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March 14, 2001

Marital Stress and Coronary Heart Disease—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;285(10):1289-1290. doi:10.1001/jama.285.10.1289

In Reply: Mr Macleod and Dr Davey Smith suggest that overreporting may have produced a spurious relationship between marital stress and the 5-year experience of recurrent cardiac events in women. If overreporting of stress were associated with a disposition to complain about symptoms and to be more persuasive toward the treating cardiologist, this may have led to a higher incidence of revascularization procedures, but would not affect "hard" end points like cardiac death.

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