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[Relation between personality and spastic angina].

J M Moustier, S Benichou, S Giudicelli

    Presse Medicale (Paris, France : 1983)
    |May 19, 1984
    PubMed
    Summary
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    Personality traits in patients with retrosternal pain vary by coronary artery condition. Obsessional personalities were linked to coronary artery disease, while hysterical personalities were more common in patients with normal arteries or arterial spasm.

    Area of Science:

    • Cardiology
    • Psychology
    • Medical Diagnostics

    Background:

    • Retrosternal pain can stem from various cardiac and non-cardiac causes.
    • Understanding the psychological profiles of patients with chest pain may aid diagnosis.
    • Coronary artery disease and arterial spasm are key etiological considerations.

    Purpose of the Study:

    • To investigate the relationship between personality traits and the underlying causes of retrosternal pain.
    • To differentiate personality profiles among patients with coronary artery disease, arterial spasm, and normal coronary arteries.

    Main Methods:

    • Psychological evaluation of 60 patients with retrosternal pain using Cattel's questionnaire and Eysenck's personality inventory.
    • Semi-directive interviews were conducted to gather qualitative personality data.

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  • Coronary angiography was performed to categorize patients into three groups based on coronary artery findings: atheromatous lesions, arterial spasm, or normal arteries without spasm.
  • Main Results:

    • A statistically significant difference in personality profiles was observed between patients with atheromatous coronary artery lesions (Group I) and those with arterial spasm (Group II) (p < 0.05).
    • Obsessional personality traits were prevalent in 11 out of 21 patients in Group I (coronary artery disease).
    • Hysterical personality traits were more common in Group II (13/19 patients) and Group III (16/20 patients) with arterial spasm or normal coronary arteries, respectively.

    Conclusions:

    • Personality traits may be associated with different etiologies of retrosternal pain.
    • Obsessional personality is significantly linked to coronary artery disease.
    • Hysterical personality traits are more frequently observed in patients with non-atherosclerotic causes of chest pain, such as arterial spasm or normal coronary arteries.