Psychosocial Stress and Ischaemic Heart Disease: A Response to Tennant

Abstract

In a recent article appearing in this journal, a decision of the Administrative Appeals Tribunal granting a war pension for ischaemic heart disease arising out of the stresses of military service in World War II was severely criticised. The following is a literature review supporting the Tribunal's judgement by providing evidence for an association between both neurotic illness and stresses of varying severity on the one hand and cardiovascular disease on the other.

References

Abrahams

M. J.

Price

Whitlock

F. A.

Williams

(1976) The Brisbane floods, January 1974: their impact on health. Medical Journal of Australia, 2, 936–939.

Archibald

H. C.

Tuddenham

R. D.

(1965) Persistent stress reactions after combat. Archives of General Psychiatry, 12, 475–481.

Askevold

(1977) War sailor syndrome. Psychotherapy and Psychosomatics, 27, 133–138.

Barker

C. B.

Levenson

R. M.

(1967) Determinants of angina pectoris. Psychosomatic Medicine, 29, 621–633.

Babigian

H. M.

Odoroff

C. L.

(1969) The mortality experience of a population with psychiatric illness. American Journal of Psychiatry, 126, 470–479.

Bang

H. O.

Dyerberg

(1981) Personal reflections on the incidence of ischaemic heart disease in Oslo during the Second World War. Acta Medica Scandinavica, 210, 245–248.

Barrow

J. G.

Quinlan

C. B.

Edmonds

R. E.

Rosilosso

P. T.

(1960) Prevalence of Atherosclerotic Complications in Trappist and Benedictine Monks. Paper presented at 34th Scientific Session of the American Heart Association, Florida.

Beebe

G. W.

(1975) Follow-up studies of World War II and Korean war prisoners. American Journal of Epidemiology, 101, 400–422.

Bengtsson

Hallstrom

Gosta

(1973) Social factors, stress experience and personality traits in women with ischaemic heart disease compared to a normal population. Acta Medica Scandinavica, Supplement No. 549, 82–92.

10.

Bennett

(1970) Bristol floods 1968. Controlled survey of effects on health of local community disaster. British Medical Journal, 3, 454–458.

11.

Bianchi

Fergusson

Walshe

(1978) Psychiatric antecedents of myocardial infarction. Medical Journal of Australia, 1, 297–300.

12.

Biorck

Blomquist

Sievers

(1958) Studies on myocardial infarction in Malmo, 1935–1954. II. Infarction rate by occupational groups. Acta Medica Scandinavica, 161, 21–32.

13.

Blohmke

Schaefer

Abel

(1969) Medizinische und soziale Befunde bei koranaren Herzkrankheiten. Munchener Medizinische Wochenschrift, 111, 701–710.

14.

Boman

(1982) The Vietnam veteran 10 years on. Australian and New Zealand Journal of Psychiatry, 16, 107–127.

15.

Bourne

P. G.

(1969) The Psychology and Physiology of Stress; With Reference to Special Studies of the Vietnam War. Academic Press, New York.

16.

Brown

G. W.

Harris

(1978) Social Origins of Depression: A Study of Psychiatric Disorder in Women. Tavistock, London.

17.

Brown

R. C.

Ritzman

(1967) Some factors associated with absence of coronary heart disease in persons aged 65 or older. Journal of the American Geriatric Society, 15, 239–250.

18.

Brozek

Keys

Blackburn

(1966) Personality differences between potential coronary and coronary subjects. Annals of the New York Academy of Science, 134, 1057–1064.

19.

Bruhn

J. G.

McCrady

K. E.

du Plesis

(1968) Evidence of ‘emotional drain’ preceding death from myocardial infarction. Psychiatric Digest, 29, 34–40.

20.

Bruhn

J. G.

Wolf

Lynn

T. L.

(1968) Social aspects of coronary heart disease in a Pennsylvania German community. Social Science and Medicine, 2, 201–212.

21.

Buell

Breslow

(1960) Mortality from coronary heart disease in California men who work long hours. Journal of Chronic Diseases, 2, 615–626.

22.

Byrne

D. G.

Whyte

H. M.

(1980) Life events and myocardial infarction revisited: the role of measures of individual impact. Psychosomatic Medicine, 42, 1–10.

23.

Chambers

W. N.

Reiser

M. F.

(1953) Emotional stress in the precipitation of congestive heart failure. Psychosomatic Medicine, 15, 38–60.

24.

Cottington

E. M.

Matthews

K. A.

(1980) Environmental events preceding sudden death in women. Psychosomatic Medicine, 42, 567–574.

