Myocardial Infarction and Psychosocial Risks

1. Front Matter

   Pages I-X

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2. Risk Situations: Work Stressors, Life Events, and Loss of Social Support

   1. Life Events, Job Stress, and Coronary Heart Disease

      • T. Theorell

      Pages 1-17

   2. Work Load and Coronary Heart Disease

      • M. Kornitzer, F. Kittel, G. De Backer, M. Dramaix, J. Sobolski, S. Degré

      Pages 18-40

   3. Psychosocial Risk Constellations and First Myocardial Infarction

      • J. Siegrist, K. Dittmann, K. Rittner, I. Weber

      Pages 41-57

   4. Measurement and Impact of Organizational Stress

      • N. van Dijkhuizen

      Pages 58-64

   5. Psychosocial Stress and CHD when Controlling for Traditional Risk Factors

      • K. Orth-Gomér

      Pages 65-70

   6. An Approach by Theory of Action to Occupational Stress

      • L. von Ferber

      Pages 71-75

3. Risk Disposition: The Coronary-Prone Behavior Pattern

   1. Type A Behavior: Mechanisms Linking Behavioral and Pathophysiologic Processes

      • D. C. Glass

      Pages 77-88

   2. Type A, Stress, and Autonomic Reactivity: Considerations for a Study of These Factors in the Work Place

      • T. M. Dembroski, J. M. MacDougall, J. C. Buell, R. S. Eliot

      Pages 89-106

   3. Pattern A, Psychologic Correlates and Therapeutic Implications

      • M. Haider, M. Koller, E. Lukesch, M. Müller

      Pages 107-115

   4. The Syndrome of Vital Exhaustion and Depression and Its Relationship to Coronary Heart Disease

      • A. Appels

      Pages 116-119

   5. Psychosocial Stressors in Patients with Premature Myocardial Infarction

      • W. Langosch

      Pages 120-126

   6. Different Patterns of Stress in Patients with Internal Diseases

      • G. Pepping

      Pages 127-132

4. Conclusions

   1. Myocardial Infarction and Psychosocial Risks: Concluding Remarks

      • J. Siegrist

      Pages 133-147

5. Back Matter

   Pages 149-154

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This volume contains contributions presented at the Fourth Internatio­ nal Workshop on Psychosocial Stress and Coronary Heart Disease (CHD) held in Hoehenried near Munich in July, 1979. The workshop was organized in order to continue and enlarge upon recent discussions concerning empirical evidence and convergence in the field of stress and CHD. Proceedings of the three previous workshops were published in German by Springer-Verlag. The main topic of the 1978 conference was the present state of research in the field of type A behavior and CHD. In addition and in a certain contrast, this present volume concentrates on sociological aspects of stress experience and the development of CHD, especially myocardial infarction. It is thought that a heuristic research device should take into account both situational influences and individual predispositions on a somatic and psychological level. The scope of this book is limited by the research areas represented by the invited participants, and the editors do not claim to give a representative overview, although they include several prominent authorities among the contributors. The final chapter gives a short critical evaluation of the present state of a difficult but promising area of interdisciplinary medical research. For technical reasons discussions held at the workshop could not be included in this volume.

• coronary heart disease
• depression
• heart
• heart disease
• myocardial infarction

• Medizinische Soziologie, Fachbereich Humanmedizin der Universität, Marburg/Lahn, Germany

  Johannes Siegrist

• Klinik Höhenried, Bernried/Obb., Germany

  Max J. Halhuber

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