Cottington E M, Matthews K A, Talbott E, Kuller L H
Psychosom Med. 1980 Nov;42(6):567-74. doi: 10.1097/00006842-198011000-00005.
The present case-control study examined if sudden cardiac death in women is preceded by death of a significant other, change in residence, or change in work. The sample included 81 Caucasian women ages 25-64 years in Allegheny County, Pennsylvania, who died suddenly from arteriosclerotic heart disease (ASHD) within a 11/2 year interval. Each case was matched to a neighborhood control on the basis of race, age, and sex. Results revealed that relative to matched controls, cases were six times as likely to have experienced the death of a significant other within the last months; they were no more likely to have experienced changes in living conditions or in work. These findings raise the issue of whether death of a significant other is an antecedent event of death due to ASHD only or death due to all causes. Possible explanations for the temporal association between sudden death and death of a significant other are discussed.
本病例对照研究调查了女性心脏性猝死是否发生在重要他人死亡、居住地变更或工作变动之前。样本包括宾夕法尼亚州阿勒格尼县81名年龄在25至64岁之间的白人女性，她们在1年半的时间间隔内因动脉硬化性心脏病（ASHD）突然死亡。每个病例都根据种族、年龄和性别与一名社区对照进行匹配。结果显示，与匹配的对照组相比，病例在过去几个月内经历重要他人死亡的可能性是对照组的6倍；她们经历生活条件或工作变动的可能性并无增加。这些发现提出了一个问题，即重要他人的死亡是否仅是ASHD导致的死亡或所有原因导致的死亡的先行事件。文中讨论了猝死与重要他人死亡之间时间关联的可能解释。
