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A Path Model of Chronic Stress, the Metabolic Syndrome, and Coronary Heart Disease

Peter P. Vitaliano, PhD, James M. Scanlan, PhD, Jianping Zhang, MS, Margaret V. Savage, PhD, Irl B. Hirsch, MD and Ilene C. Siegler, PhD, MPH

Departments of Psychiatry and Behavioral Sciences and Medicine, University of Washington (P.P.V., J.M.S., J.Z., M.V.S.), Seattle, Washington, and Department of Psychiatry and Behavioral Sciences, Duke University (I.C.S.), Durham, North Carolina.



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Fig. 1. Top, theoretical path model for chronic stress and CHD. Bottom, path model for chronic stress and CHD with manifest variables.

 


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Fig. 2. CHD prevalence in each stratum at study entry and follow-up. *p < .05.

 


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Fig. 3. Path model that results from each stratum. Top, men; middle, women not using HRT; bottom, women using HRT. Bold line = significant path at both time 1 and time 2; dotted line = significant path at time 1; dashed line = significant path at time 2; no line = no significant path at either times.

 


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Fig. 4. Prospective path model for men. For parsimony, vulnerability, and social resources are omitted. Numbers on the paths are path coefficients with percentage of variance explained by the path in parenthesis. White LVs are time 1, the light gray LV is time 2, and the dark gray LVs are time 3.

 





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