Social causes of coronary heart disease

Psychother Psychosom. 1980;34(2-3):75-87. doi: 10.1159/000287451.


By combining the results of prospective and other studies with cross-national and time series analyses of death rates, it is possible to roughly quantify the relative contribution of various causal factors to excess mortality. When coronary heart disease is treated in this way, it is apparent that broad social forces are its main causal factors. Primary among these forces are overwork and various kinds of social disruption. These in turn are at the center of the typical social transformation which accompanies modern economic growth (capitalism).

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alcohol Drinking
  • Coronary Disease / etiology*
  • Coronary Disease / mortality
  • Coronary Disease / psychology
  • Dietary Fats / adverse effects
  • Female
  • Humans
  • Hypertension / complications
  • Male
  • Middle Aged
  • Personality
  • Smoking
  • Socioeconomic Factors
  • Sodium Chloride / adverse effects
  • Stress, Psychological / complications
  • United States


  • Dietary Fats
  • Sodium Chloride