Reproducibility of Mental Stress-Induced Myocardial Ischemia in the Psychophysiological Investigations of Myocardial Ischemia (PIMI)

Carney, Robert M.; McMahon, Robert P.; Freedland, Kenneth E.; Becker, Lewis C.; Krantz, David S.; Proschan, Michael A.; Raczynski, James M.; Ketterer, Mark W.; Knatterud, Genell L.; Light, Kathleen C.; Lindholm, Linnea; Sheps, David S.

doi:10.1097/00006842-199801000-00015

Cited by 22 publications

(11 citation statements)

References 16 publications

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“…Reproducibility of MSI was the focus of two early studies 26–27 , and approaches that have the patient describe a previously emotionally upsetting event have demonstrated 90% reproducibility 26 .…”

Section: Moving Forwardmentioning

confidence: 99%

Psychological Stress and Induced Ischemic Syndromes

Burg

Soufer

2014

Curr Cardiovasc Risk Rep

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Section: Moving Forwardmentioning

confidence: 99%

Psychological Stress and Induced Ischemic Syndromes

Burg

Soufer

2014

Curr Cardiovasc Risk Rep

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“…For example, anger is associated with responses that promote ischemia or arterial occlusion, heart attacks, and arrhythmias (R Verrier & Mittelman 1996). Anxiety and bereavement are also associated with cardiac events, and stress appears to predispose cardiovascular disease or precipitate ischemic episodes, heart attacks, or other pathological states (Niedhammer et al 1998, Carney et al 1998. Presumably this occurs through a series of interrelated effects of stress or emotional arousal, including direct effects on the heart, on the vasculature, on blood flow and shear stress, and on the constituents of blood such as platelets (Ku 1997;Niebauer & Cooke 1996;Patterson et al 1994Patterson et al , 1995.…”

Section: Stress and Disease Processesmentioning

confidence: 99%

HEALTH PSYCHOLOGY: Mapping Biobehavioral Contributions to Health and Illness

Baum

Posluszny

1999

Annu. Rev. Psychol.

354

177

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Our evolving understanding of how psychosocial and behavioral factors affect health and disease processes has been marked by investigation of specific relationships and mechanisms underlying them. Stress and other emotional responses are components of complex interactions of genetic, physiological, behavioral, and environmental factors that affect the body's ability to remain or become healthy or to resist or overcome disease. Regulated by nervous, endocrine, and immune systems, and exerting powerful influence on other bodily systems and key health-relevant behaviors, stress and emotion appear to have important implications for the initiation or progression of cancer, HIV, cardiovascular disease, and other illnesses. Health-enhancing and health-impairing behaviors, including diet, exercise, tobacco use, and protection from the sun, can compromise or benefit health and are directed by a number of influences as well. Finally, health behaviors related to being ill or trying to avoid disease or its severest consequences are important. Seeking care and adhering to medical regimens and recommendations for disease surveillance allow for earlier identification of health threats and more effective treatment. Evidence that biobehavioral factors are linked to health in integrated, complex ways continues to mount, and knowledge of these influences has implications for medical outcomes and health care practice.

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“…A rapidly growing body of research suggests that social stress, whether it is chronic or episodic, has deleterious effects on well-being (Ackerman et al, 2002;Benschop et al, 1998;Broadbent et al, 2003;Carney et al, 1998;Cesana et al, 2003;Cohen et al, 1999;Delahanty et al, 1996;Delahanty et al, 1997;Ironson et al, 1996 ;Pawlak et al, 2003;Stone et al, 1999). Studies of eventful stressors have focused on exposures to natural disasters such as a hurricane, or to traumas such as witnessing the aftermath of an airline crash (Ursano, 1997).…”

Section: Introductionmentioning

confidence: 99%

Religiosity and the expansion of caregiver stress

LeBlanc

Driscoll

Pearlin

2004

Aging & Mental Health

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We present a stress process framework as a model for understanding how religiosity may influence the expansion of stress. Survey data from informal caregivers to a spouse with Alzheimer's disease or a related dementia (n = 200) were analyzed to observe the relationships among three variables: (1) care-related stress, (2) religiosity, and (3) depression. This sample, which has a mean age of 73 years, demonstrates high rates of self-described religiosity, church attendance and frequency of prayer. Using these criteria, women and racial/ethnic minority caregivers are the most religious. In a series of multivariate analyses, we found strong evidence to suggest that there is an expansion of care-related stressors leading to depression in this sample. Religiosity, as measured here, appears to be largely unrelated to stress and stress expansion. We found no evidence to suggest that it moderates stress expansion. However, these data do suggest that one stressor--feelings of role overload--is correlated with greater levels of self-perceived religiosity, which among caregivers who have health problems of their own is associated with greater depressive symptomatology. Thus, for a sub-sample of these caregivers, we find weak evidence of a mediation effect wherein one subjective, non-organizational dimension of religiosity is a conduit of the harmful effects of stress (rather than a suppressor). Results and data limitations are discussed in relation to better assessing the role of religiosity and spirituality in the experience of the stress process.

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Reproducibility of Mental Stress-Induced Myocardial Ischemia in the Psychophysiological Investigations of Myocardial Ischemia (PIMI)

Cited by 22 publications

References 16 publications

Psychological Stress and Induced Ischemic Syndromes

Psychological Stress and Induced Ischemic Syndromes

HEALTH PSYCHOLOGY: Mapping Biobehavioral Contributions to Health and Illness

Religiosity and the expansion of caregiver stress

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