25.

Culpan

Davies

(1959) Emotional stress and myocardial infarction. New Zealand Medical Journal, 58, 191–194.

26.

Daly

R. J.

(1976) Psychiatric Effects of Counterinsurgency Operations. Paper presented at 129th Annual Meeting of the American Psychiatric Association, Florida.

27.

Dimsdale

J. E.

Hackett

T. P.

Block

P. C.

Hutter

A. M.

(1978) Emotional correlates of type A behaviour pattern. Psychosomatic Medicine, 40, 580–583.

28.

Dobbs

Wilson

W. P.

(1960) Observations on persistence of war neurosis. Diseases of the Nervous System, 21, 686–691.

29.

Dreyfuss

(1959) Role of emotional stress preceding coronary occlusion. The American Journal of Cardiology, 3, 590–596.

30.

Dreyfuss

Shanan

Sharon

(1966) Some personality characteristics of middle-aged men with coronary artery disease. Psychotherapy and Psychosomatics, 14, 1–16.

31.

Eastwood

M. R.

Trevelyan

(1971) Stress and coronary heart disease. Journal of Psychosomatic Research, 15, 289–292.

32.

Engel

G. L.

(1967) A psychological setting of somatic disease: the ‘giving up — given up’ complex. Proceedings of the Royal Society of Medicine, 60, 553–555.

33.

Engel

G. L.

(1971) Sudden and rapid death during psychological stress. Folklore or folk wisdom? Annals of Internal Medicine, 74, 771–782.

34.

Ferguson

(1973) A study of neurosis and occupation. British Journal of Industrial Medicine, 30, 187–198.

35.

Finn

Mulcahy

O'Doherty

E. F.

(1966) The psychological assessment of patients with coronary heart disease, a preliminary communication. Irish Journal of Medical Science, 6, 399–404.

36.

Finn

Hickey

O'Doherty

E. F.

(1969) The psychological profiles of male and female patients with coronary heart disease. Irish Journal of Medical Science, 2, 339–341.

37.

Forbes

L. M.

Chaney

R. H.

(1980) Cardiovascular changes during acute depression. Psychosomatics, 21, 472–477.

38.

Friedman

Rosenman

R. H.

Carroll

(1958) Changes in serum cholesterol and blood clotting time in men subjected to cyclic variation of occupational stress. Circulation, 17, 852–861.

39.

Futterman

Pumpian-Mindlin

(1951) Traumatic war neuroses five years later. American Journal of Psychiatry, 108, 401–408.

40.

Gertler

M. M.

(1954) Coronary Heart Disease in Young Adults: A Multidisciplinary Study. Harvard University Press, Massachusetts.

41.

Glass

D. C.

(1978) Pattern A behaviour and uncontrollable stress. In Coronary Prone Behaviour (eds. Dembroski

T. I.

Weiss

S. M.

Shields

J. L.

Haynes

S. G.

Feinleib

) Springer-Verlag, New York.

42.

Goulet

Allard

Poirier

(1968) Etude epidemiologique d'une population urbaine canadienne-francaise: Facteurs associes au profil coronarien. Union Medicale du Canada, 97, 1104–1109.

43.

Greene

W. A.

Goldstein

Moss

A. J.

(1972) Psychosocial aspects of sudden death. Archives of Internal Medicine, 129, 725–731.

44.

Groen

J. J.

(1974) Psychosomatic aspects of ischaemic (coronary) heart disease. In Modern Trends in Psychosomatic Medicine (ed. Hill

O. W.

). Butterworths, London.

45.

Groen

J. J.

Drory

(1967) Influence of psychosocial factors on coronary heart disease: a comparison of autopsy findings with the results of a sociological questionnaire. Pathologia et Microbiolgia, 30, 779–788.

46.

Groen

J. J.

Tijone

B. K.

Willebrandt

A. F.

Kamminga

C. J.

(1959) Influence of nutrition, individuality and different forms of stress on blood cholesterol: results of an experiment of 9 months duration in 60 normal volunteers. Proceedings of First International Congress Dietetics, Voeding.

47.

Haines

A. P.

Imeson

J. D.

Meade

T. W.

(1980) Psychosomatic profiles of smokers and non smokers. British Medical Journal, 280, 1422–1424.

48.

Hammond

E. C.

Horn

(1964) Smoking in relation to motality and morbidity. Findings in first 34 months of follow up in a prospective study started in 1959. Journal of the National Cancer Institute, 32, 1161–1164.

49.

