Measuring Psychosocial Risk Factors in Cardiac Rehabilitation

Eichenauer, Kent; Feltz, Glenn; Wilson, Josephine; Brookings, Jeffrey B.

doi:10.1097/hcr.0b013e3181d6f937

Cited by 10 publications

(10 citation statements)

References 38 publications

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“…In cardiac prevention, PSRFs of CHD are usually given attention as distinct constructs, 19 an approach that has been supported by several factor analyses. 72–75 However, there also is substantial overlap in PSRFs, in particular along the negative affect spectrum, suggesting that there might be a general disposition toward negative affect that may be more important for CHD risk than any specific negative affect state. 76,77 In agreement with this reasoning, an increasing number of studies suggest that combining PSRFs may increase their predictive value for the progression and poor prognosis of CHD.…”

Section: Clustering Of Psychosocial and Traditional Risk Factors Of Cmentioning

confidence: 99%

“…90 However, evidence suggests that applying psychometric scales to assess PSRFs such as depression, anxiety, and anger/hostility provides useful information for CR. 75…”

Section: Screening For Psychosocial Risk Factors In Cardiac Rehabilitmentioning

confidence: 99%

“…However, evidence suggests that applying psychometric scales to assess PSRFs such as depression, anxiety, and anger/hostility provides useful information for CR. 75 It should be noted that a recent systematic review found no evidence that routine screening for depression in patients with CHD improves depression or cardiac outcomes, but randomized controlled trials on this issue are currently lacking. 91 This review stated:…”

Section: Screening For Psychosocial Risk Factors In Cardiac Rehabilitmentioning

confidence: 99%

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Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Pogosova

Saner²,

Pedersen

et al. 2014

Eur J Prev Cardiolog

262

107

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A large body of empirical research shows that psychosocial risk factors (PSRFs) such as low socio-economic status, social isolation, stress, Type-D personality, depression and anxiety increase the risk of incident coronary heart disease (CHD) and also contribute to poorer health-related quality of life (HRQL) and prognosis in patients with established CHD.PSRFs may also act as barriers to lifestyle changes and treatment adherence and may moderate the effects of cardiac rehabilitation (CR). Furthermore, there appears to be a bidirectional interaction between PSRFs and the cardiovascular system. Stress, anxiety and depression affect the cardiovascular system through immune, neuroendocrine and behavioural pathways. In turn, CHD and its associated treatments may lead to distress in patients, including anxiety and depression. In clinical practice, PSRFs can be assessed with single-item screening questions, standardised questionnaires, or structured clinical interviews.Psychotherapy and medication can be considered to alleviate any PSRF-related symptoms and to enhance HRQOL, but the evidence for a definite beneficial effect on cardiac endpoints is inconclusive. A multimodal behavioural intervention, integrating counseling for PSRFs and coping with illness should be included within comprehensive CR. Patients with clinically significant symptoms of distress should be referred for psychological counseling or psychologically focused interventions and/or psychopharmacological treatment. To conclude, the success of CR may critically depend on the interdependence of the body and mind and this interaction needs to be reflected through the assessment and management of PSRFs in line with robust scientific evidence, by trained staff, integrated within the core CR team. Word count of abstract: 246

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Section: Clustering Of Psychosocial and Traditional Risk Factors Of Cmentioning

confidence: 99%

“…90 However, evidence suggests that applying psychometric scales to assess PSRFs such as depression, anxiety, and anger/hostility provides useful information for CR. 75…”

Section: Screening For Psychosocial Risk Factors In Cardiac Rehabilitmentioning

confidence: 99%

Section: Screening For Psychosocial Risk Factors In Cardiac Rehabilitmentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Pogosova

Saner²,

Pedersen

et al. 2014

Eur J Prev Cardiolog

262

107

View full text Add to dashboard Cite

show abstract

“…Participants completed the Psychosocial Risk Factor Survey (PRFS) to assess levels of depression, anxiety, anger/hostility, social isolation, and emotional guardedness (Eichenauer, Feltz, Wilson, & Brookings, 2010). Total and subscale (i.e., depression, anxiety, anger/hostility, social isolation, and emotional guardedness) PRFS scores were compared between TE and NTE groups (Table 3).…”

Section: Methodsmentioning

confidence: 99%

Trauma exposure acutely alters neural function during Pavlovian fear conditioning

Harnett

Ference

Wood

et al. 2018

Cortex

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Posttraumatic stress disorder (PTSD) is associated with dysfunction of the neural circuitry that supports fear learning and memory processes. However, much of what is known about neural dysfunction in PTSD is based on research in chronic PTSD populations. Less is known about neural function that supports fear learning acutely following trauma exposure. Determining the acute effects of trauma exposure on brain function would provide new insight into the neural processes that mediate the cognitive-affective dysfunction associated with PTSD. Therefore, the present study investigated neural activity that supports fear learning and memory processes in recently Trauma-Exposed (TE) and Non-Trauma-Exposed (NTE) participants. Participants completed a Pavlovian fear conditioning procedure during functional magnetic resonance imaging (fMRI). During fMRI, participants' threat expectancy was continuously monitored. NTE participants showed greater threat expectancy during warning than safety cues, while no difference was observed in the TE group. This finding suggests TE participants overgeneralized the fear association to the safety cue. Further, only the TE group showed a negative relationship between fMRI signal responses within dorsomedial prefrontal cortex (PFC) and threat expectancy during safety cues. These results suggest the dorsomedial PFC mediates overgeneralization of learned fear as an acute result of trauma exposure. Finally, neural activity within the PFC and inferior parietal lobule showed a negative relationship with PTSD symptom severity assessed three months posttrauma. Thus, neural activity measured acutely following trauma exposure predicted future PTSD symptom severity. The present findings elucidate the acute effects of trauma exposure on cognitive-affective function and provide new insight into the neural mechanisms of PTSD.

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“…They also make a case that behavioral changes could have had a significant impact. Although we did not systematically study this in both groups, the emotional guardedness domain of the psychosocial risk factor survey did improve with telehealth PR (2).…”

mentioning

confidence: 94%

Reply to Gagnon et al.: Video Teleheath and Pulmonary Rehabilitation: Need for a Better Understanding

Bhatt

2020

Am J Respir Crit Care Med

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Measuring Psychosocial Risk Factors in Cardiac Rehabilitation

Cited by 10 publications

References 38 publications

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Trauma exposure acutely alters neural function during Pavlovian fear conditioning

Reply to Gagnon et al.: Video Teleheath and Pulmonary Rehabilitation: Need for a Better Understanding

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