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冠心病(CHD)初次诊断时的早发年龄的家族遗传性:仅限男性,且由心理社会/情绪困扰介导?

Familial transmissability of early age at initial diagnosis in coronary heart disease (CHD): males only, and mediated by psychosocial/emotional distress?

作者信息

Ketterer Mark W, Denollet Johan, Chapp Jeanine, Keteyian Steve, Farha A J, Clark Vivian, Hudson Michael, Hakim Arif, Greenbaum Adam, Schairer John, Cao J Jane

机构信息

Heart & Vascular Institute, Henry Ford Health Sciences Center, Detroit, Michigan, USA.

出版信息

J Behav Med. 2004 Feb;27(1):1-10. doi: 10.1023/b:jobm.0000013640.69802.fa.

DOI:10.1023/b:jobm.0000013640.69802.fa
PMID:15065472
Abstract

In equal sized samples, a strong association between a positive Family History of Early Coronary Heart Disease (FamHx) and early Age at Initial Diagnosis (AAID) was found only for males, and thus all further analyses were restricted to males. All three scales of the self-report version of the Ketterer Stress Symptom Frequency Checklist--Revised (KSSFCR)--"AIAI" (or aggravation, irritation, anger, and impatience), Depression, and Anxiety--were associated with both a positive FamHx and early AAID. A series of regression models was used to demonstrate that the KSSFCR scales may plausibly account for 22-32% of the variance in the relationship between a positive FamHx and early AAID. Because of previously documented denial in males, the analyses were repeated in a subgroup of males for whom Spouse/Friend KSSFCRs were obtained. Spouse/Friend-reported AIAI was related to both early FamHx and early AAID, and could account for 68% of the common variance.

摘要

在样本量相等的情况下,仅在男性中发现早期冠心病家族史(FamHx)阳性与初次诊断时的早期年龄(AAID)之间存在强关联,因此所有进一步分析均限于男性。凯特勒压力症状频率清单修订版(KSSFCR)自我报告版本的所有三个量表——“AIAI”(即加重、易怒、愤怒和不耐烦)、抑郁和焦虑——均与FamHx阳性和早期AAID相关。一系列回归模型被用于证明KSSFCR量表可能合理地解释了FamHx阳性与早期AAID之间关系中22%至32%的方差。由于之前有文献记载男性存在否认现象,因此在获得配偶/朋友KSSFCR的男性亚组中重复了分析。配偶/朋友报告的AIAI与早期FamHx和早期AAID均相关,且可解释68%的共同方差。

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引用本文的文献

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本文引用的文献

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Psychological Correlates of Mental Stress-induced Ischemia in the Laboratory: The Psychophysiological Investigation of Myocardial Ischemia (PIMI) Study.心理应激诱发缺血的实验室心理相关因素研究:心理生理性心肌缺血研究(PIMI 研究)。
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The big mush: psychometric measures are confounded and non-independent in their association with age at initial diagnosis of Ischaemic Coronary Heart Disease.大杂烩:在与缺血性冠心病初诊年龄的关联中,心理测量指标相互混淆且非独立。
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A meta-analysis of psychoeduational programs for coronary heart disease patients.一项针对冠心病患者心理教育项目的荟萃分析。
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