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Psychosocial risk factors for coronary heart disease.
Med J Aust 2013; 199(3):179-80MJ

Abstract

In 2003, the National Heart Foundation of Australia published a position statement on psychosocial risk factors and coronary heart disease (CHD). This consensus statement provides an updated review of the literature on psychosocial stressors, including chronic stressors (in particular, work stress), acute individual stressors and acute population stressors, to guide health professionals based on current evidence. It complements a separate updated statement on depression and CHD. Perceived chronic job strain and shift work are associated with a small absolute increased risk of developing CHD, but there is limited evidence regarding their effect on the prognosis of CHD. Evidence regarding a relationship between CHD and job (in)security, job satisfaction, working hours, effort-reward imbalance and job loss is inconclusive. Expert consensus is that workplace programs aimed at weight loss, exercise and other standard cardiovascular risk factors may have positive outcomes for these risk factors, but no evidence is available regarding the effect of such programs on the development of CHD. Social isolation after myocardial infarction (MI) is associated with an adverse prognosis. Expert consensus is that although measures to reduce social isolation are likely to produce positive psychosocial effects, it is unclear whether this would also improve CHD outcomes. Acute emotional stress may trigger MI or takotsubo ("stress") cardiomyopathy, but the absolute increase in transient risk from an individual stressor is low. Psychosocial stressors have an impact on CHD, but clinical significance and prevention require further study. Awareness of the potential for increased cardiovascular risk among populations exposed to natural disasters and other conditions of extreme stress may be useful for emergency services response planning. Wider public access to defibrillators should be available where large populations gather, such as sporting venues and airports, and as part of the response to natural and other disasters.

Authors+Show Affiliations

Brain and Mind Research Institute, University of Sydney, Sydney, NSW.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Review

Language

eng

PubMed ID

23909539

Citation

Glozier, Nick, et al. "Psychosocial Risk Factors for Coronary Heart Disease." The Medical Journal of Australia, vol. 199, no. 3, 2013, pp. 179-80.
Glozier N, Tofler GH, Colquhoun DM, et al. Psychosocial risk factors for coronary heart disease. Med J Aust. 2013;199(3):179-80.
Glozier, N., Tofler, G. H., Colquhoun, D. M., Bunker, S. J., Clarke, D. M., Hare, D. L., ... Branagan, M. G. (2013). Psychosocial risk factors for coronary heart disease. The Medical Journal of Australia, 199(3), pp. 179-80.
Glozier N, et al. Psychosocial Risk Factors for Coronary Heart Disease. Med J Aust. 2013 Aug 5;199(3):179-80. PubMed PMID: 23909539.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychosocial risk factors for coronary heart disease. AU - Glozier,Nick, AU - Tofler,Geoffrey H, AU - Colquhoun,David M, AU - Bunker,Stephen J, AU - Clarke,David M, AU - Hare,David L, AU - Hickie,Ian B, AU - Tatoulis,James, AU - Thompson,David R, AU - Wilson,Alison, AU - Branagan,Maree G, PY - 2013/04/05/received PY - 2013/07/07/accepted PY - 2013/8/6/entrez PY - 2013/8/6/pubmed PY - 2013/10/30/medline SP - 179 EP - 80 JF - The Medical journal of Australia JO - Med. J. Aust. VL - 199 IS - 3 N2 - In 2003, the National Heart Foundation of Australia published a position statement on psychosocial risk factors and coronary heart disease (CHD). This consensus statement provides an updated review of the literature on psychosocial stressors, including chronic stressors (in particular, work stress), acute individual stressors and acute population stressors, to guide health professionals based on current evidence. It complements a separate updated statement on depression and CHD. Perceived chronic job strain and shift work are associated with a small absolute increased risk of developing CHD, but there is limited evidence regarding their effect on the prognosis of CHD. Evidence regarding a relationship between CHD and job (in)security, job satisfaction, working hours, effort-reward imbalance and job loss is inconclusive. Expert consensus is that workplace programs aimed at weight loss, exercise and other standard cardiovascular risk factors may have positive outcomes for these risk factors, but no evidence is available regarding the effect of such programs on the development of CHD. Social isolation after myocardial infarction (MI) is associated with an adverse prognosis. Expert consensus is that although measures to reduce social isolation are likely to produce positive psychosocial effects, it is unclear whether this would also improve CHD outcomes. Acute emotional stress may trigger MI or takotsubo ("stress") cardiomyopathy, but the absolute increase in transient risk from an individual stressor is low. Psychosocial stressors have an impact on CHD, but clinical significance and prevention require further study. Awareness of the potential for increased cardiovascular risk among populations exposed to natural disasters and other conditions of extreme stress may be useful for emergency services response planning. Wider public access to defibrillators should be available where large populations gather, such as sporting venues and airports, and as part of the response to natural and other disasters. SN - 1326-5377 UR - https://www.unboundmedicine.com/medline/citation/23909539/Psychosocial_risk_factors_for_coronary_heart_disease_ L2 - https://www.mja.com.au/doi/10.5694/mja13.10440 DB - PRIME DP - Unbound Medicine ER -