Vol. 11, No 1, 2004 pp. 45 - 48
UC 612.176:616.127-005.8
STRESS AND CORONARY HEART DISEASE
Marina Hadži Pešić
Faculty of Philosophy, Department of Psychology, Niš, Serbia
E-mail: zorannp@bankerinter.net
Summary. Background/Aim: The rate of coronary heart disease (CHD)
is decreasing in developed countries of the world owing to a modification
of risk factors. However, in countries in transition including Serbia and
Montenegro the situation is quite the opposite. The aim of this study was
to explore the role of acute and chronic stress in development of CHD.
Methods: Two groups of examinees were studied: a control group of 170 healthy
persons and experimental group of 170 patients with CHD. The group of patients
with CHD consisted of 75 patients after acute myocardial infarction and
75 patients after aorto coronary by pass surgery. A semi-standardised interview
was used to assess the existence of acute of chronic stress in the studied
examinees. Acute stressors were classified in the following categories:
(a) death of a close person, (b) threat of loss of a close person, (c)
forced change of living place, (d) divorce, (e) loss of job and (f) others.
Chronic stress was evaluated by establishing exposition to conflict situations
at home or at job. There were three possibilities to answer: never, sometimes,
or every day exposure to stressful situations. Results: Considerable difference
were not found with regard to to exposition to acute stressors in control
and experimental group of examinees. However, chronic exposure to stressful
situations at job was more frequent in patents with CHD. There was not
a difference between patients after acute myocardial infarction and after
aorto coronary by pass surgery. Conclusion: Our data showed that chronic
stress at job, not at home, is an important psychological risk factor in
development of CHD.
Key words: Acute stress, chronic stress, acute myocardial infarction,
aorto coronary by pass, risk factor
STRES I KORONARNA BOLEST SRCA
Kratak sadržaj: Cilj ove studije je bio da ispita ulogu akutnog
i hroničnog stresa u nastanku koronarne bolesti srca.
Studijom su obuhvaćene dve grupe ispitanika: kontrolna grupa od 170
zdravih osoba i eksperimentalna grupa od 170 bolesnika sa koronarnom bolešću
srca. Bolesnici sa koronarnom bolešću srca su podeljeni u dve podgrupe:
75 bolesnika posle akutnog infarkta miokarda i 75 bolesnika posle hiruškog
aortokoronarnog premošćenja. Korišćeni je polustandardizovani intervju
za utvrđivanje postojanja akutnih ili hroničnih stresnih situacija.Rezultati
studije nisu pokazali da je izloženost akutnim stresnim situacijama bila
značajnija u grupi bolesnika sa koronarnom bolešću srca u odnosu na zdrave
ispitanike. U pogledu izloženosti hroničnim stresnim situacijama utvrđeno
je da su stresne situacije na poslu, a ne u kući bile značjno češće u bolesnika
sa koronarnom bolešću srca. Razlike nisu postojale između bolesnika posle
akutnog infarkta miokarda i hiruške revaskularizacije srčanog mišića.Dobijeni
rezultati ukazuju na značajnu ulogu hroničnog stresa na poslu u razvoju
koronarne bolesti srca.
Ključne reči: Akutni stres, hronični stres, akutni infarkt miokarda,
aorto koronarni baj pas, faktori rizika
