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Antecedent Psychological Factors in the Onset of Vasovagal Syncope
Abstract
Broad psychosocial antecedents for 18 aviators with vasovagal syncope are compared with 31 controls. The immediate thoughts, fantasies, and feelings of the fainters are examined in detail. The fainters had significantly more job dissatisfaction than the controls. The presyncope fantasies of the fainters confirm Engel's observations of the immediate psychological context for vasovagal syncope (anticipation of bodily harm, denial of fear, and submission to a threat), and extend his formulation to include psychological harm in the form of humiliation, embarrassment, and loss of prestige.
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Sledge observed vague feelings of being bodily or socially harmed combined with submission to a threatening situation and the perceived need to deny the threat in cases of vasovagal syncope.
“Confirming Engel’s interpretation of the conflictual character of the emotional fainters’ psychological situation, the author observed in a number of cases, vague feelings of being bodily or socially harmed (injury, social embarrassment, humiliation) that occurred in combination with submission to a threatening situation and the perceived need to deny the threat”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Sledge, 1978
Earlier insights into antecedents of vasovagal syncope were gained by retrospective reports.
“However, earlier insights into antecedents of vasovagal syncope were gained by retrospective reports (Sledge, 1978).”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Sledge, 1978
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The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm
Ritz, T., Meuret, A. E., & Ayala, E. S. (2010) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2010.05.007 · Cited by 74
“However, earlier insights into antecedents of vasovagal syncope were gained by retrospective reports (Sledge, 1978).”
BackgroundRitz, T., Meuret, A. E., & Simon, E. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.03.011 · Cited by 15
Metadata
- Authors
- Sledge, W. H.
- Affiliations
- Yale University (US)
- Corresponding author
- Sledge, William H.
- Venue
- Psychosomatic Medicine
- Published
- 1978-11
- Volume
- 40
- Issue
- 7
- Pages
- 568-579
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2316922824
- Cited by
- 61
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2018: 1 · 2017: 2 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- vasovagal syncope, syncope, job dissatisfaction, humiliation, embarrassment, aviators, psychosomatic factors
- MeSH terms
- Adult, Cognition, Humans, Job Satisfaction, Male, Psychology, Military, Syncope
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