Affective Temperaments Contribute to Cardiac Complications in Hypertension Independently of Depression

Eőry, Ajándék; Rózsa, Sándor; Torzsa, Péter; Kopper, László; Gonda, Xénia; Rihmer, Zoltán

doi:10.1159/000357364

Cited by 22 publications

(17 citation statements)

References 17 publications

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“…In addition, cyclotyhmic temperament significantly predicts cardiovascular complications (myocardial infarction, angina pectoris) independently of depression, age, gender and smoking [38]. …”

Section: Similarities and Differences Between Essential Hypertensimentioning

confidence: 99%

Is Mania the Hypertension of the Mood? Discussion of A Hypothesis

Rihmer

Gonda²,

Döme³

2017

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Beyond both being biphasic/bidirectional disorders (hypo)mania and essential hypertension share a surprising number of similarities and an overlap between their genetics, biological background, underlying personality and temperamental factors, precipitating factors, comorbidity and response to treatment, indicating a possibly partially shared biological background. Based on theoretical knowledge, similarities related to characteristics, manifestation and course, and the results of pharmacological studies related to the effects and side effects of pharmacotherapies used in the treatment of these two distinct disorders, the authors outline a hypothesis discussing the similar origins of these two phenomena and thus mania being the hypertension of mood in memory of Athanasios Koukopoulos, one of the greatest researchers and theoreticists of mania of all time.

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Section: Similarities and Differences Between Essential Hypertensimentioning

confidence: 99%

Is Mania the Hypertension of the Mood? Discussion of A Hypothesis

Rihmer

Gonda²,

Döme³

2017

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“…Data from 509 consecutively investigated primary care patients were collected to explore the association between affective temperaments and hypertension (Eory, 2014a) as well as acute cardiac complications (Eory, 2014b). Altogether six primary care practices were involved into the study (four practices in Budapest and two practices in the countryside) between February and May of 2011.…”

Section: Samplementioning

confidence: 99%

“…Although these affective temperaments, especially when expressed at their trait level, contribute to the development of a healthy personality, they may serve as subaffective trait precursors or precursors of major affective disorders, constituting risk factors for specific clusters of symptoms and psychopathology (Iasevoli et al, 2013), course and prognosis of major mood disorders (Rihmer et al, 2010 and treatment adherence (Fornaro et al, 2013). Due to its easy clinical applicability the affective temperamental model is utilized as an outcome measure in affective disorder research as well as in explorative research in the frontier of major affective disorders and chronic somatic conditions, including hypertension (Eory, 2014a) and acute cardiac complications in hypertension (Eory, 2014b), among others (Rihmer et al, 2010).…”

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confidence: 99%

“…e) Temperament traits remain stable from early adulthood over time and may be more characteristic predictors of chronic somatic conditions than major affective disorders Rafanelli et al, 2013;Rihmer et al, 2010;Eory, 2014aEory, , 2014b. Therefore, research on the relationship of affective temperaments with harmful health-behaviour in non-psychiatric, adult sample could prove to be both useful and necessary.…”

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confidence: 99%

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The association of affective temperaments with smoking initiation and maintenance in adult primary care patients

Eőry

Rózsa

Gonda

et al. 2015

Journal of Affective Disorders

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“…В целом гипертензивные сосудистые реакции наиболее характерны для возбудимого и тревожного типов [57]. Кроме того, почти все аффективные типы (кроме гипертимного) характеризуются наклонностью к повышенному уровню провоспалительных цитокинов, снижению уровня нейротрофического фактора (BDNF) при хроническом повышении АД [58, 59,60]. Риск развития ССЗ существенно повышен у людей с личностным типом D, который характеризуется тенденцией переживать негативные эмоции, но не проявлять их в межличностных интеракциях [61].…”

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Emotional Dysregulation as a Factor of Psychosomatic Disturbances in Depression and Cardiovascular Pathology (Analytical Review of Foreign Literature)

Собенников

Винокуров

Rychkova

et al. 2019

Acta biomedica scientifica

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The review presents data on cognitive processes of emotional regulation, which are the result of the interaction of the activity of the prefrontal cortex and emotional centers, as the most important pathogenetic link in the psychosomatic relations of depressive and cardiovascular diseases. The neuroanatomical substrate of emotional regulation is the connection between emotional and cognitive processes, which are carried out through bidirectional neuronal interactions between the neocortex and emotional centers. This connection allows emotional centers to modulate cortical activity, and cognitive centers, through descending cortical influences, to modulate the processing of emotions. At present, direct and indirect connections of the frontal cortex with the centers of the autonomic nervous system and its stimulating sympathetic and inhibitory parasympathetic influences have been confirmed. Pathogenetic links of emotional dysregulation include neurobiological and cognitive (rumination, fixation on negative information) processes. The pathophysiological mechanisms of depression and cardiovascular diseases have common links - the dysregulation of the metabolic, immunological and hypothalamus-pituitary-adrenal systems. The tendency to negative emotional response, the prevalence of negative emotions and alexithymia (low awareness of emotions) stand out as predictors of the development of both cardiovascular diseases and depression. Studies aimed at studying the typology and meaning of emotional dysregulation in various forms of psychopathological disorders in the aspect of comorbidity and psychosomatic relationships with somatic diseases can be fruitful in terms of finding new approaches to diagnosis and therapy.

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Affective Temperaments Contribute to Cardiac Complications in Hypertension Independently of Depression

Cited by 22 publications

References 17 publications

Is Mania the Hypertension of the Mood? Discussion of A Hypothesis

Is Mania the Hypertension of the Mood? Discussion of A Hypothesis

The association of affective temperaments with smoking initiation and maintenance in adult primary care patients

Emotional Dysregulation as a Factor of Psychosomatic Disturbances in Depression and Cardiovascular Pathology (Analytical Review of Foreign Literature)

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