ABSTRACT

Understanding the relationship between psychological factors and heart disease has proven to be a chronic struggle against the weaknesses of vague constructs. After a century of speculation and three decades of intensive research, some even doubt that any reliable link at all exists between psychological factors and clogged arteries (Angell, 1985). The search for a “coronary-prone personality” has been seriously hindered by insufficient attention to construct validity, especially regarding the issues surrounding emotional expression.