Incidence of cardiac events in hypertensive men related to adaptive behavior in stressful encounters

André-Petersson, Lena; Hagberg, Bo; Hedblad, Bo; Janzon, Lars; Steen, Göran O.

doi:10.1207/s15327558ijbm0604_3

Cited by 9 publications

(14 citation statements)

References 28 publications

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“…A cumulative-dissociative behavior pattern is described as "an initially tight control that, as a result of repeated efforts and failures to find successful strategies to master the conflict, is exhausted by the end of the test." An earlier study of the same cohort 38 found that this cumulativedissociative adaptation to stress was also associated with increased risk of cardiac events. Thus, healthy men with elevated cardiovascular reactions to stress and hypertensive men who adapt poorly to stressful situations may be more vulnerable to stroke.…”

Section: Editorial Comment Cardiovascular and Behavioral Reactions Tomentioning

confidence: 83%

Adaptive Behavior in Stressful Situations and Stroke Incidence in Hypertensive Men

André-Petersson

Engström²,

Hagberg³

et al. 2001

Stroke

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Background and Purpose-Although hypertension is a major risk factor for stroke, many hypertensive persons remain healthy. The aim of the present study was to analyze whether adaptation in a stressful situation was associated with the incidence of stroke in hypertensive men. Methods-Two hundred thirty-eight hypertensive men were followed from baseline in 1982/1983 until first stroke, death, or December 31, 1996. Adaptation to stress was studied with the serial Color-Word Test. In the Regression dimension, 4 patterns of adaptation could be distinguished according to mastering of the test. Successful mastering of the test was shown in stabilized patterns, increasing difficulty in cumulative patterns, fluctuating difficulty in dissociative patterns, and fluctuating difficulty that increased during testing in cumulative-dissociative patterns. The patterns were compared regarding stroke incidence. Results-Forty-three men experienced a stroke during follow-up. Stroke rates per 1000 person-years were 12.6 for men with stabilized patterns, 14.3 for men with cumulative patterns, 16.2 for men with dissociative patterns, and 31.2 for men with cumulative-dissociative patterns. Multivariate analysis, adjusted for relevant cerebrovascular risk factors, showed that the cumulative-dissociative pattern of the Regression dimension was associated with an increased risk of stroke during follow-up (relative risk 3.00, 95% CI 1.32 to 6.81). Conclusions-The specific behavior pattern, characterized by the greatest difficulties in managing the test, was associated with incidence of stroke in hypertensive men. One interpretation is that hypertensive men who chronically fail to find successful strategies in stressful situations are vulnerable to the damaging effects of stress and thereby at an increased risk of a future stroke. (Stroke. 2001;32:1712-1720.)Key Words: hypertension Ⅲ neuropsychological tests Ⅲ stress, psychological Ⅲ stroke S troke is associated with huge costs, both economically and in terms of human suffering. Hypertension has been acknowledged as the major risk factor for stroke. 1 The associated risk can be assumed to be modified by interaction with several other factors, because not all hypertensive individuals experience a stroke. 2 In the case of myocardial infarction, many research programs have been aimed at delineating the relationship between incidence, psychological stress, and personality. [3][4][5][6] The effects of stress and personality factors on stroke incidence have attracted far less interest.Studies have, however, reported associations between stress and stroke. 7 Severe psychological stress or lifethreatening events have been related to an increased risk of both nonhemorrhagic and hemorrhagic strokes. 8 -11 General difficulties in coping with stress, 12 as well as specific features See Editorial Comment, page 1718of the type A behavior personality, 13,14 have also shown associations with an increased risk of stroke.So far, it has not been studied to what extent psychological stress and its management m...

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Section: Editorial Comment Cardiovascular and Behavioral Reactions Tomentioning

confidence: 83%

Adaptive Behavior in Stressful Situations and Stroke Incidence in Hypertensive Men

André-Petersson

Engström²,

Hagberg³

et al. 2001

Stroke

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“…Its prognostic value in 'Men born in 1914' has, however, been shown in previous studies where the dimension Variability was associated with the incidence of a future cardiac event in hypertensive men [13] and the Regression with stroke incidence, also in hypertensive men [14]. In addition, the serial CWT has been validated against psychiatric syndromes and diagnoses in clinical settings [15], and it has discriminated between different psychosomatic disorders [22,40] and between various groups with and without clinical symptoms [41].…”

Section: Discussionmentioning

confidence: 97%

“…The fourth pattern, the Cumulativedissociative, shows increasing time consumption from the first subtest until the last, combined with intermittently increasing and decreasing time consumption in each subtest. More information on, and graphic illustrations of, the adaptive patterns have been given in detail [8,13,22].…”

Section: Administration and Scoringmentioning

confidence: 99%

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Prognostic significance of ventricular arrhythmia modified by ability to adapt to stressful situations

André-Petersson¹,

Engström²,

Hedblad³

et al. 2004

European Journal of Cardiovascular Prevention & Rehabilitat

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“…Psychosocial factors that can be considered chronic stressors include low socioeconomic status, poor social support, and various situations in which individuals are exposed to stress [6]. Unique behavioural factors associated with stressful events have also been assumed to be risk factors linked to myocardial infarction (MI) and increased risk of death after such an event [12,13]. …”

Section: Introductionmentioning

confidence: 99%

The impact of personality factors on delay in seeking treatment of acute myocardial infarction

Schlyter

André-Petersson

Engström

et al. 2011

BMC Cardiovasc Disord

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BackgroundEarly hospital arrival and rapid intervention for acute myocardial infarction is essential for a successful outcome. Several studies have been unable to identify explanatory factors that slowed decision time. The present study examines whether personality, psychosocial factors, and coping strategies might explain differences in time delay from onset of symptoms of acute myocardial infarction to arrival at a hospital emergency room.MethodsQuestionnaires on coping strategies, personality dimensions, and depression were completed by 323 patients ages 26 to 70 who had suffered an acute myocardial infarction. Tests measuring stress adaptation were completed by 180 of them. The patients were then categorised into three groups, based on time from onset of symptoms until arrival at hospital, and compared using logistic regression analysis and general linear models.ResultsNo correlation could be established between personality factors (i.e., extraversion, neuroticism, openness, agreeableness, conscientiousness) or depressive symptoms and time between onset of symptoms and arrival at hospital. Nor was there any significant relationship between self-reported patient coping strategies and time delay.ConclusionsWe found no significant relationship between personality factors, coping strategies, or depression and time delays in seeking hospital after an acute myocardial infraction.

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Incidence of cardiac events in hypertensive men related to adaptive behavior in stressful encounters

Cited by 9 publications

References 28 publications

Adaptive Behavior in Stressful Situations and Stroke Incidence in Hypertensive Men

Adaptive Behavior in Stressful Situations and Stroke Incidence in Hypertensive Men

Prognostic significance of ventricular arrhythmia modified by ability to adapt to stressful situations

The impact of personality factors on delay in seeking treatment of acute myocardial infarction

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