Exploring the Role of Irrational Beliefs, Lifestyle Behaviors, and Educational Status in 10-Year Cardiovascular Disease Risk: the ATTICA Epidemiological Study

Vassou, Christina; Georgousopoulou, Ekavi; Yannakoulia, Mary; Chrysοhoou, Christina; Papageorgiou, Costas; Pitsavos, Christos; Cropley, Mark; Panagiotakos, Demosthenes Β.

doi:10.1007/s12529-022-10091-9

Cited by 4 publications

(5 citation statements)

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“…The presented findings are in line with previous work regarding irrational beliefs and CVD incidence (Vassou, Chrysohoou, et al, 2022; Vassou, Georgousopoulou, et al, 2022), yet adding the specific dimensions of irrational beliefs (i.e., those constitute the cognitive vulnerability to anxiety factor) further increases the risk for CVDs (almost three times higher CVD risk versus one time higher risk for those with high levels of irrational beliefs, than in our previous work; Vassou, Georgousopoulou, et al, 2022). Also, our work furthers the research into this topic through detecting and introducing the mediating effect of negative physical well‐being for the first time.…”

Section: Discussionsupporting

confidence: 93%

“…Sympathetic dysregulation and long‐term glial dysfunction may result in reduced heart rate variability and vagal tone and increased future inflammatory allostatic load, such as C‐reactive protein (CRP), interleukin‐6 (IL‐6), and fibrinogen (McEwen & Gianaros, 2011; Sild et al, 2017; Zainal & Newman, 2022). Indeed, there was also evidence from previous work that anxiety and depression moderated the relationship between irrational beliefs and CVD risk, while dietary habits away from the Mediterranean diet, as well as inflammatory and oxidative stress markers (including tumor necrosis factor [TNF‐α], CRP, fibrinogen, and total antioxidant capacity), mediated the aforementioned tested associations (Vassou, Chrysohoou, et al, 2022; Vassou, Georgousopoulou, et al, 2022). However, more studies are needed to support the above suggestions and findings.…”

Section: Discussionmentioning

confidence: 85%

“…Preliminary findings showed that irrational beliefs were positively associated with 10‐year CVD risk in both men and women (Vassou, Georgousopoulou, et al, 2022). In addition to their direct effect and based on the ABC model of the REBT theory, it has been shown that irrational beliefs were associated with the occurrence of CVD over time, indirectly, through emotional (e.g., anxiety and depression), lifestyle (e.g., dietary habits away from the Mediterranean diet), and clinical and biochemical (e.g., increased inflammation process) factors (Vassou, Chrysohoou, et al, 2022; Vassou, Georgousopoulou, et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

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Cognitive vulnerability, anxiety, and physical well‐being in relation to 10‐year cardiovascular disease risk: The ATTICA epidemiological study

Vassou

Chrysοhoou

Georgousopoulou

et al. 2023

Applied Psych Health & Well

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This study aimed to evaluate the association between irrational beliefs and the 10‐year cardiovascular disease (CVD) incidence among apparently healthy adults. The ATTICA study is a population‐based, prospective cohort (2002–2012) consisting of 853 participants without evidence of CVD (453 men and 400 women) who underwent psychological evaluations. Participants completed the Irrational Beliefs Inventory (IBI, range 0–88), a self‐reported measure consistent with the Ellis model of psychological disturbance. We conducted a factor analysis to develop irrational beliefs factors to evaluate the association between subcategories of irrational beliefs and CVD incidence. Demographic characteristics, detailed medical history, other psychological factors, and dietary and other lifestyle habits were also evaluated. The incidence of CVD was defined according to the International Coding Diseases (ICD)‐10 criteria. The identified dominant irrational beliefs factor, “cognitive vulnerability to anxiety,” consisted of demandingness, perfectionism, emotional irresponsibility, anxious overconcern, dependence on others, and overconcern for the welfare of others, was strongly associated with an increased 10‐year CVD risk. Nested multi‐adjusted regression analysis revealed that anxiety, as well as negative physical well‐being, mediated this relationship, and subset of irrational beliefs predicted CVD risk directly and indirectly through anxiety and negative physical well‐being. These findings further map the path through which irrational beliefs can contribute to CVDs and provide insights in favor of preventive healthcare.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

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Cognitive vulnerability, anxiety, and physical well‐being in relation to 10‐year cardiovascular disease risk: The ATTICA epidemiological study

