Alexithymia is a Determinant of Early Death in the Long-Term Course of Post-Myocardial Infarction

Carta, Mauro Giovanni; Sancassiani, Federica; Bina, Davide; Licciardi, Marco; Cossu, Giulia; Nardi, Antônio Egídio; Meloni, Luigi; Montisci, Roberta

doi:10.4081/jphr.2022.2803

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…These studies were not included in our review because the patient diagnoses were self-reported, so they did not meet the inclusion criteria, even if they add further empirical evidence to our findings. With reference to the relationship between alexithymia and medical conditions, Carta et al (2022) reported that this variable is associated with an increased risk of death in a long-term course of myocardial infarction. Such an association may be due to a delay in requesting help, depending on the difficulty of the early identification of the typical symptoms of a heart attack.…”

Section: Discussionmentioning

confidence: 99%

Alexithymia and asthma: a systematic review

Silvestro,

Ricciardi,

Catalano

et al. 2023

Front. Psychol.

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Growing evidence from scientific research elucidates the important role of alexithymia in chronic immune diseases. This Review aims to explore the presence of alexithymia in patients affected by asthma and clarify its associations with other involved psychological and physical factors. In January 2023, according to PRISMA guidelines, a systematic search using PubMed and Scopus was conducted. Twenty-six studies were eligible based on inclusion criteria. Alexithymia was significantly present in asthma patients, with most studies reporting a higher prevalence (from 9 to 62.8%) than in control groups (approximately 10%). The coexistence of asthma and alexithymia was associated with a worse quality of life, psychiatric comorbidity, poor symptom control, and difficulty in recognizing exacerbations of the disease. These results suggest that alexithymia can negatively impact the management of asthma. For this reason, we recommend an accuracy assessment in clinical settings and the implementation of psychological interventions to promote the emotional and physical wellbeing of asthmatic patients.

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Section: Discussionmentioning

confidence: 99%

Alexithymia and asthma: a systematic review

Silvestro,

Ricciardi,

Catalano

et al. 2023

Front. Psychol.

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“…20 Recently, a 10-year longitudinal study among a cohort of 83 people with ST-segment elevation myocardial infarction (STEMI) found that high alexithymia was a significant determinant of early death in the long term after STEMI [Log Rank Mantel-Cox ¼ 6.899, 1 df, P ¼ 0.009; RR ¼ 5.75; 95% confidence interval (CI) 1.116-29.637] without any differences regarding age, sex, high alexithymia between individuals on whom it was possible to verify the state in life and in whom it was not. 21 These data are hypothesis-generating, and more research is needed to establish the relation between high levels of alexithymia and death in people with prior AMI.…”

Section: Instruments To Identify and Measure Alexithymiamentioning

confidence: 99%

Alexithymia for cardiologists: a clinical approach to the patient

Montisci¹,

Sancassiani

Marchetti³

et al. 2023

Journal of Cardiovascular Medicine

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Alexithymia literally meaning 'no words for emotions' is a term used in mental health settings to describe people who have difficulties in identifying and verbalizing their emotional states. There is evidence in the literature that this personality trait may influence negatively the illness behavior when an acute coronary event occurs. In fact, people with high alexithymia are more likely to experience wrong appraisal and interpretation of symptoms, and because of their difficulty in describing feelings to others, they can be poor in reporting symptoms at the first consultation with a physician. This behavioral pattern (alexithymic) may put patients with acute myocardial infarction at higher risk for delayed medical care. Here, we aim to present an overview of alexithymia from the perspective of the clinical cardiologist, with a focus on the definition, clinical recognition, and potential impact on cardiovascular health.

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“…Risk factors of non-communicable diseases include behavioral, psychological, and biological. Findings of various studies show that psychological and behavioral risk factors, along with biological risk factors, have an effect on the incidence and progression of MI, which should be given special attention in prevention programs [ 11 , 12 ]. In recent years, the risk factors for non-communicable diseases such as smoking, obesity, high blood pressure, inadequate physical activity, and consumption of inappropriate foods, all rooted in poor lifestyle, have also increased in Iran [ 13 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

Estimation of myocardial infarction death in Iran: artificial neural network

Jafarabadi

Gholipour

Khodayari‐Zarnaq

et al. 2022

BMC Cardiovasc Disord

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Background Examining past trends and predicting the future helps policymakers to design effective interventions to deal with myocardial infarction (MI) with a clear understanding of the current and future situation. The aim of this study was to estimate the death rate due to MI in Iran by artificial neural network (ANN). Methods In this ecological study, the prevalence of diabetes, hypercholesterolemia over 200, hypertension, overweight and obesity were estimated for the years 2017–2025. ANN and Linear regression model were used. Also, Specialists were also asked to predict the death rate due to MI by considering the conditions of 3 conditions (optimistic, pessimistic, and probable), and the predicted process was compared with the modeling process. Results Death rate due to MI in Iran is expected to decrease on average, while there will be a significant decrease in the prevalence of hypercholesterolemia 1.031 (− 24.81, 26.88). Also, the trend of diabetes 10.48 (111.45, − 132.42), blood pressure − 110.48 (− 174.04, − 46.91) and obesity and overweight − 35.84 (− 18.66, − 5.02) are slowly increasing. MI death rate in Iran is higher in men but is decreasing on average. Experts' forecasts are different and have predicted a completely upward trend. Conclusion The trend predicted by the modeling shows that the death rate due to MI will decrease in the future with a low slope. Improving the infrastructure for providing preventive services to reduce the risk factors for cardiovascular disease in the community is one of the priority measures in the current situation.

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Alexithymia is a Determinant of Early Death in the Long-Term Course of Post-Myocardial Infarction

Cited by 5 publications

References 15 publications

Alexithymia and asthma: a systematic review

Alexithymia and asthma: a systematic review

Alexithymia for cardiologists: a clinical approach to the patient

Estimation of myocardial infarction death in Iran: artificial neural network

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