Haynes

S. G.

Feinleib

Kannel

W. B.

(1980) The relationship of psychosocial factors to coronary heart disease in the Framingham Study. III. 8 year incidence of CHD. American Journal of Epidemiology, 111, 37–58.

50.

Haynes

S. G.

Feinleib

Levine

Scotch

Kannel

W. B.

(1978) The relationship of psychosocial factors to coronary heart disease in the Framingham Study II. Prevalence of CHD. American Journal of Epidemiology, 107, 384–402.

51.

Helsing

K. J.

Szklo

(1981) Mortality after bereavement. American Journal of Epidemiology, 114, 41–52.

52.

Hinder

D. C. C.

(1981) Prisoners of war. Long term effects. Medical Journal of Australia, 1, 565–566.

53.

Horwitz

Bronte-Stewart

(1962) Mental stress and serum lipid variation in ischaemic heart disease. American Journal of the Medical Sciences, 244, 272–281.

54.

Ibrahim

M. A.

Jenkins

C. D.

Cassel

J. C.

(1966) Personality traits and coronary disease: utilization of a cross-sectional study design to test whether a selected psychological profiles precedes or follows manifest coronary heart disease. Journal of Chronic Diseases, 19, 255–271.

55.

Innes

Millar

W. M.

(1970) Mortality among psychiatric patients. Scottish Medical Journal, 15, 143–148.

56.

Kalliomaki

J. L.

Nyrke

(1981) Men evacuated after the Second World War from the Carelian Isthmus to South West Finland: risk group for myocardial infarction? Acta Medica Scandinavica, 210, 441–443.

57.

Keehn

R. J.

Goldberg

I. D.

Beebe

G. W.

(1974) Twenty-four year mortality follow-up of Army veterans with disability separations for psychoneurosis in 1944. Psychosomatic Medicine, 36, 27–46.

58.

Klein

H. P.

Parsons

O. A.

(1968) Self-descriptions of patients with coronary disease. Perceptual and Motor Skills, 26, 1099–1107.

59.

Kraus

A. S.

Lilienfeld

A. M.

(1959) Mortality by marital status. Journal of Chronic Diseases, 10, 207–211.

60.

Kritskis

Heinemann

A. L.

Fitner

(1968) Die angina pectoris im Aspekt ihrer korrelation mit biologischer Disposition, psychologischen und soziologischen Einflussfaktoren. Deutsche Gesundh-Eitswesen, 23, 1878–1885.

61.

Lebovits

B. Z.

Shekelle

R. B.

Ostfeld

A. M.

Paul

(1967) Prospective and retrospective pathological studies of coronary heart disease. Psychosomatic Medicine, 29, 265–273.

62.

Liljefors

Rahe

R. H.

(1970) An identical twin study of psychosocial factors in coronary heart disease in Sweden. Psychosomatic Medicine, 32, 523–542.

63.

Lorraine

N. S. R.

(1954) The Canvey Island flood disaster, February, 1953. Medical Officer, 91, 59–65.

64.

Lovell

R. R. H.

Verghese

(1967) Personality traits associated with different chest pains after myocardial infarction. British Medical Journal, 3, 327–330.

65.

Lown

Desilva

R. A.

Reich

Murawski

B. J.

(1980) Psychophysiologic factors in sudden cardiac death. American Journal of Psychiatry, 137, 1325–1335.

66.

Lundberg

Theorell

Lind

(1975) Life changes and myocardial infarction: individual differences in life change scaling. Journal of Psychosomatic Research, 19, 27–32.

67.

McCord

C. P.

(1948) Life and death by the minute. Indiana Medicine, 17, 377–382.

68.

Matsumoto

Y. S.

(1970) Social stress and coronary heart disease in Japan. Milbank Memorial Fund Quarterly, 48, 9–36.

69.

Medalie

J. H.

Kahn

H. A.

Groen

J. J.

(1968) The prevalence of ischaemic heart disease in relation to selected variables. Israel Journal of Medical Sciences, 4, 789–800.

70.

Medalie

J. H.

Snyder

Groen

J. J.

Neufeld

H. N.

Goldbourt

Riss

(1973) Angina pectoris among 10,000 men. 5 year incidence and univariate analysis. The American Journal of Medicine, 55, 583–594.

71.

Mensen

(1964) Herzinfarkte bei Arbeitern und Jungendlichen. Aufgable und Mahnung. Hippokrates, 35, 749–879.

72.

Miller

C. K.

(1965) Psychological correlates of coronary artery disease. Psychosomatic Medicine, 27, 257–265.

73.

