Zusammenfassung
Koronare Herzkrankheiten (KHK) und andere kardiovaskuläre Krankheiten sind die führenden Todesursachen für Frauen in den Vereinigten Staaten. Unter kardiovaskulären Krankheiten werden all die Krankheiten verstanden, die im Zusammenhang mit den Herz- oder Blutgefäßen stehen. Sie schließen die koronare Herzkrankheit (KHK), den Schlaganfall, erhöhten Blutdruck und Herzinsuffizienz ein. Diese Krankheiten stellen für beide Geschlechter wichtige Todesursachen dar; trotzdem weiß man wenig über die unterschiedliche Betroffenheit von Frauen und Männern durch diese Erkrankungen. Ergebnisse der Framingham Studie, einer prospektiven Langzeituntersuchung, zeigen, daß die koronaren Herzkrankheiten bei Frauen stärker altersbedingt sind als bei Männern. In der höchsten Altersgruppe (75 bis 84 Jahre) sind sie 40mal häufiger als bei den jüngeren Frauen (35 bis 44 Jahre) (Lerner & Kannel 1986). Durch die Verschiebung der Alterspyramide in unserer Bevölkerung kann folglich damit gerechnet werden, daß koronare Herzkrankheiten ein zunehmend ernstes Problem für Frauen darstellen werden. Männer und Frauen unterscheiden sich im Hinblick auf die Morbidität, Mortalität und die Genesung von KHK. Gründe dafür sind in geschlechtsspezifischen Unterschieden, im natürlichen Verlauf der Krankheit, bei der Diagnose und Behandlung, im jeweiligen Gesundheitsverhalten und bei den psychosozialen Faktoren zu suchen.
Dieser Artikel wurde von den Autorinnen erstmalig in Englisch publiziert unter dem Titel „Women and Coronary Heart Disease: A Psychological Perspective“ in: A. Stanton & Sh. Gallent (eds): Psychology of Women’s Health: Progress and Challenges in Research and Application. Copyright by the America Psychological Association 1995. Die übersetzung erfolgte mit freundlicher Genehmigung des Verlages und der Herausgeber. Die American Psychological Association ist nicht für die übersetzung verantwortlich. Weder das Original noch die Übersetzung dürfen ohne schriftliche Erlaubnis des Verlages reproduziert, weiterverbreitet oder in irgendeiner anderen Form vervielfältigt werden.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Altmann, D.G.: The social context and the case of tobacco. In: S.A. Shumaker, E.B. Schron, J.K. Ockene (Eds.): Health behavior change, New York 1990, S. 241–269
Ayanian, J.Z., Epstein, A.M.: Differences in the use of procedure between women and men hospitalized for CHD, 1991, N Engl J Med 325, S. 221225
Becker, R.C., Corrao, J.M., Alpert, J.S.: Coronary artery bypass surgery in women: a review, 1982, Clin Cardiol 11, S. 443–448
Berkmann, L.F., Syme, S.L.: Social networks, host resistance and mortality: a nine-year follow-up study of Alameda County residents, 1979, Am J Epidemiol 109, S. 186–204
Bickell, N.A., Pieper, K.S., Lee, K.L., et al.: Referral patterns for coronary artery disease treatment: gender bias of good clinical judgment? 1992, Annals of Internal Medicine 116, S. 791–797
Biegel, D.E., Sales, E., Schulz, R.: Family caregiving in chronic illness, Volume 1, California 1991
Blumenthal, J., Fredrikson, M., Matthews, K., Kuhn, C., Sheniebolk, S., German, D., Rifai, N., Steege, J., Rodin, J.: Stress reactivity and exercise training in premenopausal and postmenopausal women, 1991, Health Psychol 10, S. 384–391
Boogaard, M.A.: Rehabilitation of the female patient after myocardial infarction, 1984, Nurs Clin North Am 12, S. 433–440
Boogaard, M., Brody, M.: Comparison of the rehabilitation of men and women post-myocardial infarction, 1985, Journal of Cardiopulmonary Rehabilitation 5, 379–384
Brown, J.S., Rawlinson, M.E.: Sex differences in sick role rejection and in work performancy following cardiac surgery, 1977, J Health Soc Behav 18, S. 276–292
Byrne, D.: Anxiety as state and trait following myocardial infarction, 1979, British Journal of Social and Clinical Psychology 18, S. 417–423
Cheitlin, M.D., Sokolow, M., Mclllroy, M.B.: Clinical Cardiology, 6th Edition, Norwalk 1993
Chirikos, T.N., Nickel, J.L.: Work disability from coronary heart disease in women, 1984, Women Health 2, S. 55–71
