Shared and unique contributions of anger, anxiety, and depression to coronary heart disease: A prospective study in the normative aging study
Shared and unique contributions of anger, anxiety, and depression to coronary heart disease: A prospective study in the normative aging study
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DOI：
10.1207/s15324796abm3101_5
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发表时间：
2006-01-01
影响因子：
3.8
通讯作者：
Sparrow, D
中科院分区：
文献类型：
--
作者：
Kubzansky, LD;Cole, SR;Sparrow, D
背景：愤怒、焦虑和抑郁均已被确定为冠心病（CHD）的危险因素。目前还不清楚明显的风险是每种情绪独特方面的函数，还是由于负面情感的共同潜在维度所致。 目的：本研究的目的是评估愤怒、焦虑和抑郁对先心病事件的共同和独特贡献。方法：数据来自退伍军人管理局规范老龄化研究，这是一项正在进行的老年男性队列研究。愤怒、焦虑和抑郁的测量数据来自 1,306 名男性，他们在 1986 年完成了修订后的明尼苏达多相人格量表。根据这些测量数据，我们得出了三个近乎正交的量表，称为孤立愤怒、孤立焦虑和孤立抑郁，以及第四个衡量一般痛苦的量表。结果：在平均 10.9 年的随访期间，发生了 161 例 CHD 病例。单独考虑时，等焦虑、等愤怒和共同的普遍痛苦都与冠心病风险相关。当同时考虑所有情绪时，只有等焦虑和共同的普遍痛苦与发生冠心病有关。结论：考虑负面情绪的共同与独特方面可能会澄清其与冠心病风险相关的明显毒性的性质。负面情绪所共有的普遍痛苦是情绪与冠心病关系中的一个重要组成部分。焦虑的各个方面也可能独立地增加冠心病的风险。
Background: Anger, anxiety, and depression have each been identified as risk factors for coronary heart disease (CHD). Whether the apparent risk is a function of unique aspects of each emotion or due to a shared underlying dimension of negative affectivity, is unclear Purpose: The goal of this study was to assess shared and unique contributions of anger, anxiety, and depression to incident CHD. Methods: Data are from the Veterans Administration Normative Aging Study, an ongoing cohort of older men. Measures of anger, anxiety, and depression were obtained from 1,306 men completing the revised Minnesota Multiphasic Personality Inventory in 1986. From these measures we derived three near-orthogonal scales termed iso(lated)-anger, iso-anxiety, and iso-depression and a fourth scale measuring general distress. Results: During an average of 10.9 Years of follow-up, 161 cases of incident CHD occurred. When considered individually, iso-anxiety, iso-anger and shared general distress were, each associated with CHD risk. When all emotions were considered simultaneously, only iso-anxiety and shared general distress were associated with incident CHD. Conclusions: Considering shared versus unique aspects of negative emotions may clarify the nature of their apparent toxicity in relation to CHD risk. General distress shared across negative emotions is an important component in the emotion-CHD relation. Aspects of anxiety may also independently increase CHD risk.