Psychosocial Stress and Ischaemic Heart Disease: An Evaluation in the Light of the Diseases' Attribution to War Service

Abstract

This review of the psychosocial aetiology of ischaemic heart disease is prompted by a recent decision of the Administrative Appeals Tribunal to accept that the ischaemic heart disease of a non combatant World War II veteran could be attributed to his war service. In the light of existing clinical and research evidence the Tribunal appears to have erred in its judgement. The precedent this particular decision establishes may prove extremely costly.

References

Administrative Appeals Tribunal, General Administrative Division. Number held at Journal office.

Rosenman

Friedman

Straus

Coronary heart disease in the Western Collaborative Group Study: a follow-up experience of 4 1/2 years. J. Chron Dis, 1970, 23:173–190.

Haynes

S. G.

Feinleib

Kannel

W. B.

The relationship of psychosocial factors to coronary heart disease in the Framingham study. III. Eight-year incidence of coronary heart disease. Am J Epidemiol 1980, 111:37–58.

Weiss

N. S.

Marital status and risk factors for coronary heart disease in the United States Health Examination Survey of Adults. Br J Prev Soc Med 1973, 27:41–43.

Thiel

H. G.

Parker

Bruce

T. A.

Stress factors and the risk of myocardial infarction. J Psychsom Res 1973, 17:43–57.

Haynes

S. G.

Levine

Scotch

Feinleib

Kannel

W. B.

The relationship of psychosocial factors to coronary heart disease in the Framingham study. I. Methods and risk factors. Am J Epidemiol 1978a, 107:362–383.

Marmot

M. G.

Adelstein

A. M.

Robinson

Rose

G. A.

Changing social-class distribution of heart disease. Brit. Med. J. 1978, 2:1109–1112.

Cassel

Heyden

Bartel

A. G.

Incidence of coronary heart disease by ethnic group, social class and sex. Arch Int Med 1971, 128:901–906.

Keys

Aravanis

Blackburn

Probability of middle age men developing coronary heart disease in five years. Circulation 1972, 45:815–828.

10.

Schekelle

R. B.

Ostfeld

A. M.

Paul

Social status and incidence of coronary heart disease. J Chron Dis 1969, 22:381–394.

11.

Horan

P. M.

Gray

B. H.

Status inconsistency, morbidity and coronary heart disease. J Health & Soc Behav 1974, 15:300–310.

12.

Haynes

S. G.

Feinleib

Levine

Scotch

Kannel

W. B.

The relationship of psychosocial factors to coronary heart disease in the Framington study. II. Prevalence of coronary heart disease. AM J Epidemiol 1978b, 107:384–402.

13.

Jenkins

C. D.

Recent evidence supporting psychologic and social risk factors for coronary disease, Part I. New Engl J Med 1976, 18:987–994.

14.

Medalie

J. H.

Kahn

H. A.

Neufeld

H. N.

Myocardial infarction over a five year period: I. Prevalence, incidence and mortality experience. J Chron Dis 1973, 26:63–84.

15.

Comstock

G. W.

Partridge

K. B.

Church attendance and health. J Chron Dis 1972, 26:665–672.

16.

Webster

Rawson

G. K.

Health status of Seventh Day Adventists. Med J Aust 1979, 1:417–420.

17.

Syme

S. L.

Reeder

L. G.

Social stress and coronary artery disease. Millbank Memorial Fund Quarterly 1967, 45, 2, part 2.

18.

Marmot

M. G.

Syme

S. L.

Kagan

Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: prevalence of coronary and hypertensive heart disease and associated risk factors. Am J Epidemiol 1975, 102:514–524.

19.

Yano

Blackwelder

W. C.

Kagan

Rhoads

G. G.

Cohen

J. B.

Marmot

M. G.

Childhood cultural experience and the incidence of coronary heart disease in Hawaii Japanese men. Am J Epidemiol 1979, 109:440–450.

20.

Tyroler

H. A.

Cassel

(1964) Health consequences of culture change. II. The effect of urbanisation on coronary heart mortality on rural residents. J Chron Dis 1969, 17:167.

21.

Holmes

T. H.

Rahe

R. H.

The social readjustment rating scale. J Psychosom Res 1967, 11:213–218.

22.

Bianchi

Fergusson

Walshe

Psychiatric antecedents of myocardial infarction. Med J Aust 1978, 1:297–301.

23.

Rahe

R. H.

Paasikivi

Psychosocial factors and myocardial infarction. II. An outpatient study in Sweden. J Psychosom Res 1971, 15:33–39.

24.

Theorell

Rahe

R. H.

Psychosocial factors and myocardial infarction: I. An inpatient study in Sweden. J Psychosom Res 1971, 15:25–31.

25.

Rahe

R. H.

Lind

Psychosocial factors and sudden cardiac death. J. Psychosom Res 1971, 15:19–24.

26.

Rahe

R. H.

Romo

Bennett

Siltanen

Recent life changes, myocardial infarction and abrupt coronary death. Arch Int Med 1974, 133:221–228.

