Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
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.
Orth-Gomér K, Wamala SP. Marital Stress and Coronary Heart Disease—Reply. JAMA. 2001;285(10):1289-1290. doi:10.1001/jama.285.10.1289