How Does Mental Health Impact Women's Heart Health?

O’Neil, Adrienne; Russell, Josephine D; Murphy, Barbara

doi:10.1016/j.hlc.2020.05.111

Cited by 19 publications

(11 citation statements)

References 128 publications

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“…It is notable that women experienced more of the issues and concerns listed than did men, with female sex a significant predictor of high prevalence across several domains. This is consistent with women's previously reported higher levels of anxiety and depression ( 20 ) and may also be due to women being more expressive than men and highly attuned to identifying and acknowledging their psychosocial concerns. Although female sex was not predictive of distress severity ratings, this may be due to the fact that these analyses were undertaken by domain rather than for individual items.…”

Section: Discussionsupporting

confidence: 91%

Unraveling the Complexity of Cardiac Distress: A Study of Prevalence and Severity

et al. 2022

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IntroductionWhile much research attention has been paid to anxiety and depression in people who have had a recent cardiac event, relatively little has focused on the broader concept of cardiac distress. Cardiac distress is a multidimensional construct that incorporates but extends beyond common mood disorders such as anxiety and depression. In the present study we assessed the prevalence, severity and predictors of a broad range of physical, affective, cognitive, behavioral and social symptoms of cardiac distress. This is the first study to investigate cardiac distress in this comprehensive way.MethodA sample of 194 patients was recruited from two hospitals in Australia. Eligible participants were those who had recently been hospitalized for an acute cardiac event. Data were collected at patients' outpatient clinic appointment ~8 weeks after their hospital discharge. Using a questionnaire developed through a protocol-driven 3-step process, participants reported on whether they had experienced each of 74 issues and concerns in the past 4 weeks, and the associated level of distress. They also provided sociodemographic and medical information. Regression analyses were used to identify risk factors for elevated distress.ResultsAcross the 74 issues and concerns, prevalence ratings ranged from a high of 66% to a low of 6%. The most commonly endorsed items were within the domains of dealing with symptoms, fear of the future, negative affect, and social isolation. Common experiences were “being physically restricted” (66%), “lacking energy” (60%), “being short of breath” (60%), “thinking I will never be the same again” (57%), and “not sleeping well” (51%). While less prevalent, “not having access to the health care I need,” “being concerned about my capacity for sexual activity,” and “being unsupported by family and friends” were reported as highly distressing (74, 64, and 62%) for those experiencing these issues. Having a mental health history and current financial strain were key risk factors for elevated distress.Conclusion and ImplicationsSpecific experiences of distress appear to be highly prevalent in people who have had a recent cardiac event. Understanding these specific fears, worries and stressors has important implications for the identification and management of post-event mental health and, in turn, for supporting patients in their post-event cardiac recovery.

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Section: Discussionsupporting

confidence: 91%

Unraveling the Complexity of Cardiac Distress: A Study of Prevalence and Severity

et al. 2022

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“…Questions relating to interactions with HCPs and access to healthcare are also noteworthy, reflecting anxiety about their health and management by health professionals. Importantly, cardiac anxiety, depression and other mental health conditions are associated with increased risk for further cardiac events and mortality [ 51 ], in particular, in women [ 52 ]. These responses suggest a need for improved information and knowledge sharing, skill development and counselling [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum

