Nirkko O, Lauroma M, Siltanen P, Tuominen H, Vanhala K
Acta Med Scand Suppl. 1982;660:137-46. doi: 10.1111/j.0954-6820.1982.tb00369.x.
Psychological investigations carried out on 1326 Helsinki policemen showed that individuals with electrocardiogram (ECG) signs of coronary heart disease (CHD), and those showing symptoms, were more anxious, aggressive, defensive and inhibited than those free from signs or symptoms. It is suggested that the poor prognosis associated with angina pectoris may be related to the psychological characteristics of the patients who suffer from it. Studies of 5- and 10-year prospective data showed that subjects dying from myocardial infarction differed from survivors on six significant psychological characteristics, including optimism, inhibition and superego strength. Multiple logistic analysis showed an association of lowered self-esteem and high somatization with myocardial infarction. A particular statistical analysis ("ridit analysis") revealed the existence of 4 variables (inhibition, neuroticism, differentiation and certainty) which distinguished to some degree with different manifestations of CHD. The nature of these variables and the correlations involved are discussed. It is concluded that psychological variables have some predictive power not only for the risk of CHD, but also for the risk of clinically different CHD events.
对1326名赫尔辛基警察进行的心理学调查显示，有冠心病心电图（ECG）迹象的个体以及有症状的个体，比没有这些迹象或症状的个体更焦虑、更具攻击性、更具防御性且更压抑。有人认为，与心绞痛相关的不良预后可能与患心绞痛患者的心理特征有关。对5年和10年前瞻性数据的研究表明，死于心肌梗死的受试者在六个显著的心理特征上与幸存者不同，包括乐观、压抑和超我力量。多元逻辑分析表明，自尊心降低和高躯体化与心肌梗死有关。一项特殊的统计分析（“参照单位分析”）揭示了4个变量（压抑、神经质、分化和确定性）的存在，这些变量在一定程度上区分了冠心病的不同表现形式。讨论了这些变量的性质和所涉及的相关性。得出的结论是，心理变量不仅对冠心病风险有一定的预测能力，而且对临床上不同的冠心病事件风险也有一定的预测能力。
