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愤怒和敌意预测了法拉明汉子女研究中男性心房的发展

Elaine D Eaker¹, Lisa M Sullivan, Margaret Kelly-Hayes

¹Eaker Epidemiology Enterprises, LLC, Chili, WI 54420, USA. eakerepi@tznet.com

|March 3, 2004

概括

愤怒和敌意预测男人的心房动 (AF) 和总死亡率,但不是冠心病 (CHD). 这些发现表明,愤怒管理可能是男性的关键.

科学领域:

心脏病学心脏病学
心理社会医学心理社会医学
流行病学流行病学

背景情况:

关于A型行为,愤怒和敌意作为冠心病 (CHD) 的预测因素,存在相互矛盾的文献.
之前没有任何前性研究将这些心理社会因素与心房动 (AF) 的发展联系起来.

研究的目的:

调查A型行为,愤怒,敌意,心脏病发病率,AF和总死亡率之间的关系.
确定心理社会因素是否预测潜在队列中的心血管结果和死亡率.

主要方法:

弗雷明汉子女研究对3873名参与者 (年龄在18-77岁之间) 进行了10年的前性监测.
基线评估包括A型行为,愤怒,敌意和心血管风险因素的测量.
考克斯的比例危险模型被用来分析心理社会变量与结果之间的关联,并对混因素进行调整.

主要成果:

在男性中,特征 - - 愤怒,愤怒症状和敌意 - - 在控制心血管风险因素后,独立预测了AF的10年发病率.
没有任何心理社会措施预测男性或女性的事件心脏病.
在男性中,特征愤怒与总死亡率的增加有关,但在女性中并非如此.
在心理社会变量和女性研究结果之间没有发现显著的关联.

结论:

这项研究提供了第一个证据,将愤怒和敌意与男性AF发展联系起来.
愤怒和敌意,而不是A型行为,可能是研究男性心律失常和死亡风险的更相关因素.

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