Hutchens

Frawley

Sullivan

2022

BMC Pregnancy Childbirth

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Purpose Cardiac disease is a leading cause of maternal morbidity and mortality yet there is limited research on women’s experiences and quality of life (QoL) outcomes. The aim of this study is to explore the general and health-related QoL (HRQoL) and mental health outcomes for women who have experienced cardiac disease in pregnancy and the first 12 months postpartum (CDPP). Methods This exploratory descriptive study recruited 43 women with acquired, genetic and congenital CDPP. Patient reported outcomes measures (PROMs) used were: WHOQoL-Bref, a Kansas City Cardiac Questionnaire (KCCQ), the Depression, Anxiety and Stress Scales-21 (DASS-21), the Cardiac Anxiety Questionnaire (CAQ) plus newly developed questions. Results Women reported low health satisfaction (51.7/100), physical health (55.2/100) and low HRQoL (63.1/100). Women had clinically significant scores for depression (24%), anxiety (22%) and stress (19.5%) (DASS-21) and 44.5% scored at least moderate anxiety on the CAQ. Most women (83.7%) were advised to avoid pregnancy which 88.9% found “upsetting” to “devastating”; 10.0% were offered counselling. Most women were concerned about reduced longevity (88.1%), offspring developing a cardiac condition (73.8%), and the limitations on enjoyment of life (57.1%). Women missed medical appointments due to cost (25.03%) and difficulty arranging childcare (45.5%). Conclusion The majority of women reported inadequate information and counselling support, with women with CDPP having sustained impaired QoL and mental health outcomes. The new and modified questions relating to mothering and children reflected the primacy of mothering to women’s identity and needs.

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“…In the CPAS full sample, children spent on average just over 3 and 4 h per day, respectively, engaged in weekday, and weekend day recreational screen time. These times were lower in the CPAS age-matched sample (i.e., aged 4-13 years), and there was evidence that CPAS parents reported their child spent less time engaged in recreational screen time on weekdays [t (11,183) = 4.31, p < 0.001, d = 0.12] but more time on weekend days [t (11619) = −16.72, p < 0.001, d = −0.42] compared to the LSAC national data.…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…Given that the childhood origins of mental health disorders and CVD are increasingly recognised (5), and there are known links between depression, stress and risk for CVD (6)(7)(8), there is potential that adversity associated with the COVID-19 pandemic may have long-term effects on the development of psycho-cardiologic diseases. This is plausible due to the shared risk pathways that have been shown to link a range of mental health indicators (e.g., depression, psychosocial stress, lack of social support and negative emotions) with CVD, including both intermediary markers of CVD risk (9,10) and established CVD [ (11); for a review of shared pathways see (12)].…”

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confidence: 99%

Child and Parent Physical Activity, Sleep, and Screen Time During COVID-19 and Associations With Mental Health: Implications for Future Psycho-Cardiological Disease?

et al. 2022

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The COVID-19 pandemic has afforded the opportunity for some to improve lifestyle behaviours, while for others it has presented key challenges. Adverse changes in global lifestyle behaviours, including physical activity, sleep, and screen time can affect proximal mental health and in turn distal cardiovascular outcomes. We investigated differences in physical activity, sleep, and screen time in parents and children during early stages of the COVID-19 pandemic in Australia compared to pre-COVID-19 national data; and estimated associations between these movement behaviours with parent and child mental health. Cross-sectional baseline data from the COVID-19 Pandemic Adjustment Study (CPAS; N = 2,365) were compared to nationally representative pre-pandemic data from the Longitudinal Study of Australian Children (LSAC; N = 9,438). Participants were parents of children aged ≤ 18 years, residing in Australia. Parents provided self-report measures of mental health, physical activity and sleep quality, and reported on child mental health, physical activity and screen time. Children in CPAS had significantly more sleep problems and more weekend screen time. Their parents had significantly poorer sleep quality, despite increased weekly physical activity. Children's sleep problems were significantly associated with increased mental health problems, after accounting for socioeconomic status, physical activity, and screen time. Poorer parent sleep quality and lower levels of physical activity were significantly associated with poorer mental health. Monitoring this cohort over time will be important to examine whether changes in movement behaviour are enduring or naturally improve with the easing of restrictions; and whether these changes have lasting effects on either parent or child mental health, and in turn, future risk for CVD.

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How Does Mental Health Impact Women's Heart Health?

Cited by 19 publications

References 128 publications

Unraveling the Complexity of Cardiac Distress: A Study of Prevalence and Severity

Unraveling the Complexity of Cardiac Distress: A Study of Prevalence and Severity

Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum

Child and Parent Physical Activity, Sleep, and Screen Time During COVID-19 and Associations With Mental Health: Implications for Future Psycho-Cardiological Disease?

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