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Psychosomatic Medicine 17:200-207 (1955)
© 1955 American Psychosomatic Society

Cutaneous Vascular Reactions in Raynaud's Disease and in States of Hostility, Anxiety, and Depression

DAVID T. GRAHAM M.D.1

1 Departments of Medicine and Psychiatry, New York Hospital-Cornell Medical Center, New York; Barnes Hospital, St. Louis, Missouri

Observations of changes in the minute vessels (capillaries and venules) and arterioles of the forearm skin were made in 19 patients with various diseases at times of experimentally induced emotional disturbances.

An attitude of hostility (a wish to take directly aggressive action) was associated with constriction of arterioles and increased tone of minute vessels.

Such hostility was found to be an invariable accompaniment of major attacks of

Raynaud's disease in the 4 women with this condition who were studied. The Raynaud phenomenon itself consists of constriction of both arterioles and minute vessels. It is suggested that these changes occur in the skin generally, and not only in the extremities.

An attitude of anxiety (anticipation of some harmful occurrence, combined with an urge to take action of some kind) was also associated with constriction of arterioles and increased tone of minute vessels.

States of "depression" were associated with constriction of arterioles and decreased tone of minute vessels.

The same person developed different emotional states, including different vascular changes, at different times.




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