Clark, J.A., Potter, D.H., McKinlay, J.B.: Bringing social structure back into clinical decision making, 1991, Soc Sci Med 32 (8), S. 853–866
Conn, V.S., Taylor, LS.G., Wiman, P.: Anxiety, depression, quality of life, and self-care among survivors of myocardial infarction, 1991, Issues in Mental Health Nursing 12 (4), S. 321–331
Conn, V. S., Taylor, S.G., Abele, P.B.: Myocardial infarction survivors: age and gender differences in physical health, psychosocial state and regimen adherence, 1991, J Adv Nurs 16, S. 1026–1034
Czajkowski, S.M., Lindquist, R., Hoogwerf, B., et al.: Women coronary artery bypass graft surgery patients are sicker and have fewer social and economic resources than men, 1992, Circulation
Davidson, D.M.: An introduction to cardiovascular disease. In: S.A. Shumaker & S.M. Czajkowski (Eds.): Social support and cardiovascular disease, New York 1994
Dittrich, H., Gilpin, E., Nicol, P., et al.: Acute myocardial infarction in women: influence of gender on mortality and prognostic variables, 1988, Am J Cardiol 62, S. 1–7
Douglas, P.S.: Heart disease in women, Philadelphia 1989
Downing, J., Littman, A.: Gender differences in response to cardiac rehabilitation. Paper presented at the Conference on Women, Behavior and Cardiovascular Disease, The National Heart, Lung and Blood Institute, Bethesda, Maryland 1991
Eaker, E.D.: Psychosocial factors in the epidemiology of coronary heart disease in women, Psychiatric Clinical Nursing 12, S. 167–173
Eaker, E.D., Johnson, W.D., Loop, F.D., Wenger, N.K.: Heart disease in women: how different?, 1992, Patient Care, S. 191–230
Ehrenreich, B., Englisch, D.: For her own good: 150 years of the experts advice to women, New York 1978
Ernster, V. S.: Women and smoking, 1993, Am J Public Health 83, S. 12021203
Fiebach, N.H.: Biobehavioral and psychosocial factors in the diagnosis and treatment of coronary disease in women. Paper presented at the Conference on Women, Bahavior and Cardiovascular Disease, The National Heart, Lung and Blood Institute, Bethesda, Maryland 1991
Fiebach, N.H.: Viscoli, C.M., Horwitz, R.I: Differences between women and men in survival after myocardial infarction: biology or methodology?, 1990, JAMA 263 (8), S. 1092–1096
Goldberg, R.J., Gore, J.M., Yarzebski, J., Albert, J.S.: Sex differences in the incidence and survival rates after myocardial infarction: a community-based perspective. Paper presented at the Conference on Women, Behavior and Cardiovascular Disease, The National Heart, Lung and Blood Institute, Bethesda, Maryland 1991
Gomez-Martin, O., Folsom, A.R., Kottke, T.E., et al.: Improvement in longterm survival among patients hospitalized with acute myocardial infarction 1970–1980, 1987, N Engl J Med 316, S. 1353–1359
Greenland, P., Reicher-Reiss, H., Goldbourt, U., Behar, S. & The Israeli Spring Investigators: in-hospital and 1-year mortality in 1.524 women after myocardial infarction, 1991, Circulation 81, S. 484–491
Guiry, E., Conroy, R., Hickey, N., et al.: Psychological response to an acute coronary event, 1987, J Cardiol 10, S. 256–260
Gurwitz, J.H., Col, N.F., Avorn, J.: The exclusion of the elderly and women from clinical trials in acute myocardial infarction, 1992, JAMA 268, S. 1417–1422
Hall, E.M.: Gender, work control and stress: a theoretical discussion and an empirical test, 1989, Int J Health Sery 19 (4), s. 725–745
Hallström, T., Lapidus, L., Bengtsson, C., Edstrom, K.: Psychosocial factors and risk of ischemic heart disease and death in women: a twelve-year follow-up of participants in the population study of women in Gothenburg, Sweden, 1986, J Psychosom Res 30 (4), S. 451–459
Helmers, K., Krantz, D., Howell, R., Klein, J., Bairey, N., Rozanski, A.: Hostility and myocardial ischemic in coronary artery disease patients: evaluation by gender and ischemic index, 1993, Psychosomatic Medicine 55, S. 29–36
House, J.S., Landis, K.R., Umberson, D.: Social relationships and health, 1988, Science 241, S. 540–544
Kahn, S.S., Gray, R., et al.: Increased mortality of women in coronary artery bypass surgery: evidence for referral bias, 1990, Ann Intern Med 112, S. 561–567
