Biological and Psychological Factors in Cardiovascular Disease

1. Front Matter

   Pages I-XVI

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2. Introduction

   1. Introduction

      • Thomas H. Schmidt, Theodore M. Dembroski, Gerhard Blümchen

      Pages 1-2

3. From Clinical Experience to Tested Hypothesis: The Role of Psychosocial Factors in Coronary Heart Disease

   1. From Clinical Experience to Tested Hypothesis: The Role of Psychosocial Factors in Coronary Heart Disease

      • J. J. Groen

      Pages 3-12

4. Psychosocial Factors and CHD

   1. Front Matter

      Pages 13-13

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   2. Current and Past History of Type A Behavior Pattern

      • R. H. Rosenman

      Pages 15-40

   3. Type A Behavior and Risk of Coronary Heart Disease in the Multiple Risk Factor Intervention Trial

      • R. B. Shekelle, S. B. Hulley, J. D. Neaton, J. Billings, N. O. Borhani, T. A. Gerace et al.

      Pages 41-55

   4. The Predictive Power of the A/B Typology in Holland: Results of a 9.5-Year Follow-Up Study

      • A. Appels, P. Mulder, M. van’t Hof, C. D. Jenkins, J. van Houtem, F. Tan

      Pages 56-62

   5. Type A and Other Psychosocial Factors in Relation to Coronary Heart Disease

      • F. Kittel

      Pages 63-84

   6. Is Neuroticism A Risk Factor for CAD? Is Type A a Measure of Neuroticism?

      • P. T. Costa Jr.

      Pages 85-95

   7. Type A: Behavior or Trait?

      • B. T. Engel

      Pages 96-103

   8. Type A as a Coping Career — Toward a Conceptual and Methodological Redefinition

      • H. Matschinger, J. Siegrist, K. Siegrist, K. H. Dittmann

      Pages 104-126

   9. The Importance of the Type A Subcomponent Hostility for Myocardial Infarction at Young Age

      • W. Langosch, G. Brodner, H. Borcherding

      Pages 127-138

   10. Hostility and Conflict as Antecedents of Arousal and Disease

       • S. Streufert, R. M. Pogash

       Pages 139-154

   11. Psychological Stress and Sudden Cardiac Death

       • R. A. De Silva

       Pages 155-183

5. Cardiovascular Psychophysiology

   1. Front Matter

      Pages 185-185

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   2. Behavioral Correlates of Cardiovascular Reactivity in School Children

      • T. H. Schmidt, H. Thierse, J. Eschweiler

      Pages 187-227

   3. Familial Aspects of the Type A Behavior Pattern and Physiologic Reactivity to Stress

      • K. A. Matthews, C. J. Rakaczky

      Pages 228-245

   4. Stress and Cigarette Smoking: Implications for Cardiovascular Risk

      • T. M. Dembroski, J. M. MacDougall

      Pages 246-257

   5. Anger, Aerobics and Autonomic Reactivity

      • N. Schneiderman, N. Tischenkel, R. Nelesen

      Pages 258-286

   6. Psychophysiological Responses to Mental Stress in Type A and Type B Subjects With and Without a Family History of Hypertension

      • C. Perini, F. B. Müller, F. R. Bühler

      Pages 287-301

An opening address should ask the right questions, which we expect to answer during the coming years. A good opening address should formu­ late hypotheses for falsification during the conference or in the near fu­ ture. Mter Dr. Groen's excellent lecture yesterday, I feel better about my task, because I feel I am not alone in asking the ten questions in my ab­ stract. It is an honor for me to give this short paper largely based on my expe­ riences during 15 years as medical director of a rehabilitation center in Ba­ varia, as a teacher at two medical schools in Munich and Innsbruck, and as an old-fashioned holistic cardiologist. However, it also is a difficult task for me because the subject of this conference concerning biobehavioral factors in coronary heart disease is controversial, not only in the medical society, but in my own mind as well. When I organized one of the first conferences on stress and coronary heart disease in West Germany in 1976, followed by conferences in 1979 and 1980, the semantic problems between physicians and psychologists were very significant. However, communication has improved in this area during the last decade. The most encouraging event in this field was a sym­ posium in May 1984 in Rotenburg/Fulda on the topic "Return to Work af­ ter Bypass Surgery", organized by a cardiac surgeon, Dr. Walter.

• Bypass
• cardiovascular
• cardiovascular disease
• coronary heart disease
• heart
• heart disease
• rehabilitation
• stress
• vascular disease

• Abteilung Epidemiologie und Sozialmedizin, Medizinische Hochschule Hannover, Hannover 61, Germany

  Thomas H. Schmidt

• Department of Psychology, University of Maryland, Baltimore County Cantonsville, USA

  Theodore M. Dembroski

• Klinik Roderbirken, Leichlingen/Rhld. 1, Germany

  Gerhard Blümchen

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