Psychological Stress and Heart Disease: Fact or Folklore?

Levine, Glenn N.

doi:10.1016/j.amjmed.2022.01.053

Cited by 33 publications

(18 citation statements)

References 63 publications

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“…It might contribute to cardiovascular risk and morbidity. The excessive activation of the sympathetic nervous system and subsequent high levels of catecholamines could initiate the process [27,28]. When these illnesses occur, employees are absent from work or are not fully functioning in the workplace due to unhealthy conditions.…”

Section: Resultsmentioning

confidence: 99%

The Relationship between Occupational Stress and Diet Quality with Productivity Loss in Islamic School Teachers in Medan: A Cross-sectional Study

et al. 2022

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Occupational stress and poor dietary practices have become a global health concern. Workers with poor dietary practices may be less productive and present at work. This study examined the relationship between occupational stress and diet quality on productivity loss among Islamic school teachers in Medan. This cross-sectional study was conducted on 50 Islamic school teachers in Medan. They were aged 19-64 years old and recruited using purposive sampling. Their occupational stress and diet quality were evaluated using the perceived stress scale (PSS) and the balanced diet index (BDI). Productivity loss was assessed based on the number of primary working days missed (absenteeism) due to poor health during six months. Negative binomial regression was used to examine the association between occupational stress and diet quality with productivity loss. The mean occupational stress, diet quality, and absenteeism were 44.89, 34.87, and 0.86 days, respectively. After controlling sociodemographic characteristics, the regression model indicated that productivity loss was positively associated with occupational stress (p=0.006). Consuming a high-quality diet was negatively associated with productivity loss (p=0.010). It concluded that occupational stress and diet quality were associated with teachers’ productivity loss. The study highlights the importance of occupational health promotion policies for teachers.

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Section: Resultsmentioning

confidence: 99%

The Relationship between Occupational Stress and Diet Quality with Productivity Loss in Islamic School Teachers in Medan: A Cross-sectional Study

et al. 2022

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“…Психологический стресс возникает тогда, когда человек осознает, что требования окружаю щей среды истощают или превышают его психологические ресурсы или адаптивные способности, ставя под угрозу его благополучие [37]. В современной транзакционной модели стресса именно когнитивная оценка ситуации человеком определяет, воспринимается ли ситуация как стрессор, который, следовательно, вызывает стрессовую реакцию или нет [38].…”

Section: ассоциация психологического стресса и сердечно-сосудистых за...unclassified

“…К важным факторам психологического стресса относятся работа, семейные разногласия, социальная изоляция, финансовые кризисы, социально-экономический статус, бремя ухода за хронически больным или страдаю щим деменцией членом семьи, а также смерть супруга или любимого человека. Дополнительные современные факторы стресса, в том числе социальные сети и пандемия COVID-19, только усилили нынешний уровень стресса [37,39].…”

Section: ассоциация психологического стресса и сердечно-сосудистых за...unclassified

“…Острый психологический стресс. Имеются многочисленные сообщения, в которых стихийные бедствия или техногенные трагедии связаны с увеличением частоты острых сердечно-сосудистых событий [37,[40][41][42][43][44]. Например, отчет о ежедневной смертности во время землетрясения в Нортридже (Калифорния) в 1994 г., показал, что в то время как в течение недели до землетрясения среднее установленное число внезапных смертей, связанных с атеросклеротическими ССЗ, составило 4,6 ± 2,1, в день землетрясения их число увеличилось в 5 раз и составило в среднем 24 случая в день [40].…”

Section: ассоциация психологического стресса и сердечно-сосудистых за...unclassified

