Psychological Resilience, Cardiovascular Disease, and Metabolic Disturbances: A Systematic Review

Ghulam, Anwal; Bonaccio, Marialaura; Costanzo, Simona; Bracone, Francesca; Gianfagna, Francesco; Gaetano, Giovanni de; Iacoviello, Licia

doi:10.3389/fpsyg.2022.817298

Cited by 12 publications

(6 citation statements)

References 44 publications

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“…Psychological well‐being is of high importance in individuals with MI, given the clear links between stress, depression, and adverse CVD outcomes. 29 , 30 , 31 In this prospective study of psychological recovery in a diverse group of women with MI, LR was associated with poorer psychological recovery over time. Women with LR reported greater perceived stress and depressive symptoms scores than those with HR throughout the first 2 months post MI, even though PSS‐4 and PHQ‐2 scores decreased overall.…”

Section: Discussionmentioning

confidence: 83%

“…Although it is possible that resilience could result in better cardiovascular outcomes, studies to date have been equivocal. One systematic review noted associations between HR with lower risk of cardiovascular events and slower progression of CVD risk factors such as hypertension and diabetes, 29 but other studies have not found such associations. 14 This may be due in part to the inherent limitation of subjective measures used to characterize resilience.…”

Section: Discussionmentioning

confidence: 99%

“…Participants completed a brief battery of psychosocial questionnaires, including the Brief Resilience Scale, the Patient Health Questionnaire‐2 (PHQ‐2), and the Perceived Stress Scale‐4 (PSS‐4), all of which are validated 20 , 21 , 22 , 23 , 24 , 25 and have been used in a variety of populations, including post MI. 4 , 5 , 14 , 15 , 16 , 17 , 26 , 27 , 28 , 29 , 30 The Brief Resilience Scale includes 6 items relating to one's perceived ability to bounce back or recover from stressful events; it is considered a trait measure and does not have a time reference. 20 , 21 We established LR and HR groups based on published cutoffs.…”

Section: Methodsmentioning

confidence: 99%

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Role of Resilience in the Psychological Recovery of Women With Acute Myocardial Infarction

Arabadjian

Duberstein

Sperber

et al. 2023

JAHA

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Background Psychological well‐being is important among individuals with myocardial infarction (MI) given the clear links between stress, depression, and adverse cardiovascular outcomes. Stress and depressive disorders are more prevalent in women than men after MI. Resilience may protect against stress and depressive disorders after a traumatic event. Longitudinal data are lacking in populations post MI. We examined the role of resilience in the psychological recovery of women post MI, over time. Methods and Results We analyzed a sample from a longitudinal observational multicenter study (United States, Canada) of women post MI, between 2016 and 2020. Perceived stress (Perceived Stress Scale‐4 [PSS‐4]) and depressive symptoms (Patient Health Questionnaire‐2 [PHQ‐2]) were assessed at baseline (time of MI) and 2 months post MI. Demographics, clinical characteristics, and resilience (Brief Resilience Scale [BRS]) were collected at baseline. Low and normal/high resilience groups were established as per published cutoffs (BRS scores <3 or ≥3). Mixed‐effects modeling was used to examine associations between resilience and psychological recovery over 2 months. The sample included 449 women, mean (SD) age, 62.2 (13.2) years, of whom 61.1% identified as non‐Hispanic White, 18.5% as non‐Hispanic Black, and 15.4% as Hispanic/Latina. Twenty‐three percent had low resilience. The low resilience group had significantly higher PSS‐4 and PHQ‐2 scores than the normal/high resilience group at all time points. In adjusted models, both groups showed a decrease in PSS‐4 scores over time. Conclusions In a diverse cohort of women post MI, higher resilience is associated with better psychological recovery over time. Future work should focus on developing strategies to strengthen resilience and improve psychological well‐being for women with MI. Registration URL: https://clinicaltrials.gov/ct2/show/NCT02905357 ; Unique identifier: NCT02905357.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Role of Resilience in the Psychological Recovery of Women With Acute Myocardial Infarction

Arabadjian

Duberstein

Sperber

et al. 2023

JAHA

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“…Відомо, що після менопаузи естрогенний захист швидко зникає, а наявність некоригованих факторів ризику різко підвищує ймовірність серцево-судинних ускладнень у цей віковий період. Існування ілюзії жіночої захищеності, яка полягає в тому, що серцевосудинні захворювання розвиваються у жінок на десятиліття пізніше, ніж у чоловіків, може ввести в оману клініциста просто на підставі гендерної приналежності, що призведе до відстроченого надання допомоги таким пацієнткам [20,21].…”

