Do coping strategies really affect cardiovascular events? The Isfahan cohort study of adults in Eastern Mediterranean Regional Office

Roohafza, Hamidreza; Askari, Mozhde; Nouri, Fatemeh; Talaei, Mohammad; Sarrafzadegan, Nizal; Sadeghi, Masoumeh

doi:10.1093/eurjcn/zvab110

Cited by 8 publications

(8 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Direct self-report measures of coping and emotion regulation are not always available. For instance, only a few large, well-characterized, and longstanding studies have data on these key regulatory processes (e.g., Roohafza et al, 2022; Svensson et al, 2016; Trudel-Fitzgerald et al, 2021, 2022). This scarcity considerably limits the examination and understanding of their long-term predictors and consequences.…”

Section: Resultsmentioning

confidence: 99%

“…While documenting if one copes or regulates emotions with substance use, food intake, or exercise in a moment-to-moment approach is highly valuable, knowing if they do so in a dispositional manner would also be informative. As an illustration, collecting dispositional data on behavioural strategies would be conceptually relevant and easier to implement in research testing the role of regulatory strategies in long-term physical health outcomes within ongoing epidemiological cohorts (Roohafza et al, 2022; Svensson et al, 2016; Trudel-Fitzgerald et al, 2021, 2022).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Coping and emotion regulation: A conceptual and measurement scoping review.

Trudel-Fitzgerald,

Boucher,

Morin

et al. 2024

Canadian Psychology / Psychologie canadienne

View full text Add to dashboard Cite

The fields of coping and emotion regulation have mostly evolved separately over decades, although considerable overlap exists. Despite increasing efforts to unite them from a conceptual standpoint, it remains unclear whether conceptual similarities translate into their measurement. The main objective of this review was to summarize and compare self-reported measures of coping and emotion regulation strategies. The secondary objective was to examine whether other psychological measures (e.g., resilience) indirectly reflect regulatory strategies' effectiveness, thus representing additionally informative approaches. Results indicated substantial overlap between coping and emotion regulation measures. In both frameworks, two to eight individual strategies were usually captured, but only a third included ≤20 items. The most commonly evaluated strategies were reappraisal/reinterpretation, active coping/problem solving, acceptance, avoidance, and suppression. Evidence also suggested psychological distress and well-being measures, especially in certain contexts like natural stress experiments, and resilience measures are possible indirect assessments of these regulatory strategies' effectiveness. These results are interpreted in the light of a broader, integrative affect regulation framework, and a conceptual model connecting coping, emotion regulation, resilience, psychological well-being, and psychological distress is introduced. We further discussed the importance of alignment between individuals, contexts, and strategies used and provided directions for future research. Altogether, coping and emotion regulation measures meaningfully overlap. Joint consideration of both frameworks in future research would widen the repertoire of available measures and orient their selection based on other aspects like length or strategies covered, rather than the framework only. Public Significance StatementBoth coping and emotion regulation fields study how individuals adapt to emotional and stressful experiences but have evolved separately for several decades. Following recent scientific efforts to highlight their conceptual similarities, this review summarizes and compares self-reported scales used to measure these two constructs. Results show that coping and emotion regulation measures meaningfully overlap, encouraging their joint consideration to broaden the repertoire of tools available to better understand how individuals adjust to minor and major life events.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Coping and emotion regulation: A conceptual and measurement scoping review.

Trudel-Fitzgerald,

Boucher,

Morin

et al. 2024

Canadian Psychology / Psychologie canadienne

View full text Add to dashboard Cite

show abstract

“…For the JHS, it was important to understand coping behaviors as a social determinant of health because psychological factors have been implicated as a risk factor for the development of atherosclerosis and other cardiovascular disease outcomes, contributing to incidence and general mortality in populations [14,15].…”

Section: Discussionmentioning

confidence: 99%

User Manual for Coping Strategies Inventory Short Form (CSI-SF)—The Jackson Heart Study