Mordkoff

A. M.

Rand

M. A.

(1968) Personality and adaptation to coronary artery disease. Journal of Consulting and Clinical Psychology, 32, 648–653.

74.

Morris

J. N.

Heady

J. A.

Raffle

P. A. B.

Roberts

C. G.

Parks

J. W.

(1953) Coronary heart disease and physical activity of work. Lancet, 2, 1053–1057, 1111–1120.

75.

Nestel

P. J.

Verghese

Lovell

R. R. H.

(1967) Catecholamine secretion and sympathetic nervous responses to emotion in men with and without angina pectoris. American Heart Journal, 73, 227–234.

76.

Ostfeld

A. M.

Lebovits

B. Z.

Shekelle

R. B.

Paul

(1964) A prospective study of the relationship between personality and coronary heart disease. Journal of Chronic Diseases, 17, 265–276.

77.

Ostfeld

A. M.

Oglesby

Lepper

M. H.

(1961) An anterospective study of coronary heart disease. Psychosomatic Medicine, 23, 448.

78.

Paffenbarger

R. S.

Wolf

P. A.

Notkin

Thorne

M. C.

(1966) Chronic disease in former college students. I. Early precursors of fatal coronary heart disease. American Journal of Epidemiology, 83, 314–329.

79.

Parkes

C. M.

Benjamin

Fitzgerald

R. G.

(1969) Broken heart: a statistical study of increased mortality among widowers. British Medical Journal, 1, 740–743.

80.

Pearson

H. E. S.

Joseph

(1963) Stress and occlusive coronary artery disease. Lancet, 1, 415–418.

81.

Pincherle

Williamson

(1971) Smoking and neuroticism. Lancet, 2, 981–983.

82.

Raffle

P. A. B.

(1959) Stress as a factor in disease. Lancet, 2, 839–843.

83.

Rahe

R. H.

Bennett

Romo

Siltanen

Arthur

R. J.

(1973) Subject's recent life changes and coronary heart disease in Finland. American Journal of Psychiatry, 130, 1222–1226.

84.

Rahe

R. H.

Meyer

Smith

Kjaer

Holmes

T. H.

(1964) Social stress and illness onset. Journal of Psychosomatic Research, 8, 35–44.

85.

Rahe

R. H.

Romo

Bennett

Siltanen

(1974) Recent life changes, myocardial infarction, and abrupt coronary death. Studies in Helsinki. Archives of Internal Medicine, 133, 221–228.

86.

Reid

D. D.

(1959) Unpublished report in Groen (1974).

87.

Richardson

H. J.

(1965) Disability and Problems of Hong Kong Veterans, 1964–1965. Canadian Pensions Commission.

88.

Robinette

C. D.

Zdenek

Fraumeni

J. F.

(1979) Chronic alcoholism and subsequent mortality in World War II veterans. American Journal of Epidemiology, 109, 687–700.

89.

Rorsman

(1974) Mortality among psychiatric patients. Acta Psychiatrica Scandinavica, 50, 354–375.

90.

Rosenman

R. H.

Friedman

(1958) The possible relationship of occupational stress to clinical coronary heart disease. California Medicine, 89, 169–174.

91.

Russek

H. I.

(1959) Role of heredity, diet and emotional stress in coronary heart disease. Journal of the American Medical Association, 171, 503–509.

92.

Russek

H. I.

(1960) Emotional stress and coronary heart disease in American physicians. American Journal of the Medical Sciences, 240, 711–721.

93.

Russek

H. I.

(1965) Stress, tobacco and coronary disease in North American professional groups. Survey of 12,000 men in 14 occupational groups. Journal of the American Medical Association, 192, 189–194.

94.

Russek

H. I.

Zohman

B. L.

(1953) Relative significance of heredity, diet and occupational stress in coronary heart disease of young adults. American Journal of the Medical Sciences, 235, 266–275.

95.

Sales

S. M.

House

(1971) Job dissatisfaction as a possible risk factor in coronary heart disease. Journal of Chronic Diseases, 23, 861–873.

96.

Salmons

Sims

(1981) Smoking profiles of patients admitted for neurosis. British Journal of Psychiatry, 139, 43–46.

97.

Seltzer

C. C.

Jablon

(1977) Army rank and subsequent mortality by cause: 23 year follow up. American Journal of Epidemiology, 105, 559–566.

98.

Shekelle

R. B.

Ostfeld

A. M.

Paul

(1969) Social status and incidence of coronary heart disease. Journal of Chronic Diseases, 22, 381–394.

99.

Sims

(1976) The consequences of severe neurosis. The Practitioner, 216, 321–329.