Vassou

Chrysοhoou

Georgousopoulou

et al. 2023

Applied Psych Health & Well

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“…El razonamiento emocional y síntomas de comportamiento social (28,500), razonamiento emocional y síntomas fisiológicos (19,345), razonamiento emocional y síntomas de comportamiento social (18,333), sobregeneralización y síntomas de comportamiento social (18,000), falacia de justicia y síntomas de comportamiento social (17,500), interpretación del pensamiento y síntomas de comportamiento social (16,520), razonamiento emocional y síntomas intelectuales y laborales (15,800), visión catastrófica y síntomas fisiológicos (14,457), falacia de control y síntomas de comportamiento social (13,800), visión catastrófica y síntomas de comportamiento social (10,294), falacia de cambio y síntomas fisiológicos (8,505), falacia de razón y síntomas de comportamiento social (7,080), los deberías y síntomas de comportamiento social (6,692), falacia de cambio y síntomas de comportamiento social (5,702), falacia de recompensa divina y síntomas fisiológicos (4,156), filtraje y síntomas fisiológicos (3,750), falacia de justicia y síntomas fisiológicos (3,727), culpabilidad y síntomas fisiológicos (3,727), los debería y síntomas fisiológicos (3,333), sobre generalización y síntomas fisiológicos (3,286) y finalmente falacia de razón y síntomas fisiológicos (3,016).…”

Section: Resultsunclassified

Estrés laboral y distorsiones cognitivas en el personal sanitario

Reino-Villena,

Noroña-Salcedo,

González-Salas

et al. 2023

Vida y Salud

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Objetivo: determinar el grado de influencia que las afectaciones por el estrés laboral han suscitado en el aparecimiento de las distorsiones cognitivas en el personal de salud pública del Hospital Francisco de Orellana durante la pandemia COVID 19. Método: Descriptiva observacional. Resultados: Cabe mencionar que los síntomas psicoemocionales no presentaron relación con los pensamientos automáticos ya que toda la población se situó en un nivel de estrés bajo. Conclusiones: En la medición del estrés laboral, se obtuvo que la mitad de los trabajadores se sitúa en un nivel bajo, indicando escasa afectación de la sintomatología del estrés. Se determinó la presencia media y baja en todas las distorsiones cognitivas en la población, lo que significa que los laborantes estudiados presentan errores en el proceso de evaluación de la información, obteniéndose así interpretaciones equívocas y disfuncionales de las situaciones valoradas.

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“…Nutrition plays a crucial role in cardiovascular health [ 3 , 4 ]. More and more studies have begun to explore the early risk factors and potential beneficial factors affecting the incidence of CHD from people’s daily living behaviors and diets [ 5 – 8 ]. Numerous studies have indicated that fish, fiber, protein, and nutrients are associated with CHD and can either reduce or raise the risk [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Association between dietary omega-3 intake and coronary heart disease among American adults: The NHANES, 1999–2018

Zhao,

Xiao,

Tan

et al. 2023

PLoS ONE

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Background Omega-3 has been extensively studied for its cardiovascular disease (CVD) benefits. However, the results of this evidence are inconsistent. Therefore, in this study, dietary omega-3 intake was investigated further in relation to coronary heart disease (CHD) risk among U.S. adults. Methods We used data from the National Health and Nutrition Examination Survey (NHANES) database for people ages 20 years and older between 1999 and 2018 to conduct a cross-sectional survey. The Medical Condition Questionnaire (MCQ) was used to determine CHD status. We measured dietary omega-3 intake using two 24-hour dietary recall interviews. Multivariate logistic regression and subgroup analysis were used to explore the correlation between dietary omega-3 intake and CHD. The dose-response relationship between the two was analyzed with a restricted cubic spline (RCS). Results 31,184 study subjects were included, of whom 1,604 (5.14%) were patients with CHD. By quintile (Q) of dietary omega-3 intake, after adjusting for all confounding factors, compared with Q1, when total dietary omega-3, alpha-linolenic acid (ALA), docosapentaenoic acid (DPA), eicosatetraenoic acid (ETA), eicosapentaenoic acid (EPA), and docosahexenoic acid (DHA) intake reached Q5, the odds ratio (95% confidence interval, CI) of CHD were 0.76 (0.60, 0.96), 0.73 (0.57, 0.94), 0.70 (0.54, 0.92), 0.66 (0.50, 0.85), 0.84 (0.69, 1.02), and 0.83 (0.64, 1.07), respectively, while EPA and DHA were not significantly associated with the disease (Trend p > 0.05). Intake of omega-3 and CHD were linearly related (P for nonlinear = 0.603). No significant interactions were found within subgroups except for the age group (P for interaction = 0.001). Sensitivity analysis and multivariate logistic regression results are generally in agreement. Conclusions Total dietary omega-3, ALA, DPA, and ETA intake were negatively associated with CHD risk. In contrast, EPA and DHA had no significant correlation with CHD.

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Exploring the Role of Irrational Beliefs, Lifestyle Behaviors, and Educational Status in 10-Year Cardiovascular Disease Risk: the ATTICA Epidemiological Study

Cited by 4 publications

References 45 publications

Cognitive vulnerability, anxiety, and physical well‐being in relation to 10‐year cardiovascular disease risk: The ATTICA epidemiological study

Cognitive vulnerability, anxiety, and physical well‐being in relation to 10‐year cardiovascular disease risk: The ATTICA epidemiological study

Estrés laboral y distorsiones cognitivas en el personal sanitario

Association between dietary omega-3 intake and coronary heart disease among American adults: The NHANES, 1999–2018

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