Depressive symptoms and lack of social integration in relation to prognosis of CHD in middle-aged women. The Stockholm Female Coronary Risk Study

Horsten, Myriam; Mittleman, Murray A.; Wamala, Sarah; Schenck‐Gustafsson, Karin; Orth‐Gomér, Kristina

doi:10.1053/euhj.1999.2012

Cited by 174 publications

(102 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, depression and depressive symptoms have been related to CVD and cognitive performance. [31][32][33][34] However, the use of depression as an explanatory concept for the gender-specific results of the present study is weakened by the fact that, among the Framingham Offspring, men exhibited lower levels of depressed mood than did women, and neither…”

Section: 29mentioning

confidence: 48%

Lower cognitive function in the presence of obesity and hypertension: the Framingham heart study

et al. 2003

View full text Add to dashboard Cite

OBJECTIVE:To determine the independent effects of obesity and hypertension on cognitive functioning. METHODS: Using a prospective design, male (n ¼ 551) and female (n ¼ 872) participants of the Framingham Heart Study were classified by presence or absence of obesity and hypertension based on data collected over an 18-y surveillance period. All subjects were free from dementia, stroke, and clinically diagnosed cardiovascular disease up to the time of cognitive testing. Statistical models were adjusted for age, education, occupation, cigarette smoking, alcohol consumption, total cholesterol, and a diagnosis of type II diabetes. Body mass index status (nonobese or obese) and blood pressure status (normotensive or hypertensive) were then related to cognitive performance (learning, memory, executive functioning, and abstract reasoning) on tests administered 4-6 y later. RESULTS: Adverse effects of obesity and hypertension on cognitive performance were observed for men only. Obese and hypertensive men performed more poorly than men classified as either obese or hypertensive, and the best performance was observed in nonobese, normotensive men. CONCLUSIONS: The adverse effects of obesity and hypertension in men are independent and cumulative with respect to cognitive deficit.

show abstract

Section: 29mentioning

confidence: 48%

Lower cognitive function in the presence of obesity and hypertension: the Framingham heart study

et al. 2003

View full text Add to dashboard Cite

show abstract

“…Kaplan et al, 1994;Orth-Gomer, Rosengren, & Wilhelmsen, 1993;Pennix et al, 1997;Seeman et al, 1993;Vogt, Mullooly, Ernst, Pope, & Hollis, 1992). Social isolation is particularly unhealthy in patients with preexisting CHD (Angerer et al, 2000;Berkman, Leo-Summers, & Horwitz, 1992;Case, Moss, Case, McDermott, & Eberly, 1992;Gorkin et al, 1993;Horsten et al, 2000;Krumholz et al, 1998;Welin, Lappas, & Wilhelmsen, 2000;R. B. Williams et al, 1992;Woloshin et al, 1997), although different indicators of support and isolation sometimes produce inconsistent effects (Irvine et al, 1999).…”

Section: Social Isolation and Conflictmentioning

confidence: 99%

Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice.

Smith¹,

Ruiz²

2002

Journal of Consulting and Clinical Psychology

292

208

View full text Add to dashboard Cite

Psychosocial characteristics predict the development and course of coronary heart disease (CHD). In this review, the authors discussed human and animal research on psychophysiological mechanisms influencing coronary artery disease and its progression to CHD. They then reviewed literature on personality and characteristics of the social environment as risk factors for CHD. Hostility confers increased risk, and a group of risk factors involving depression and anxiety may be especially important following myocardial infarction. Social isolation, interpersonal conflict, and job stress confer increased risk. Psychosocial interventions may have beneficial effects on CHD morbidity and mortality, although inconsistent results and a variety of methodological limitations preclude firm conclusions. Finally, they discussed implications for clinical care and the agenda for future research.Coronary heart disease (CHD) is the leading cause of death in the United States; each year about 450,000 people die from CHD, and 1,000,000 experience an initial or recurrent coronary event (American Heart Association, 2001). Among healthy 40-year olds, between 40% and 50% of men and between 25% and 35% of women will later develop CHD (Lloyd-Jones, Larson, Beiser, & Levy, 1999). Over $100 billion is spent on CHD each year in the United States in direct medical costs, disability payments, and lost productivity (American Heart Association, 2001). This disease involves the three major topics composing behavioral medicine and health psychology, making it a central focus throughout their 30-year history. In the first (i.e., health behavior and prevention), modifiable behavioral risk factors (e.g., smoking, activity level, diet) are important risk factors for the development of CHD (Stamler et al., 1999;Wannamethee, Shaper, Walker, & Ebrahim, 1998), and behavior change is an essential component of prevention. In the second topic (i.e., stress and disease or psychosomatics), other psychological and social factors have more direct effects on the development and course of CHD through the intervening psychobiological effects of stress and negative emotions. In the third (i.e., psychosocial aspects of medical illness and care), established CHD has extensive emotional and social impacts on patients and their families, behavior is a key element of standard care (e.g., medication adherence, dietary change, exercise), and psychosocial interventions are useful additions to traditional medical and surgical treatment.Like the article on CHD in the previous special issue on behavioral medicine in this journal (Thoresen & Powell, 1992), we focused primarily on the second major topic-psychosocial influences on the development and course of CHD. We also reviewed one aspect of the third topic-interventions targeting psychosocial risk factors and their underlying psychophysiological mechanisms. Perhaps the most important implication of research on psychosocial risk factors for coronary disease is that interventions targeting these factors could reduce cardiac morb...

show abstract

“…The following values were adopted to define the control of risk factors: systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg (in diabetic patients, these values were decreased to 130 and 80 mmHg, respectively); fasting glycemia ≤ 126 mg/dl; LDL-cholesterol ≤ 100 mg/dl; BMI < 25 kg/m²; and triglycerides ≤ 150 mg/dl 13,16,17 .…”

Section: Clinical Evaluationmentioning

confidence: 99%

“…Additionally, patients with established coronary artery disease (CAD) present QoL impairment and high levels of stress, caused by the disease itself, physical limitation and risk of death, closing a vicious circle that intensifies the disease progression [1][2][3][4] . It is believed that, in addition to disease severity, the association of comorbidities, such as diabetes mellitus (DM), arterial hypertension (AH) and obesity, frequently Another study 13 showed that women older than 65 years with symptoms of depression presented an unfavorable clinical evolution, with worse prognosis, six months after a cardiovascular event.…”

Section: Introductionmentioning

confidence: 99%

Qualidade de vida em pacientes com doença ateroclerótica coronariana grave e estável

Moriel¹,

Roscani²,

Matsubara³

et al. 2010

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

show abstract

Depressive symptoms and lack of social integration in relation to prognosis of CHD in middle-aged women. The Stockholm Female Coronary Risk Study

Abstract: The presence of two or more depressive symptoms and lack of social integration independently predicted recurrent cardiac events in women with coronary heart disease. Women who were free of both these risk factors, had the best prognosis.

Cited by 174 publications

References 47 publications

Lower cognitive function in the presence of obesity and hypertension: the Framingham heart study

Lower cognitive function in the presence of obesity and hypertension: the Framingham heart study

Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice.

Qualidade de vida em pacientes com doença ateroclerótica coronariana grave e estável

Contact Info

Product

Resources

About