Do depression and anxiety mediate the link between educational attainment and CHD?

  • Everson-Rose S
  • Lewis T
  • Frasure-Smith N
 et al. 
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Abstract

Low socioeconomic status (SES) is a reliable correlate of poor physical health. Rather than treat SES as a covariate, health psychology has increasingly focused on the psychobiological pathways that inform understanding why SES is related to physical health. This review assesses the status of research that has examined stress and its associated distress, and social and personal resources as pathways. It highlights work on biomarkers and biological pathways related to SES that can serve as intermediate outcomes in future studies. Recent emphasis on the accumulation of psychobiological risks across the life course is summarized and represents an important direction for future research. Studies that test pathways from SES to candidate psychosocial pathways to health outcomes are few in number but promising. Future research should test integrated models rather than taking piecemeal approaches to evidence. Much work remains to be done, but the questions are of great health significance.

Author-supplied keywords

  • 80 and over
  • Acute Coronary Syndrome/complications/psychology
  • Acute Disease
  • Adaptation
  • Adult
  • Aged
  • Alcohol-Related Disorders/mortality
  • Anger
  • Antidepressive Agents/therapeutic use
  • Anxiety Disorders/etiology/psychology
  • Anxiety/complications
  • Cardiovascular Diseases/epidemiology/etiology/meta
  • Cause of Death
  • Chronic Disease
  • Cohort Studies
  • Conflict (Psychology)
  • Coronary Disease/epidemiology/etiology/psychology
  • Coronary Disease/etiology/psychology
  • Cost of Illness
  • Cross-Sectional Studies
  • Cytokines/physiology
  • Depression/complications
  • Depression/epidemiology/psychology
  • Depressive Disorder/diagnosis/epidemiology/etiolog
  • Depressive Disorder/drug therapy/mortality
  • Depressive Disorder/etiology/psychology
  • Drug Prescriptions/statistics & numerical data
  • Educational Status
  • Emotions
  • European Union
  • Female
  • Finland
  • Follow-Up Studies
  • Health Services Needs and Demand
  • Health Status
  • Hostility
  • Humans
  • Incidence
  • Inflammation
  • Local Government
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Morbidity
  • Myocardial Infarction/mortality/psychology
  • Needs Assessment/statistics & numerical data
  • Negativism
  • Odds Ratio
  • Platelet Activation
  • Poverty/psychology
  • Prevalence
  • Prognosis
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Psychological
  • Psychological Tests
  • Psychological/complications
  • Psychological/complications/psychology
  • Psychological/psychology
  • Psychophysiologic Disorders/epidemiology/etiology/
  • Public Health/methods/statistics & numerical data
  • Registries
  • Risk
  • Risk Assessment
  • Risk Factors
  • Serotonin/physiology
  • Severity of Illness Index
  • Sex Distribution
  • Sex Factors
  • Social Class
  • Social Environment
  • Social Support
  • Socioeconomic Factors
  • Stress
  • Suicide/statistics & numerical data
  • Time Factors
  • Type A Personality
  • United States/epidemiology

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Authors

  • S A Everson-Rose

  • T T Lewis

  • N Frasure-Smith

  • F Lesperance

  • M Juneau

  • M Talajic

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