Traumatic Events, Personality and Psychopathology in Takotsubo Syndrome: A Systematic Review

Galli, Federica; Bursi, Francesca; Carugo, Stefano

doi:10.3389/fpsyg.2019.02742

Cited by 13 publications

(7 citation statements)

References 51 publications

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“…Our results regarding personality traits in TTS patients are part of an open debate, since there are only a few conflicting studies of TTS, as opposed to other cardiac diagnoses, such as ACS [11]. Thus, further studies are needed in order to understand if and how personality traits are related to TTS.…”

Section: Discussionmentioning

confidence: 89%

“…The role of emotional stressors as frequent triggers for TTS and the sometimes-observed comorbidity with different psychopathologic disorders have been largely discussed in the recent consensus document on the diagnostic workup and management of TTS [8]. However, evidence on the role and the incidence of psychological factors in TTS are sparse, and do not lead to any definitive assumption [11]. Although less frequent, the role of psychological factors as possible contributors to the evolution of cardiac events seems not to be specific to TTS, since it has also been observed in other cardiac diseases, including ACS [12].…”

Section: Introductionmentioning

confidence: 99%

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Psychological Characteristics of Patients with Takotsubo Syndrome and Patients with Acute Coronary Syndrome: An Explorative Study toward a Better Personalized Care

Gorini

Galli

Giuliani

et al. 2022

JPM

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During an acute cardiac event, Takotsubo Syndrome (TTS) and Acute Coronary Syndrome (ACS) apparently share very similar clinical characteristics. Since only a few inconsistent studies have evaluated the psychological features that characterize these different patients, the aim of the present explorative research was to investigate if post-recovery TTS and ACS patients present different psychological profiles. We also investigated whether the occurrence of acute psychological stressful episodes that had occurred prior to the cardiac event could be found in either syndrome. Twenty TTS and twenty ACS female patients were recruited. All patients completed self-report questionnaires about anxiety and depressive symptoms, perceived stress, type-D personality and post-traumatic symptoms. Results showed that only three subscales of health anxiety (i.e., Fear of Death/Diseases, Interference and Reassurance) significantly differed between the two groups, while no differences were found in the other psychological measurements. Moreover, personality traits seem to not be associated with the impact of the cardiac traumatic event. Finally, only TTS patients reported the presence of a significant emotional trigger preceding the acute cardiac event. In conclusion, post-recovery TTS patients differ from ACS patients in their level of concern about their health and in their need of reassurance and information only, probably as a result of the different clinical characteristics of the two illnesses.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Psychological Characteristics of Patients with Takotsubo Syndrome and Patients with Acute Coronary Syndrome: An Explorative Study toward a Better Personalized Care

Gorini

Galli

Giuliani

et al. 2022

JPM

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“…Furthermore, this evidence should be translated into clinical practice to promote an integrated approach, especially in taking care of a patient with cardiovascular disease. If it is true that traumas, as well as other psychological and behavioral factors [ 60 ], can be considered risk factors for the onset of the same, it is also true that they may have an important weight in determining the outcome of the rehabilitation process, outlining the involvement of clinical psychologists in a multidisciplinary team that is able to treat the patient as a whole [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological Traumas and Cardiovascular Disease: A Case-Control Study

et al. 2021

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Adverse childhood experiences could be important determinants of adult disease. The present study analyzed the association between early traumatic experiences and the onset of cardiovascular disease (CVDs). It was hypothesized that patients with CVD would report a higher number of traumatic experiences during childhood and that this association would be stronger in women. The Traumatic Experiences Checklist (TEC) was fulfilled by 75 patients with a first-time diagnosis of CVD and 84 healthy controls randomly selected from the general population. The two groups were not balanced for age and sex. Multivariate analyses of covariance (MANCOVAs) and analyses of covariance (ANCOVAs), with group (clinical vs. control) and gender (male vs. female) as between-subjects factors, and age of participants as covariate, were performed on the number and the impact of the traumatic experiences (emotional neglect, emotional abuse, physical abuse, sexual harassment, and sexual abuse) for the three age group in which the trauma was experienced (from 0 to 10, from 11 to 18, from 19 years onwards). The main results showed that participants with CVDs have experienced a higher number of early traumatic experiences compared to the control group, such as emotional neglect (p = 0.023), emotional abuse (0.008 ≤ p ≤ 0.033), and physical abuse (0.001 < p ≤ 0.038). The results also revealed that women with CVDs have experienced more traumatic events compared to the women of the control group (0.001 < p ≤ 0.020). These results seem to highlight an association between traumatic experiences in childhood and CVD in adulthood, particularly in women. Such findings could have relevant implications for clinical practice, suggesting the importance of adopting an integrated approach in the care of the patient with cardiovascular diseases paying attention also to the clinical psychological risk factors.

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“…A recent and ever-growing corpus of evidence has shown that both specific personality traits (especially, the dimensions of Neuroticism and [low] Conscientiousness included in the Five-Factor Model; for an overview see Korotkov and Hannah, 2004 ; Dammeyer and Zettler, 2018 ) and personality disorders—defined as enduring maladaptive patterns of behavior, cognition, and inner experience—co-occur with various medical conditions, such as cardiovascular diseases, cancer, chronic pain, headaches, psoriasis, and other skin disorder, etc. (e.g., Rubino et al, 1995 ; Galli et al, 2011 , 2017 , 2019a , b ; Levine et al, 2021 ). Moreover, research has indicated that dysfunctional personality patterns negatively affect the clinical prognosis, increasing the risk of poor health outcomes (e.g., Johansen, 2018 ).…”

Section: Introductionmentioning

confidence: 99%