“…Возможные патофизиологические механизмы, с помощью которых острый психологический стресс приводит к ишемии миокарда, дисфункции левого желудочка и инфаркту миокарда [37,[46][47][48][49]: ■ сочетание коронарной вазоконстрикции, возникающей вследствие гиперсимпатикотонии, в месте имеющегося коронарного поражения с повышением ЧСС, АД и потребности миокарда в кислороде; ■ увеличение тромботических факторов (активация агрегационной способности и провоспалительной активности тромбоцитов, увеличение циркулирующих тромбоцитарных агрегатов, уровней фибриногена) и вязкости крови; ■ повышение уровня провоспалительных цитокинов (ИЛ-6, ИЛ-1β и ФНО-α), вероятно способствующих развитию сосудистого воспаления и дестабилизации атероматозных бляшек.…”

Section: Neuropsychiatric Disordersunclassified

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Stress as the basis of polymorbidity and ways to correct it in the early stages

et al. 2022

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Stress is an integral part of every person’s daily personal and work life, and one of the important factors affecting health and longevity. Excessive or prolonged stress, exceeding natural regulatory capabilities and adaptive resources of the body, leads to changes in homeostasis and a wide range of problems, including metabolic syndrome, obesity, mental disorders, cardiovascular disease, etc. Given that stress in this context acts as a risk factor for these conditions, and they can be combined in a patient, it can be seen as the basis for the development of polymorbidity. Polymorbidity, the combination of two or more diseases in a patient, is currently regarded as one of the most serious problems of modern medicine, requiring from the doctor in-depth knowledge in various interdisciplinary areas. Polymorbidity is associated with more frequent use of medical care, lower quality of life, and a higher risk of premature mortality. In this regard, understanding the pathophysiology of stress and knowing how to correct it early is an urgent medical challenge that needs to be solved. The present work gives a brief overview of the organization and (patho-)physiology of the human stress system, discusses the role of stress in the development of polymorbidity, in particular its cardiometabolic phenotype, using the example of the relationship between acute and chronic psychological stress and the development of cardiovascular disease, describes ways of stress management in the early stages, including the use of the combined drug phenobarbital and ethylbromizovalerianate with a multimodal spectrum of action.

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Reduced heart rate variability is related to fluctuations in psychological stress levels in daily life

Kim,

Foo,

Murata

et al. 2024

Stress and Health

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Laboratory‐based studies have shown that psychological stress caused by response to various stressors triggers acute changes in the cardiovascular system. A better understanding is needed of the emerging evidence on temporal associations between psychological stress and cardiovascular responses in natural settings. This study examined the association of psychological stress and heart rate variability (HRV) in daily life, at high resolution over 2 weeks, taking the effect of physical activity into account. Participants (n = 34) completed ecological momentary assessments (EMA) 6 times per day, reporting levels of perceived stress, low‐arousal negative affect (LNA), and high‐arousal negative affect. Chest‐mounted heart‐rate monitors were worn to assess HRV. Multilevel models were used to examine the association between psychological stress levels and preceding/subsequent HRV. Reduced time domain HRV measures (mean and standard deviation of R‐wave to R‐wave intervals) during the prior hour predicted higher levels of perceived stress. Frequency domain HRV measures higher low to high frequency (LF/HF) and lower HF to total power (HF nu) ratios during the preceding 10 min predicted higher perceived stress levels, suggesting the dominance of sympathetic nervous system activity. EMA reports of higher perceived stress levels were associated with reduced time domain HRV measures during the following 10 min. On the other hand, higher LNA were related to increased HRV measures, such as lower LF/HF and higher HF nu during the following hour. The dynamic associations observed may have therapeutic implications for ‘just‐in‐time’ interventions in the management of daily stress and cardiovascular health.

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Psychological Stress and Heart Disease: Fact or Folklore?

Cited by 33 publications

References 63 publications

The Relationship between Occupational Stress and Diet Quality with Productivity Loss in Islamic School Teachers in Medan: A Cross-sectional Study

The Relationship between Occupational Stress and Diet Quality with Productivity Loss in Islamic School Teachers in Medan: A Cross-sectional Study

Stress as the basis of polymorbidity and ways to correct it in the early stages

Reduced heart rate variability is related to fluctuations in psychological stress levels in daily life

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