Literature DB >> 17500619

Experiences of demand and control during daily life are predictors of carotid atherosclerotic progression among healthy men.

Thomas W Kamarck1, Matthew F Muldoon, Saul S Shiffman, Kim Sutton-Tyrrell.   

Abstract

OBJECTIVES: The authors previously reported that individuals who rate their daily life as more demanding or less controllable by momentary electronic diary (ED) reports showed greater intima-medial thickness (IMT) by carotid ultrasonography. They now present prospective findings on this relation.
DESIGN: Three hundred thirty-five healthy individuals (ages 50-70 at study onset) completed ongoing ratings of activity and mood over a 6-day period, using ED assessments. MAIN OUTCOME MEASURES: Mean bilateral carotid artery IMT was measured at baseline and 36 months later. RESULTS AND
CONCLUSION: Mean ratings of high demand and low control were significantly associated with IMT progression among men but not among women. These associations were not explained by traditional risk factors or by measures of occupational stress. Effects were partially accounted for by elevated ambulatory heart rates among those with low ratings of control. These data support the utility of ED-based measures for examining psychosocial risks in the prediction of cardiovascular disease progression. Copyright (c) 2007 APA, all rights reserved.

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Year:  2007        PMID: 17500619     DOI: 10.1037/0278-6133.26.3.324

Source DB:  PubMed          Journal:  Health Psychol        ISSN: 0278-6133            Impact factor:   4.267


  20 in total

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