Kimmelstiel, C., Goldberg, R.J.: Congestive heart failure in women: focus on heart failure due to coronary artery disease and diabetes, 1990, Cardiology, Supplement 2, S. 71–79
King, A. C.: Biobehavioral variables, exercise and CVD in women. Paper presented at the Conference on Women, Behavior and Cardiovascular Disease, The National Heart, Lung and Blood Institute, Bethesda; Maryland 1991
King, K.B., Clark, P.C., Hicks, G.L.: Patterns of referral and recovery in women and men undergoing coronary artery bypass grafting, 1992, Am J Cardiol 69, S. 179–182
King, K.B., Clark, P.C., Norsen, L.H., et al.: Coronary artery bypass surgery in older women and men, 1993, Am J Crit Care
Klesges, R.C., Shumaker, S.A.: Understanding in relations between smoking and body weight and their importance to smoking cessation and relapse, 1992, Health Psychol 11 ( Supplement ), S. 1–3
Lerner, D.J., Kannel, W.B.: Patterns of coronary heart disease morbidity and mortality in the sexes: a 26-year follow-up of the Framingham population, 1986, American Health Journal 111, S. 383–390
Low, K.G.: Recovery from myocardial infarction and coronary artery bypass surgery in women: psychosocial factors, 1993, Journal of Women’s Health, S. 133–139
Lynch, J. J.: The broken heart: the medical consequences of loneliness, New York 1977
Matthews, K., Haynes, S.: Type-A-behavior pattern and coronary risk: update and critical evaluation, 1986, Am J Epidemiol 123, S. 923–960
Matthews, K.A., Kelsey, S.F., Meilahn, E.N., et al.: Educational attainment and behavioral and biologic risk factors for coronary heart disease in middle-aged women, 1989, Am J Epidemiol 129 (6), S. 1132–1144
Matthews, K.A., Woodall, D., Engelgretson, T., McCann, B., Stoney, C., Manuck, S., Saab, P.: Influence of age, sex, and family on type-A and hostile attitudes and behaviors, 1992, Health Psychol 11, S. 317–323
McDowell, K., Newell, C.: Measuring health: a guide to rating scales and questionnaires, New York 1987
Mayou, R.: Psychological reactions to myocardial infarction, 1979, J R Coll Physicians Lond 13, S. 103–105
McKinlay, J.B., Crawford, S., McKinlay, S.M., Sellers, D.E.: On the reported gender difference in coronary heart disease: an illustration of the social construction of epidemiologic rates, 1993, New England Research Institute, Watertown, MA
McKinlay, J.B., McKinlay, S.M., Crawford, S.L.: Does variability in physician behavior explain any of the gender difference in cardiovascular disease? Paper presented at the Conference on Women, Behavior and Cardiovascular Disease, The National Heart, Lung and Blood Institute, Bethesda, Maryland 1991
Moser, D.K.: Gender differences in symptom recognition and health care seeking behaviors. Paper presented at the Conference on Women, Behavior and Cardiovascular Disease, The National Heart, Lung and Blood Institute, Bethesda, Maryland 1991
Murdaugh, C.L, O’Rourke, R.A. (Eds): Coronary heart disease in women: special considerations, 1988, Curr Probl Cardiol 13 (2)
Mustarte, L., Treiber, F., Davis, H., Strong, W., Levy, M.: Hostitlity: relationship to lifestyle behaviors and physical risk factors, 1992, Behav Med 18, S. 21–26
Penckofer, S.M., Holm, K.: Women undergoing coronary artery bypass surgery: physiological and psychosocial perspectives, 1990, Cardiovascular Nursing 26 (3), S. 13–18
Rejeski, W.J., Thompson, A., Brubaker, P.H., Miller, H.S.: Acute exercise: buffering psycho-social stress responses in women, 1992, Health Psychol 11, S. 355–362
Rogers, W.J., Coggin, C.J., Gersh, G.J., et al.: Ten-year follow-up of quality of life in patients randomized to receive medical therapy or coronary artery bypass graft surgery: the coronary artery surgery study (CASS), 1990, Circulation 82, S. 1647–1658
Rook, K.S.: The negative side of social interaction: impact on psychological well-being, 1984, J Pers Soc Psychol 46, S. 1097–1108
Schron, E.B., Pawitan, Y., Shumaker, S.A., et al.: Health quality of life differences between men and women in a postinfarction study, 1991, Circulation 84 (4), S. 976
Schulman, K.A., Escarce, J.J., Eisenberg, J.M., et al.: Assessing physicians’ estimates of the probability of coronary artery disease, 1992, Med Decis Making 12 (2), S. 109–114
