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Psychosomatic Medicine, Vol 47, Issue 5 431-445, Copyright © 1985 by American Psychosomatic Society
ORIGINAL ARTICLES |
N Frasure-Smith and R Prince
Based on evidence that life stress is a precursor of ischemic heart disease episodes, a randomized control trial of a stress monitoring and intervention program was instituted involving 453 male myocardial infarction patients. Program patients were monitored monthly by telephone for 1 year using the General Health Questionnaire. Whenever a patient's score rose above a critical level, he received a variety of interventions aimed at stress reduction. Results showed that the treated group registered a greater decline in stress scores than controls and, although rehospitalizations and their durations did not differ, there were significantly fewer deaths in the monitored group. It is suggested that stress-relieving programs may have a greater impact in reducing cardiac deaths than in preventing nonlethal coronary episodes.
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