
    Walter, B., Rüddel, H., und Von Eiff, A. W.: Efficiency of behavioral intervention in hypertension. In: Elbert, T.; Langosch, W.; Steptoe, A., und Vaitl, D.: Behavioural medicine in cardiovascular disorders. J. Wiley. New York, 1988 Google Scholar
  30. [30]
    Warwick-Evans, L., Walker, J.,und Evans, J.: A comparison of psychologically-induced cardiovascular reactivity in laboratory and natural environments. J. Psychosom. Res., 1988, 32, 493–504 PubMedCrossRefGoogle Scholar
  31. [31]
    Williams, R. B., Suarez, E. C., Kuhn, C. M., Zimmerman, E. A., und Schanberg, S. M.: Biobehavioral basis of coronary-prone behavior in middle-aged men. Part I: Evidence for chronic SNS acitvation in Type As. Psychosom. Med., 1991 53, 517–527 PubMedGoogle Scholar
  32. [32]
    Zurawski, R. M., Smith, T. W., und Houston, B. K.: Stress Management for Essential Hypertension: Comparison with a Minimally Effective Treatment, Predictors of Response to Treatment, and Effects on Reactivity. J. Psychosom. Res., 31, 453–462, 1987 PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • Othmar W. Schonecke

There are no affiliations available

Personalised recommendations