Psychological Distress as a Risk Factor for Cardiovascular Events

Hamer, Mark; Molloy, Gerard J.; Stamatakis, Emmanuel

doi:10.1016/j.jacc.2008.08.057

Cited by 253 publications

(190 citation statements)

References 31 publications

Supporting

Mentioning

169

Contrasting

Unclassified

Order By: Relevance

“…Behavioral changes, such as increased smoking, low physical activity, and unhealthy diet are found to be associated with anxiety disorders and psychological distress, both of which can increase the risk of cardiovascular diseases (56,57).…”

Section: The Postulated Mechanismsmentioning

confidence: 99%

A Narrative Review of the Relationship Between Coronary Heart Disease and Anxiety

Dahale

Menon

Jaisoorya

2017

Iran J Psychiatry Behav Sci

View full text Add to dashboard Cite

Context: Coronary heart disease (CHD) is the most common cause of death and disability in the world. While the relationship between depression and CHD is well documented, anxiety remains understudied, despite its common cooccurrence. Evidence Acquisition: A PubMed (MEDLINE) search was conducted in order to find articles published between January 2000 and December 2015, using the following keywords: "coronary heart disease" and "anxiety". In total, 79 out of 1138 articles were considered relevant by consensus between the authors and were reviewed. Results: According to previous studies, anxiety is suggested to increase the risk of CHD. Anxiety is associated with an increase in cardiac complications, morbidity and mortality. Also, a lower quality of life has been described among patients after acute coronary syndrome, with a few studies reporting contradictory findings. Although studies on anxiety management in CHD are sparse, selective serotonin reuptake inhibitors have been shown to be relatively safe for patients. On the other hand, psychological interventions have not been adequately evaluated, although some studies have revealed their advantages. Conclusions: Evidence suggests that anxiety is associated with the development and course of CHD. Awareness and appropriate training in cardiology settings need to be prioritized to improve early identification and initiation of effective management.

show abstract

Section: The Postulated Mechanismsmentioning

confidence: 99%

A Narrative Review of the Relationship Between Coronary Heart Disease and Anxiety

Dahale

Menon

Jaisoorya

2017

Iran J Psychiatry Behav Sci

View full text Add to dashboard Cite

show abstract

“…The psychobiological routes to cardiovascular endpoints can vary according to each PSRF, but collectively include changes in the autonomic nervous system, the endocrine and inflammatory systems, insulin resistance, central adiposity, endothelial and platelet dysfunction [171,172]. Behavioural pathways include unhealthy diet, lower levels of physical activity, excessive alcohol consumption [173,174]; reduced adherence to cardioprotective medications [84], and less engagement with secondary prevention programmes such as smoking cessation and cardiac rehabilitation 86,87]. Financial barriers to accessing health care post-MI have also been predictive of poorer outcomes [175].…”

Section: Psychobiological and Behavioural Pathways Linking Psrfs And Cvdmentioning

confidence: 99%

Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

2015

View full text Add to dashboard Cite

Psychological aspects of cardiac care & rehabilitation: Time to wake up to sleep? Abstract:Psychological and psychosocial factors have long been linked to cardiovascular disease. These psychosocial factors, including low socioeconomic status, social support/isolation, stress and distress, personality and sleep disturbance increase risk of cardiovascular events and negatively impact on quality of life. These factors may have direct effects on cardiovascular disease via immune or neuroendocrine pathways, or more indirect effects, by for example limiting adherence to recommended therapies and cardiac rehabilitation. Most psychosocial risk factors can be assessed relatively easily using standardised tools. Sleep disturbance, in particular, is gaining evidence for its importance, and may be crucial to address. While the management of certain psychosocial risk factors is an ethical requirement for care and improves quality of life, unfortunately there is little evidence that such strategies impact on 'hard' endpoints such as recurrent myocardial infarction. A comprehensive biopsychosocial approach to management of these psychosocial factors is required to maximise the benefits patients derive from cardiac care.

show abstract

“…Hamer et al (65) investigated the extent to which behavioral and traditional risk factors accounted for the association between psychological distress and cardiovascular events. In a prospective study of 6576 healthy adult men and women, psychological distress was measured by the General Health Questionnaire and the subjects were followed for 7.2 years.…”

Section: Psychological and Environmental Factorsmentioning

confidence: 99%

Drugs and lifestyle for the treatment and prevention of coronary artery disease: comparative analysis of the scientific basis

Luz

Nishiyama

Chagas

2011

Braz J Med Biol Res

View full text Add to dashboard Cite

Psychological Distress as a Risk Factor for Cardiovascular Events

Abstract: The association between psychological distress and CVD risk is largely explained by behavioral processes. Therefore, treatment of psychological distress that aims to reduce CVD risk should primarily focus on health behavior change.

Cited by 253 publications

References 31 publications

A Narrative Review of the Relationship Between Coronary Heart Disease and Anxiety

A Narrative Review of the Relationship Between Coronary Heart Disease and Anxiety

Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

Drugs and lifestyle for the treatment and prevention of coronary artery disease: comparative analysis of the scientific basis

Contact Info

Product

Resources

About