27.

Wardwell

W. I.

Bahnson

C. B.

Behavioural variables and myocardial infarction in the South Eastern Connecticut heart study. J Chron Dis 1973, 26:447–461.

28.

Theorell

Lind

Floderus

The relationship of disturbing life changes and emotions to the early development of myocardial infarction and other serious illnesses. Int J Epidemiol 1975, 4:281–292.

29.

Floderus

Psychosocial factors in relation to coronary heart disease and associated risk factors. Nord Hyg Tidskr 1974, Suppl. 6.

30.

Medalie

J. H.

Snyder

Groen

J. J.

Neufeld

H. N.

Goldbourt

Riss

Angina pectoris among 10,000 men. Five year incidence and univariate analysis. Am J Med 1973, 55:583–594.

31.

Engel

G. L.

Sudden and rapid death during psychological stress — folklure or folk wisdom. Ann Int Med 1971, 74:771–782.

32.

Lockett

Dangerous effects of isoprenoline in myocardial failure. Lancet 1965, 2:104.

33.

Eliot

R. S.

Borolchi

Leone

Necropsy studies in myocardial infarction with minimal or no coronary luminal reduction due to atherosclerosis. Circulation 1974, 49:1127.

34.

Parkes

C. M.

Benjamin

Fitzgerald

R. G.

Broken heart: A statistical study of increased mortality amongst widowers. Brit Med J 1969, 4:13–16.

35.

Matteson

M. T.

Invancevich

J. M.

(1980) The coronary-prone behavior pattern: a review and appraisal. Soc Sci & Med 1980, 337–351.

36.

Hocking

Human reactions to extreme environmental stress. Med J Aust 1965, 2:477–483.

37.

Beebe

G. W.

Follow up studies of World War II and Korean war prisoners: II. Morbidity, disability and maladjustments. Am J Epidemiol 1975, 101:400–422.

38.

Marmot

Far East Prisoners of War and Cardiovascular Disease. Unpublished report to the Repatriation Department, 1977.

39.

Richardson

H. J.

Disabilities and problems of Hong Kong veterans 1964–1965. Medical Advisor Canadian Pensions Commission, 1965.

40.

Freed

Stringer

P. B.

Comparative mortality experience 1946–1963 among former Australian prisoners of war of the Japanese. Repatriation Department Medical Research Bulletin No. 2 1968, Melbourne.

41.

Nefzger

M. D.

Follow up studies of World War II and Korean War prisoners: I. Study Plan and mortality findings. Am. J. Epidemiol. 1970, 91:123–138.

42.

Friedman

Rosenman

R. H.

(1974) Type A Behaviour and Your Heart. Kropf, New York, 1974.

43.

Keegan

D. L.

Sinha

B. N.

Merriman

J. E.

Shipley

Type A Behaviour pattern. Relationship to coronary heart disease, personality and life adjustment. Can J Psychiatry 1979, 24:724–730.

44.

Caffrey

Reliability and validity of personality and behavioural measures in a study of coronary heart disease. J Chron Dis 1968, 21:191.

45.

Siegel

J. M.

Leitch

C. J.

(1981) Assessment of type A behaviour pattern in adolescents. Psychosom Med 1981, 43:45–56.

46.

Rahe

R. H.

Rosenham

R. H.

Heritability of type A behaviour. Psychosom Med 1975, 37:78–79.

47.

Roskies

Spevack

Surkis

Cohen

Gilman

Changing the coronary prone (type A) behaviour pattern in a non-clinical population. J Behav Med 1978 1:201–216.

48.

Rahe

R. H.

Ward

H. W.

Hayes

Brief group therapy in myocardial infarction rehabilitation: Three-to-four year follow-up of a controlled trial. Psychosom Med 1979, 41:229–242.

49.

Finn

Mulcahy

Hukey

The psychological profiles of coronary and cancer patients and matched controls. J Med Sci 1974, 143:176–178.

50.

Butcher

J. N.

(1969) Minnesota Multiphasic Personality Inventory: Research Developments and Clinical Applications. McGraw-Hill, New York.

51.

Bruhn

J. G.

Paredes

Adeeh

C. A.

Psychological predictors of sudden death in myocardial infarction. J Psychosom Res 1974, 18:187–191.

52.

Zyzanski

S. J.

Jenkins

C. D.

Ryan

T. J.

Psychological correlates of coronary angiographic findings. Arch Int Med 1976, 136:1234–1237.

53.

Tsuang

M. T.

Woolson

R. F.

Fleming

J. A.

Causes of death in schizophrenia and manic depression. Brit J Psychiat 1980, 136:239–242.

54.

Connolly

Stress and coronary artery disease. Brit. J. Hosp. Med. 1974, Feb., 297–302.

55.

Eastwood

M. R.

Trevelyan

Stress and coronary heart disease. J Psychosom Res 1971, 15:289–292.

56.

Greene

W. A.

Goldstein

Moss

A. J.

Psychological aspects of sudden death. A preliminary report. Arch Int Med 1972, 129:725–731.