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Marital Stress Associated with Cardiac Events in Women.
2001 JAN 11 - (NewsRx.com) -- Among women with coronary heart disease, the risk of having a recurrent coronary event is increased for those who experience severe stress in their marriages or live-in relationships, according to an article in the December 20, 2000, issue of The Journal of the American Medical Association.
Kristina Orth-Gomer, MD, PhD, of Karolinska Institute, Stockholm, Sweden, and colleagues investigated the prognostic impact of psychosocial work stress and marital stress among women with coronary heart disease (CHD). They conducted a population-based, prospective follow-up study of women in Stockholm who were hospitalized for acute myocardial infarction (AMI) or unstable angina pectoris between February 1991 and February 1994 (JAMA, 2000; 284:3008-3014).
Patients were followed up for a median of 4.8 years, from the date of clinical examination until August 1997. A total of 292 women aged 30 to 65 took part in the Stockholm Female Coronary Risk (FemCorRisk) Study. The researchers looked at recurrent coronary events, including cardiac death, AMI, and revascularization procedures, and measured marital stress and work Stress.
Marital stress was assessed using the Stockholm Marital Stress Scale, a structured interview. Work stress was assessed using a questionnaire that measures the ratio of work demand to work control.
According to background information cited in the study, women younger than the age of 70 have a worse prognosis than men following AMI, but the causes are poorly understood. Studies in men suggest that psychosocial factors are important determinants of cardiovascular health. In particular, work stress has been associated with increased CHD incidence and poorer prognosis in men. Among women in this age group, psychosocial stress in relation to CHD has rarely been studied, and models of psychosocial influences are usually derived from studies in men.
Among the 292 women in the FemCorRisk Study, 64% were married or cohabiting with a male partner and 70% of those women were working at the time of examination. Among the women living with husband or partners, there were eight deaths, including five from ...
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