100.

Sims

Prior

(1978) The pattern of mortality in severe neurosis. British Journal of Psychiatry, 133, 299–305.

101.

Sims

Prior

(1982) Arteriosclerosis related deaths in severe neurosis. Comprehensive Psychiatry, 23, 181–185.

102.

Skyring

Modan

Crocetti

(1963) Some epidemiological and familial aspects of coronary heart diseases: report of pilot study. Journal of Chronic Diseases, 16, 1267–1279.

103.

Sloane

Habit

Eveson

Payne

(1961) Some behavioural and other correlates of cholesterol metabolism. Journal of Psychosomatic Research, 5, 183–190.

104.

Spittle

James

(1977) Psychosocial factors and myocardial infarction. Australian and New Zealand Journal of Psychiatry, 11, 37–43.

105.

Stout

Morrow

Brandt

E. N.

Wolf

(1964) Unusually low incidence of death from myocardial infarction: study of an Italian-American community in Pennsylvania. Journal of the American Medical Association, 188, 845–849.

106.

Suls

Gastorf

J. W.

Witenberg

S. H.

(1979) Life events, psychological distress and the type A coronary prone behaviour pattern. Journal of Psychosomatic Research, 23, 315–319.

107.

Syme

S. L.

Hyman

M. M.

Enterline

P. E.

(1964) Some social and cultural factors associated with the occurrence of coronary heart disease. Journal of Chronic Diseases, 17, 277–289.

108.

Talbott

Kuller

L. H.

Perper

Murphy

P. A.

(1981) Sudden unexpected death in women. Biologic and psychosocial origins. American Journal of Epidemiology, 114, 671–682.

109.

Tennant

(1982) Psychological stress and ischaemic heart disease: an evaluation in the light of the diseases' attribution to war service. Australian and New Zealand Journal of Psychiatry, 16, 31–36.

110.

Theorell

(1973) Psychosocial factors and myocardial infarction — why and how. Advances in Cardiology, 8, 117–131.

111.

Theorell

Rahe

R. H.

(1971) Psychosocial factors and myocardial infarction. I. An in-patient study in Sweden. Journal of Psychosomatic Research, 15, 25–31.

112.

Thiel

H. G.

Parker

Bruce

(1973) Stress factors and the risk of myocardial infarction. Journal of Psychosomatic Research, 17, 43–57.

113.

Thorne

M. C.

Wing

A. L.

Paffenbarger

R. S.

(1968) Chronic disease in former college students. VII. Early precursors of non fatal coronary heart disease. American Journal of Epidemiology, 87, 520–529.

114.

Tibblin

Lindstrom

Ander

(1972) Emotions and heart disease. In Physiology, Emotion and Psychosomatic Illness. Ciba Foundation Symposium 8. Elsevier, Amsterdam.

115.

Uhley

H. N.

Friedman

(1959) Blood lipids, clotting and coronary atherosclerosis in rats exposed to a particular form of stress. American Journal of Physiology, 197, 396–398.

116.

de Faire

Ulf

(1975) Life change patterns prior to death in ischaemic heart disease. A study on death — discordant twins. Journal of Psychosomatic Research, 19, 273–278.

117.

van Heijningen

Treurniet (1966) Psychodynamic factors in acute myocardial infarction. International Journal of Psychoanalysis, 47, 370–374.

118.

Wardwell

W. I.

Bahnson

C. B.

(1973) Behavioural variables and myocardial infarction in the south eastern Connecticut heart study. Journal of Chronic Diseases, 26, 447–461.

119.

Weiss

(1957) Emotional factors in coronary occlusion. A.M.A. Archives of Internal Medicine, 99, 628–641.

120.

Weiss

Dlin

Rollin

H. R.

Fischer

H. K.

Bepler

C. R.

(1957) Emotional factors in coronary occlusion. Archives of Internal Medicine, 99, 628–641.

121.

Wolf

(1969) Psychosocial forms in myocardial infarction and sudden death. Circulation, supplement IV, 39, 74–83.

122.

Yater

W. M.

(1948) Coronary artery diseases in men 18 to 39 years of age: report of 866 cases, 450 with necropsy examinations. American Heart Journal, 36, 334–372; 481–526 and 683–722.

123.

Young

Benjamin

Wallis

(1963) Mortality of widowers. Lancet, 2, 454–456.

124.

Zyzanski

S. J.

Jenkins

C. D.

Ryan

T. J.

Flessas

Everist

(1976) Psychological correlates of coronary angiographic findings. Archives of Internal Medicine, 136, 1234–1237.