Addison,

Jenkins,

White

2024

IJERPH

View full text Add to dashboard Cite

Researchers have asserted that patients who generally rely on powerful external sources to control their disorders can benefit from examining their coping mechanisms, which can potentially lead to a better understanding of the initiation and progression of some chronic diseases. By trusting their own internal powers and virtues, it is possible for some people to discover and navigate available strategies to balance and enhance their psycho-spiritual well-being and possibly their treatment and recovery. This review serves as a user manual for investigators who choose to use the CSI-SF to conduct their research on coping behaviors. The CSI-SF, which measures four coping strategies based on 16 items, was first assessed using the Jackson Heart Study (JHS) cohort in 2007. The reliability and construct validity of the CSI-SF was also later assessed among hemodialysis patients across 13 countries. In this study, the CSI-SF was assessed to be a reliable and valid instrument for measuring coping strategies. The CSI-SF serves the purpose of developing an inner voice that can assist with understanding how people cope with everyday life. The information gathered from the administration of the CSI-SF can inform investigators about environmental cues and triggers that can also impact individual health.

show abstract

“…Covariate measures, selected following previous research (Roohafza et al, 2022; Svensson et al, 2016; Trudel-Fitzgerald et al, 2022), are described in more detail in . Briefly, sociodemographic characteristics (i.e., age, biological sex, race, marital status, education levels), health status (i.e., hypertension, cholesterol, obesity), behavioral factors (i.e., physical activity, smoking, alcohol consumption, sleep duration), and social factors (positive relations with others; Ryff, 2013) were self-reported at the 2004–2006 analytic baseline.…”

Section: Methodsmentioning

confidence: 99%

“…All statistical analyses were conducted using SAS 9.4, with a two-tailed p < .05 threshold, to ease comparison with prior studies using a similar methodology (Roohafza et al, 2022; Svensson et al, 2016; Trudel-Fitzgerald et al, 2022). We calculated the mean and standard deviation for all continuous variables, and frequencies for all categorical variables in the analytic sample ( n = 2,142), overall and stratified by coping variability level.…”

Section: Methodsmentioning

confidence: 99%

Are there sociodemographic-specific associations of coping with heart disease and diabetes incidence?

Ng,

Kubzansky,

Guimond

et al. 2024

Health Psychology

View full text Add to dashboard Cite

Objective: Psychological factors, including psychological distress and well-being, have been associated with cardiometabolic disease risk. Here, we examined whether a psychological process, namely how individuals cope with stressors, relates to such risk, which has been understudied. Method: During 2004-2006, 2,142 participants without heart disease and diabetes from the Midlife in the U.S. study completed a validated coping inventory assessing six strategies (positive reinterpretation and growth, active coping, planning, focus on and venting of emotion, denial, and behavioral disengagement) and relevant covariates. As a proxy for coping flexibility, participants were also classified as having lower, moderate, or greater variability in their use of these strategies. Heart disease and diabetes were documented in 2013-2015. Logistic regressions modeled adjusted odds ratios (AORs) and 95% confidence intervals (CIs) of developing heart disease and diabetes, separately, with coping exposures. Results: In sociodemographic-adjusted models, greater use of adaptive strategies predicted lower diabetes risk (e.g., positive reinterpretation and growth: AOR = 0.83; 95% CI [0.72, 0.96]); estimates were weaker for maladaptive strategies, and all strategies were unrelated to heart disease. All associations for coping variability were null. In secondary analyses, greater use of adaptive strategies predicted lower heart disease risk in more educated participants only (e.g., active coping: AOR = 0.71; 95% CI [0.55, 0.92]) and lower diabetes risk in females only (e.g., planning: AOR = 0.75; 95% CI [0.61, 0.91]). Results were maintained additionally adjusting for health, behavioral, and social factors. Conclusions: Findings suggest sex and education differences in coping's association with heart disease and diabetes. Future studies should recognize adaptive strategies may be more potent for health among certain populations. Public Significance StatementDespite convincing evidence linking stressors and psychological distress to cardiometabolic disease risk, this is the first study examining the role of stress-related coping strategies and variability in their use in the onset of heart disease and diabetes. Results suggest the associations of coping with these conditions vary by sex and education levels, which underscores the importance of evaluating psychosocial interventions that are sociodemographic-specific to possibly prevent heart disease and diabetes.

show abstract

Do coping strategies really affect cardiovascular events? The Isfahan cohort study of adults in Eastern Mediterranean Regional Office

Cited by 8 publications

References 34 publications

Coping and emotion regulation: A conceptual and measurement scoping review.

Coping and emotion regulation: A conceptual and measurement scoping review.

User Manual for Coping Strategies Inventory Short Form (CSI-SF)—The Jackson Heart Study

Are there sociodemographic-specific associations of coping with heart disease and diabetes incidence?

Contact Info

Product

Resources

About