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REVIEW ARTICLE
Year : 2022  |  Volume : 6  |  Issue : 4  |  Page : 211-218

Psychosocial stressors in psychosomatic cardiology: A narrative review


Department of International Health, Karolinska Institutet; Department of Psychology, Stress Research Institute, University of Stockholm, Stockholm, Sweden

Correspondence Address:
Prof. Töres Theorell
Department of International Health, Karolinska Institutet, Stockholm, Sweden, Department of Psychology, Stress Research Institute, University of Stockholm, Karlbergsvägen 72B, Stockholm 11335
Sweden
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/hm.hm_26_22

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The definition of a psychosocial stressor and reactions to it is discussed in relation to individual and environmental factors. The relation of this model to psychophysiological stress reactions and regeneration, as well as its significance for cardiovascular diseases, is described. Three classes of psychosocial stressors (life changes, work conditions, and family conflicts) are then described in relation to cardiovascular illness and risk factors. Particular emphasis is on longitudinal studies of patients. Heart contractility and urinary adrenaline excretion are discussed in detail. Epidemiological data on psychosocial stressors and cardiovascular disease outcomes (mainly myocardial infarction) are also discussed.


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