Goal‐Striving Stress and Incident Cardiovascular Disease in Blacks: The Jackson Heart Study

Glover, LáShauntá M.; Cain-Shields, Loretta; Spruill, Tanya M.; O’Brien, Emily C.; Barber, Sharrelle; Loehr, Laura R.; Sims, Mario

doi:10.1161/jaha.119.015707

Cited by 9 publications

(14 citation statements)

References 35 publications

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“…7 Cross-sectional research has established positive relationships between GSS and prevalent CKD in AAs, and longitudinal research has established positive relationships between GSS and incident CVD in AAs. 26 27 However, the temporal association between GSS and kidney disease has not been explored. One temporal measure of kidney disease is rapid kidney function decline (RKFD), which averages the change in kidney function (i.e., estimated glomerular filtration rate, eGFR) across years.…”

Section: Original Researchmentioning

confidence: 99%

Association between Goal-Striving Stress and Rapid Kidney Function Decline among African Americans: The Jackson Heart Study

Cain-Shields

Glover

Young

et al. 2021

Journal of Investigative Medicine

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African Americans (AAs) are disproportionately affected by kidney disease and also report higher psychosocial stressors than other racial groups. Goal-striving stress (GSS) is an understudied psychosocial stressor related to attempting to accomplish one’s life goals. Given the numerous social determinants that contribute to health inequities among AAs, stress from goal striving may also disproportionately affect the health of AAs and in particular kidney disease outcomes. The objective of this study was to explore the association between GSS and rapid kidney function decline (RKFD) in an AA cohort. Using examination 1 (2000–2004) and examination 3 (2009–2013) data from the Jackson Heart Study (n=2630), we examined associations of baseline levels of GSS with RKFD among AAs using multivariable Poisson regression models, adjusting for sociodemographics, health behaviors, chronic disease and discrimination. We also explored baseline cortisol as a mediator. The incidence of RKFD in this sample was 7.34% (mean years of follow-up: 8.06±0.84 years). The mean GSS score was 3.80 (±4.88) and total GSS score ranged from 0 to 36. Those who reported high (vs low) GSS were 1.60 times more likely to experience RKFD after full adjustment (incidence rate ratio (IRR) 1.60; 95% CI 1.11 to 2.14, p=0.01). After confirming cortisol as a mediator and adding it to the model, those who reported high (vs low) GSS had 1.58 times the rate of RKFD (IRR 1.58; 95% CI 1.09 to 2.30, p=0.0153). Stress related to not achieving goals was associated with a greater risk of RKFD in this sample of AAs.

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Section: Original Researchmentioning

confidence: 99%

Association between Goal-Striving Stress and Rapid Kidney Function Decline among African Americans: The Jackson Heart Study

Cain-Shields

Glover

Young

et al. 2021

Journal of Investigative Medicine

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“…The available evidence is so robust that national and international guidelines and position papers have increasingly taken such factors into account [ 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 ]. Studies have focused mostly on acute or chronic stress, anxiety, depression, locus of control, low socioeconomic status, low social support and isolation [ 12 , 16 , 17 , 21 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ]. These factors are highly prevalent in cardiac patients [ 20 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

Let It Beat: How Lifestyle and Psychosocial Factors Affect the Risk of Sudden Cardiac Death—A 10-Year Follow-Up Study

Obrova

Sovová

Ivanová

et al. 2022

IJERPH

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(1) Background: The aim of this study was to evaluate the lifestyle and occurrence of psychosocial factors in patients with a high risk of sudden cardiac death (SCD) and to explore their effect on the occurrence of the adequate therapy of an Implantable Cardioverter Defibrillator (ICD). (2) Methods: In this retro-prospective single-centre study, a group of patients aged 18–65 years old, who underwent the first ICD implantation for primary (PP) or secondary (SP) prevention between 2010–2014, was studied. The control group consisted of pair-matched (age ± 5 years, gender) respondents without a high risk of SCD. Information was obtained using a self-reported questionnaire and hospital electronic health records. The adequacy of ICD therapy was evaluated regularly until 31 January 2020. Multivariate logistic regression models were employed to assess the risk of SCD. (3) Results: A family history of SCD, coronary artery disease, diabetes mellitus and depression significantly aggravated the odds of being at a high risk of SCD. The occurrence of an appropriate ICD therapy was significantly associated with being in the SP group, BMI, education level and TV/PC screen time. (4) Conclusions: Lifestyle and psychosocial factors have been confirmed to affect the risk of SCD. Early identification and treatment of coronary artery disease and its risk factors remain the cornerstones of preventive effort. Further research is needed to evaluate the complex nature of psychosocial determinants of cardiac health.

