Behavioral Factors, Life Changes, and the Development of Vital Exhaustion and Depression in Myocardial Infarction Patients

Epidemiological studies on psychosocial precursors of myocardial infarction (MI) in middle-aged subjects suggest that in the year prior to MI, psychological phenomena of 'vital exhaustion and depression' may be an equally important diagnostic measure as manifestations of chest pain, and other cardiac symptoms. A self-administered psychological survey the 'Maastricht Questionnaire' (MQ) was constructed in order to measure the prodromal phenomena of 'vital exhaustion and depression'.In this paper, several retrospective and longitudinal studies on MI patients and controls are commented on in which the MQ was employed. Since these studies as such cannot explain why an association exists, a retrospective investigation in a sample of 136 healthy middle-aged men was undertaken. In this study, the interrelationships between the Type A coronary-prone behavior pattern, exposure to stressful life changes over a two year period, and the association with the MQ were explored. Coronary-prone behavior was assessed throu...