Section: метаболічний синдром і його вплив на здоров'я жінкиunclassified

Modern opportunities and prospects for preserving woman’s health

Kondratiuk

Gasparyan

et al. 2022

RHW

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Among the variety of factors that affect the female organism, obesity is of great importance in the formation, development and functioning of the reproductive system, the development of gynecological diseases in which metabolic syndrome plays an important pathogenetic role (polycystic ovary syndrome is diagnosed in 35-60% of obese women; menstrual dysfunction – in 6 times more often, primary infertility – 2 times more). The components of the metabolic syndrome have a significant effect on the body: insulin resistance, hyperinsulinemia, dyslipoproteinemia, elevated levels of thrombosis factors. This article reviews the current scientific literature on the role of sirtuins in the regulatory cellular processes and metabolic cascades, with special emphasis on the possibilities of their pharmacological activation by resveratrol. The role of resveratrol as a promoter of sirtuin activity at different levels of homeostasis disturbance was analyzed, and the properties of resveratrol, its effects and impact on the female body in the presence of metabolic pathology were analyzed in order to prescribe timely treatment and slow down the reproductive aging process.Literature data prove the importance of polyphenols (resveratrol) use as an effective and pathogenetically determined activator of sirtuins for the regulation of oxidative stress, inflammation, correction of dysbiosis and imbalance of the immune system in the concept of treatment of women with gynecological diseases and metabolic disorders. Resveratrol itself has a wide range of pharmacological effects with proven antilipogenic properties and a safe harmonizing estrogen-like effect on various regulatory levels. The natural plant composition and long history of use of resveratrol have repeatedly revealed its clinical achievements, including polycystic ovary syndrome treatment. The high clinical effectiveness and safety profile allow to recommend the inclusion of resveratrol in treatment regimens and to prevent the relapses of metabolically determined gynecological and somatic diseases in women of various age periods.

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“… 7 In the resilience literature broadly, higher levels of resilience have been associated with decreased levels of perceived stress in relation to daily stressors and may have a protective association with cardiovascular diseases and metabolic disturbances. 8 The implementation of interventions which enhance resilience may be beneficial in reducing stress levels and reducing morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Further Examination of the Psychometric Properties of the Current Experiences Scale and Model of Resiliency

Groves

Luberto

Fricchione

et al. 2022

Glob Adv Health Med

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Background Stress-related disease is increasing, with high resilience proposed as protective. Whilst the Current Experiences Scale (CES) shows promise as a measure of resilience, its psychological correlates and relationship to psychological stress remain unclear. Objectives (1) Further explore the psychometric properties of the CES, (2) identify modifiable psychological factors associated with the CES and (3) test a previously published model for the influence of adaptive strategies and stress management factors on resiliency and stress. Methods N = 455 individuals (mean age = 47.8, 65.1% female) completed measures of adaptive strategies: mindfulness (Cognitive and Affective Mindfulness Scale-Revised), positive affect (Positive and Negative Affect Schedule) and gratitude (The Gratitude Questionnaire), stress management skills: coping (Measure of Current Status-A), depression (Patient Health Questionnaire-8) and anxiety (General Anxiety Disorder Assessment) and outcomes: resilience (CES) and stress (Perceived Stress Scale). Cronbach’s alpha and confirmatory factor analysis (CFA) examined the psychometric properties of the CES. Multivariable regression identified psychological variables associated with resilience. Structural equation modelling (SEM) tested the previously published model for resilience. Results The CES and its subscales showed good internal consistency (ɑ = .75-.93). The 23-item CES produced excellent results for model fit (Root Mean Square Error of Approximation (RMSEA) = .07, Standardized Root Mean Square Residual (SRMR) = .06, Comparative Fit Index (CFI) = .99; Tucker-Lewis Index (TLI) = .99). Higher gratitude (P < .0001), mindfulness (P < .0001), positive affect (P < .0001) and coping (P < .0001) were associated with higher resilience. Depression (P = .23) and anxiety (P = .34) were not. A model of resilience which included gratitude, mindfulness, positive affect and coping as determinants of resilience and perceived stress performed well (RMSEA = .03, SRMR = .02, CFI = .99; TLI = .99). Conclusions The CES was validated in a large sample. The association of gratitude, mindfulness, positive affect and coping with resilience may guide practitioners seeking to design resilience-enhancing programs.

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Psychological Resilience, Cardiovascular Disease, and Metabolic Disturbances: A Systematic Review

Cited by 12 publications

References 44 publications

Role of Resilience in the Psychological Recovery of Women With Acute Myocardial Infarction

Role of Resilience in the Psychological Recovery of Women With Acute Myocardial Infarction

Modern opportunities and prospects for preserving woman’s health

Further Examination of the Psychometric Properties of the Current Experiences Scale and Model of Resiliency

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