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“…An understudied psychosocial stressor, goal‐striving stress (GSS), is the stress associated with failing to attain life goals. GSS is the difference between aspiration and achievement, weighted by disappointment if one fails to achieve the desired goal (Cain et al., 2019; Cain‐Shields et al., 2020; Cain‐Shields, Glover, et al., 2021; Cain‐Shields, Johnson, et al., 2021; Glover, et al., 2020). It captures negative emotions and challenges related to the failure of desired upward mobility (Cain et al., 2019; Cain‐Shields et al., 2020; Cain‐Shields, Glover, et al., 2021; Cain‐Shields, Johnson, et al., 2021; Glover et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

“…GSS is the difference between aspiration and achievement, weighted by disappointment if one fails to achieve the desired goal (Cain et al., 2019; Cain‐Shields et al., 2020; Cain‐Shields, Glover, et al., 2021; Cain‐Shields, Johnson, et al., 2021; Glover, et al., 2020). It captures negative emotions and challenges related to the failure of desired upward mobility (Cain et al., 2019; Cain‐Shields et al., 2020; Cain‐Shields, Glover, et al., 2021; Cain‐Shields, Johnson, et al., 2021; Glover et al., 2020). Given the racial disparities in wealth, income, benefits of education, perceived job control, and job stress, stress from goal striving may disproportionately affect AAs (Assari & Bazargan, 2019; Choudhury, 2001; Hernandez, et al, 2019; Meyer, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Research has shown an association between GSS and risk factors related to obesity, including kidney disease, short sleep duration, CVD, mental health outcomes, hypertension, physical health problems, and diminished self‐rated health (Cain et al., 2019; Cain‐Shields et al., 2020; Cain‐Shields, Glover, et al., 2021; Glover, et al., 2020; Neighbors et al., 2011; Sellers et al. (2011)) Goal‐striving stress and the mental health of college‐educated Black American men: the protective effects of system‐blame; Sellers et al.…”

Section: Introductionmentioning

confidence: 99%

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Goal‐striving stress and repeated measures of adiposity in the Jackson heart study

et al. 2021

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Psychosocial stressors are determinants of increases in adiposity. Both psychosocial stressors and adiposity are higher among African Americans (AAs). Therefore, clarifying the stress-obesity link in AAs is important. The stress associated with goal striving is particularly relevant to AAs because opportunity for upward mobility is not always equal. Goal-striving stress (GSS) has not been assessed with adiposity, a potential result of GSS. Therefore, the objective of this study was to determine whether GSS would be associated with repeated measures of adiposity [body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHR)] in AAs. Linear mixed models were used to assess the relationship between GSS with repeated measures of adiposity across three exam periods among 2902 AAs, and sex was assessed as a moderator. Models were adjusted for demographics, health behaviours, morbidities, and daily discrimination. GSS was positively associated with repeated measures of adiposity in women but not men: WC [estimate (standard error) p-value] [0.003 (0.001) p < 0.01] and WHR [0.003 (0.0007) p < 0.01]. This suggests that high stress due to goal striving may contribute to greater increases in adiposity in AA women over time. Community-based interventions should continue to consider focused support group models as viable options for goal-striving related stress reduction.

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Goal‐Striving Stress and Incident Cardiovascular Disease in Blacks: The Jackson Heart Study

Cited by 9 publications

References 35 publications

Association between Goal-Striving Stress and Rapid Kidney Function Decline among African Americans: The Jackson Heart Study

Association between Goal-Striving Stress and Rapid Kidney Function Decline among African Americans: The Jackson Heart Study

Let It Beat: How Lifestyle and Psychosocial Factors Affect the Risk of Sudden Cardiac Death—A 10-Year Follow-Up Study

Goal‐striving stress and repeated measures of adiposity in the Jackson heart study

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