Suls Jerry, Bunde James
Department of Psychology, University of Iowa, Iowa City, IA 52242, USA.
Psychol Bull. 2005 Mar;131(2):260-300. doi: 10.1037/0033-2909.131.2.260.
Several recent reviews have identified 3 affective dispositions--depression, anxiety, and anger-hostility--as putative risk factors for coronary heart disease. There are, however, mixed and negative results. Following a critical summary of epidemiological findings, the present article discusses the construct and measurement overlap among the 3 negative affects. Recognition of the overlap necessitates the development of more complex affect-disease models and has implications for the interpretation of prior studies, statistical analyses, prevention, and intervention in health psychology and behavioral medicine. The overlap among the 3 negative dispositions also leaves open the possibility that a general disposition toward negative affectivity may be more important for disease risk than any specific negative affect.
最近的几项综述已确定三种情感倾向——抑郁、焦虑和愤怒-敌意——被认为是冠心病的风险因素。然而，研究结果喜忧参半且存在负面结果。在对流行病学研究结果进行批判性总结之后，本文讨论了这三种负面情绪在结构和测量方面的重叠情况。认识到这种重叠有必要开发更复杂的情感-疾病模型，并对先前研究的解释、统计分析、预防以及健康心理学和行为医学中的干预产生影响。这三种负面倾向之间的重叠也使得一种对负面情感性的总体倾向可能比任何特定的负面情绪对疾病风险更为重要这一可能性仍然存在。
