Are vital exhaustion and depression independent risk factors for cardiovascular disease morbidity?

Balog, Piroska; Falger, Paul R. J.; Szabó, Gábor; Rafael, Beatrix; Székely, Andrea; Thege, Barna Konkolÿ

doi:10.1037/hea0000495

Cited by 19 publications

(17 citation statements)

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“…After including anxiety and hostility in the model, the predictive effect of depression disappeared and the newly entered variables were non-significant in predicting the outcome variable; vital exhaustion remained the only psychological variable significantly predicting the reoccurrence of vascular events. These results are consistent with previous studies confirming the distinct nature of vital exhaustion and other constructs in their relation to vascular diseases (Balog et al, 2017, Kudielka et al, 2004).…”

Section: Discussionsupporting

confidence: 93%

The role of vital exhaustion in predicting the recurrence of vascular events: A longitudinal study

Balog

Thege

2019

International Journal of Clinical and Health Psychology

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Background/objectiveThe aim of this study was to examine the role of vital exhaustion in predicting the recurrence of vascular events.MethodThe sample comprised of 816 individuals (65.3% female, Mage = 43.2 years, SD = 14.7 years), 395 (48.4%) of whom reported treatment for the reoccurrence of a vascular event during the four-year follow-up period. Concurrent effects of baseline vital exhaustion (measured by a shortened version of the Maastricht Questionnaire), depression (assessed by a shortened version of the BDI), anxiety (assessed by the HADS), and hostility (assessed by a shortened version of the Cook-Medley Hostility Scale) in predicting the recurrence of T2 vascular events were examined. The analyses were also controlled for traditional risk factors, such as age, education, body mass index, smoking, alcohol use, and lack of physical activity.ResultsThe regression analyses showed that vital exhaustion scores significantly predicted the reoccurrence of vascular events even after controlling for all covariates. None of the other psychological predictors (depression, anxiety, and hostility) was significant in the final model.ConclusionsThese results suggest that despite the partial conceptual overlap with several similar constructs, vital exhaustion is a distinct phenomenon that deserves consideration when planning and implementing interventions to reduce the risk of vascular diseases.

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Section: Discussionsupporting

confidence: 93%

The role of vital exhaustion in predicting the recurrence of vascular events: A longitudinal study

Balog

Thege

2019

International Journal of Clinical and Health Psychology

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“…However, studies investigating the overlap between the two constructs are within the field of cardiovascular disease (e.g. among patients with myocardial infarction)[50,54]. As it is not possible to directly transfer results from cardiovascular studies, it would be preferable to analyze the relative importance of vital exhaustion and depression as risk factors for AUD.…”

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confidence: 99%

Vital exhaustion and risk of alcohol use disorders: A prospective cohort study

Just‐Østergaard

Mortensen

Tolstrup

et al. 2018

Journal of Psychosomatic Research

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Vital exhaustion is an emotional state characterized by fatigue and depressive symptoms. We examined the prospective association between vital exhaustion and risk of alcohol use disorders (AUD). Furthermore, we investigated whether cohabitation status modifies the effect of this potential association. Methods Vital exhaustion was assessed by a condensed, 17 item, version of the Maastricht Questionnaire as part of the Copenhagen City Heart Study in 1991-93. The study population consisted of 8,956 individuals aged 21-93 years, who were followed for a first-time diagnosis of AUD in national registers until 2016. The mean length of follow-up was 16.6 years. Results During follow-up, AUD was diagnosed in 146 men and 103 women. For both sexes, the risk of AUD increased dose-dependently with increasing vital exhaustion. Individuals who reported high vital exhaustion had a 2-to 3-fold higher risk of AUD in both men (HR=2.46, 95% CI: 1.40-4.29) and women (HR=3.34, 95% CI: 1.62-6.85). A potential modifying effect of cohabitation status on the relation between vital exhaustion and AUD was found for men. Conclusion The results showed that vital exhaustion is significantly associated with a higher risk of AUD in both men and women and that living with a cohabitee may have a protective effect among men.

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“…Единство биологического и пси-хологического позволяет рассчитывать на двусторон-нее влияние и возможности первичной и вторичной профилактики коронарных событий как от сомати-ческого в направлении к психологии, так и в обрат-ном направлении. на риск инфаркта миокарда и ИБС [30] 1,22-1,85) для сердечно-сосу-дистой патологии при наличии ЖИ по проспектив-ным исследованиям и ОР=2,61 (95% ДИ 1,66-4,10) по исследованиям типа "случай-контроль" [32]. Balog, et al (2017) предполагают, что ЖИ и депрес-сия являются независимыми факторами риска.…”

Section: заключениеunclassified

“…на риск инфаркта миокарда и ИБС [30] 1,22-1,85) для сердечно-сосу-дистой патологии при наличии ЖИ по проспектив-ным исследованиям и ОР=2,61 (95% ДИ 1,66-4,10) по исследованиям типа "случай-контроль" [32]. Balog, et al (2017) предполагают, что ЖИ и депрес-сия являются независимыми факторами риска. В четырёхлетнее наблюдение они включили 2725 участников, из которых 277 получали лечение АГ, 131 получали лечение кардиологического или цере-брального события.…”

Section: заключениеunclassified

“…Остальные не получали кардио-логической помощи. Обнаружена связь ЖИ с необходи мостью лечения сердечно-сосудистой патологии, тогда как при многофакторной регрес-сии не обнаружено влияние депрессии на этот пока-затель [30].…”

Section: заключениеunclassified

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