J. Lisspers et al., PSYCHOLOGICAL PATTERNS IN PATIENTS WITH CORONARY HEART-DISEASE, CHRONIC PAIN AND RESPIRATORY DISORDER, Scandinavian journal of caring sciences, 12(1), 1998, pp. 25-31
Patients with coronary heart disease (CHD), chronic pain and respirato
ry disorder were investigated for different patterns of psychological
factors. Several psychological factors were measured: depression (usin
g Beck's 'BDI'), anxiety (using Spielberger's 'STAI'), anger (Spielber
ger's 'AX'), and cynicism (Greenglass & Julkunen's 'CD'). The special
psychological pattern in patients with CHD was characterized by an inc
rease in suppressed anger, overall experienced anger, and cynicism. Pa
tients with chronic pain did not show any comparable pattern of elevat
ed psychological factors. The pattern in patients with respiratory dis
order was characterized by increased cynicism and, in women, also clin
ical depression.