caa a22 4500 397576692 CHVBK 20180308164858.0 cr unu---uuuuu 161202e199606 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024483 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024483 Coronary heart disease: a review of the role of psychosocial stress and social support [Elektronische Daten] [D. C. Greenwood, K. R. Muir, C. J. Packham, R. J. Madeley] Background The role of psychosocial factors in the aetiology of coronary heart disease continues to be debated. Despite public perception of a major role for their effect scientific opinion on their relevance remains divided. This paper reviews the literature on the influence of social support and life stress on coronary heart disease incidence and mortality. Methods Observational studies published in English, based on over 100 human subjects from the general population, investigating life stress or social support were considered. Fourteen studies derived from MEDLINE searches on MeSH headings: coronary disease; stress, psychological; social support; social isolation; life change events. An equivalent search of BIDS and studies referenced by papers identified using these sources was carried out. Results and conclusions The review concludes that both life stress and social support were found to have an influence on coronary heart disease, social support more so than stress. Both have a stronger influence on coronary heart disease mortality than on initial incidence of clinical disease. Measures of the quality of support, in particular emotional support, show the largest effects. The review highlights problems in drawing conclusions from the available literature; in particular, the inconsistency in measures used to define the psychosocial factors. Further studies are needed to investigate interrelationships between stress and social support, and a recommendation is made to adopt pragmatic measures in future studies, which if proven to have an effect, may be open to modification © Oxford University Press Articles nationallicence psychosocial stress nationallicence social support nationallicence coronary heart disease nationallicence Greenwood D. C. Nottingham School of Public Health, Department of Public Health Medicine and Epidemiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH aut Muir K. R. Nottingham School of Public Health, Department of Public Health Medicine and Epidemiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH aut Packham C. J. Nottingham School of Public Health, Department of Public Health Medicine and Epidemiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH aut Madeley R. J. Nottingham School of Public Health, Department of Public Health Medicine and Epidemiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH aut Journal of Public Health Oxford University Press 18/2(1996-06), 221-231 1741-3842 18:2<221 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024483 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024483 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Greenwood D. C. Nottingham School of Public Health, Department of Public Health Medicine and Epidemiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH aut NATIONALLICENCE 700 1- Muir K. R. Nottingham School of Public Health, Department of Public Health Medicine and Epidemiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH aut NATIONALLICENCE 700 1- Packham C. J. Nottingham School of Public Health, Department of Public Health Medicine and Epidemiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH aut NATIONALLICENCE 700 1- Madeley R. J. Nottingham School of Public Health, Department of Public Health Medicine and Epidemiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/2(1996-06), 221-231 1741-3842 18:2<221 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford