近50年来“心理学”和“社会学”的研究取得很大进展,“心理社会因素”与健康和疾病的关系愈来愈引起社会的注意。近30年来人们发现传染性疾病的死亡率已经退居次要地位,治疗方面也不是仅靠药物或手术。这使人们深切地认识到新的概念已渗入传统的生物医学模式中,这种概念即生物-心理-社会医学模式。本文综述了A型行为即易患冠心病行为与心血管疾病的关系,并从流行学角度进行了探讨。大量研究已经证明,除了高血脂、吸烟、高血压,肥胖以外,影响冠心病(CHD)发病的因素还包括社会经济、文化教育水平、社会关系、心理情绪以及行为等方面的心理社会变量。 In the past 50 years, great progress has been made in the study of psychology and sociology. The relationship between “psychosocial factors” and health and disease has drawn more and more attention from the society. Nearly 30 years have seen the mortality rate of infectious diseases have been relegated to the secondary position, the treatment is not only by drugs or surgery. This makes people deeply aware that the new concept has infiltrated the traditional biomedical model, the concept of bio-psycho-social medical model. This article reviews the relationship between type A behavior, predisposition to coronary heart disease and cardiovascular disease, and explores from the perspective of epidemiology. Numerous studies have shown that in addition to hyperlipidemia, smoking, hypertension and obesity, the factors that affect the incidence of coronary heart disease (CHD) include psychosocial variables such as socioeconomic, cultural and educational level, social relations, psychological emotions and behaviors.