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An Interactive Model of Pain and Myocardial Ischemia

Bibliographic Data

ID19308241
AuthorsSusan E Hofkamp (Johns Hopkins University, corresponding author), Charles A Henrikson (0000-0002-3381-8437, Hesco (United States)), Stephen T Wegener (0000-0002-0867-2229, Hesco (United States))
Year2007
Volume69
Issue7
Pages632-639
Publication date2007-09-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0b013e318151a4bd
PMID17766689
OpenAlexW2013554422
LanguageEN
References cited73

The biopsychosocial model has been used to describe the intertwined factors that may act as mechanisms in cardiovascular disease, as well as those found in pain conditions. This model may also prove useful in understanding a diagnosis that overlaps these two areas, angina. This article reviews the literature related to biological, psychological, and social mechanisms of painful ischemic episodes and discusses the interactions of those variables. We propose an integrated model that incorporates the biopsychosocial mechanisms that may be responsible for the variability in pain reporting with ischemic episodes. We show how sex differences manifested in various biopsychosocial factors may interact to influence the presence of painful versus silent myocardial ischemia. We present a plan for future research to elucidate this interaction. CAD = coronary artery disease; HADS = Hospital Anxiety and Depression Scale; MMPI = Minnesota Multiphasic Personality Inventory; BDI = Beck Depression Inventory; TABP = Type A behavior pattern

Angina · Anxiety · Biopsychosocial model · Coronary artery disease · Minnesota Multiphasic Personality Inventory · Myocardial infarction · Personality · Psychiatry · Cardiac Health and Mental Health · Clinical Psychology · Heart Rate Variability and Autonomic Control · Medicine · Musculoskeletal pain and rehabilitation · Psychology · Social Psychology

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Highly citedNo

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