Shenvood, J., Maclure, M., Mittleman, M., et al.: Women are referred later than men for tertiary care following MI. Paper presented at the Conference on Women, Behavior and Cardiovascular Disease, The National Heart, Lung and Blood Institute, Bethesda, Maryland 1991
Shinn, M., Lehmann, S., Wong, N.W.: Social interaction and social support, 1984, Journal of Social Issues 40 (4), S. 55–76
Shumaker, S.A., Czajkowski, S.M.: A review of health-related quality of life and psychosocial factors in women with cardiovascular disease, 1993, Annals of Behavioral Medicine 15, S. 149–155
Shumaker, S.A., Czajkowski, S.M.: Social support and cardiovascular disease, New York 1994
Shumaker, S.A., Hill, D.R.: Gender differences in social support and physical health, 1991, Health Psychol 10, S. 102–111
Shumaker, S.A., Smith, T.R.: The politics of women’s health, (in press), Journal of Social Issues
Singard, D.L., Cohn, B.A., Cirillo, P.M., et al.: Gender differences in self-reported heart disease morbidity: are intervention opportunities missed for women? 1992, Journal of Women’s Health 1, S. 201–208
Stanton, B.A.: Psychosocial aspects of coronary heart disease in women: implications and expectations for rehabilitation. In: E.D. Eacker, B. Packard, N.K. Wenger, et al.: Coronary heart disease in women, New York 1987
Stanton, B.A., Zyzanski, S.J., Jenkins, C.D., et al.: Recovery after major heart surgery: medical, psychological, and work outcomes. In: R. Becker, J. Catz, M.D. Polonium, et al.: Psychopathological and neurological dysfunction following open-heart surgery, Heidelberg 1982
Stefanick, M.L.: The roles of obesity, regional adiposity and physical activity coronary heart disease in women. In: N.K. Wenger, L. Speroff, B. Packard (eds.): Cardiovascular health and disease in women, Greenwich 1993
Steingart, R.M., Packer, M., Hamm, P. et al.: Sex differences in the management of coronary artery disease, 1991, N Eng J Med 325 (4), S. 226–230
Stern, M., Pascale, L., Ackerman, A.: Life adustment post-myocardial infarction, 1977, Arch Intern Med 137, S. 1680–1685
Tobin, J.N., Wassertheil-Smoller, S., Wexler, J.P. et al.: Sex bias in considering coronary bypass surgery, 1987, Ann Int Med 107, S. 19–25
Tofler, G.H., Stone, P.H., Muller, J.E., et al.: Effects of gender and race on prognosis after myocardial infarction: Adverse prognosis for women, particularly black women, 1987, J Am Coll Cardiol 9 (3), S. 473–482
Verbrugge, L.M.: Sex differentials in health, 1982, Prevention 97, S. 417437
Welty, F.K.: Gender differences in survival and recovery following cardiovascular disease diagnosis and treatment. Paper presented at the Conference on Women, Behavior and Cardiovascular Disease, The National Heart, Lung and Blood Institute, Bethesda, Maryland 1991
Wenger, N.K.: Exclusion of the elderly and women from coronary trials: Is their quality of care compromised? 1992, JAMA 268, S. 1460–61
Wenger, N.K., Speroff, L., Packard, B.: Cardiovascular health and disease in women, 1993, N Eng J Med 329, S. 247–256
Wilkin, D., Hallam, L., Doggett, M.: Measures of need and outcome for primary health care, New York 1992
Young, R.F., Kahana, E.: Gender, recovery from late life heart attack and medical care, 1993, Women Health 20 (1), S. 11–31
Zyzanski, S.J., Rouse, B.A., Stanton, B.A., et al.: Employment changes among patients following coronary bypass surgery: social, medical and psychological correlates, 1982, Public Health Rep 97, S. 558–565
Editor information
Rights and permissions
Copyright information
© 1996 Leske + Budrich, Opladen
About this chapter
Cite this chapter
Shumaker, S.A., Smith, T.R. (1996). Frauen und koronare Herzkrankheiten — eine psychologische Perspektive. In: Maschewsky-Schneider, U. (eds) Frauen — das kranke Geschlecht? Mythos und Wirklichkeit. VS Verlag für Sozialwissenschaften, Wiesbaden. https://doi.org/10.1007/978-3-322-97327-6_2
Download citation
DOI: https://doi.org/10.1007/978-3-322-97327-6_2
Publisher Name: VS Verlag für Sozialwissenschaften, Wiesbaden
Print ISBN: 978-3-8100-1515-0
Online ISBN: 978-3-322-97327-6
eBook Packages: Springer Book Archive