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Negative affect states and cardiovascular disorders: a review and the proposal of a unifying biopsychosocial concept


Buerki, Sarah; Adler, Rolf H (2005). Negative affect states and cardiovascular disorders: a review and the proposal of a unifying biopsychosocial concept. General Hospital Psychiatry, 27(3):180-188.

Abstract

AIM
The purpose of this review was to study the relationships between negative affect states and cardiovascular disorders.

PROCEDURE
The phenomenology of the negative affect states of depression, helplessness, hopelessness, vital exhaustion and grief is described. Their correlations with morbidity and mortality are analyzed. The physiological correlates of the affect states are pointed out. Finally, the reaction pattern of conservation-withdrawal according to Schmale and Engel and its ontogenesis are outlined. This is a disengaging behavior pattern as opposed to the engaging fight-flight reaction pattern of Cannon. The giving up complex, with its affects of helplessness and hopelessness, is explained.

CONCLUSIONS
The giving up complex in the context of the conservation-withdrawal pattern presents a biologically and developmentally sound conceptual basis for the understanding of the relationships of the negative affect states with cardiovascular disorders. This enables the integration of the concept of vital exhaustion, which has become the most promising operationalized instrument in psychosocial cardiovascular research.

Abstract

AIM
The purpose of this review was to study the relationships between negative affect states and cardiovascular disorders.

PROCEDURE
The phenomenology of the negative affect states of depression, helplessness, hopelessness, vital exhaustion and grief is described. Their correlations with morbidity and mortality are analyzed. The physiological correlates of the affect states are pointed out. Finally, the reaction pattern of conservation-withdrawal according to Schmale and Engel and its ontogenesis are outlined. This is a disengaging behavior pattern as opposed to the engaging fight-flight reaction pattern of Cannon. The giving up complex, with its affects of helplessness and hopelessness, is explained.

CONCLUSIONS
The giving up complex in the context of the conservation-withdrawal pattern presents a biologically and developmentally sound conceptual basis for the understanding of the relationships of the negative affect states with cardiovascular disorders. This enables the integration of the concept of vital exhaustion, which has become the most promising operationalized instrument in psychosocial cardiovascular research.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Medical Clinic
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:27 May 2005
Deposited On:17 Apr 2019 10:28
Last Modified:25 Sep 2019 00:07
Publisher:Elsevier
ISSN:0163-8343
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.genhosppsych.2004.12.003
PubMed ID:15882764

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