Living Alone After Myocardial Infarction

Case, Robert B.; Moss, Arthur J.; Case, Nan; McDermott, Michael P.; Eberly, Shirley

doi:10.1001/jama.1992.03480040063031

Cited by 375 publications

(79 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A number of prospective studies in the literature document the significant association between social relationships and all-cause and disease-specific morbidity and mortality. 8,9 In particular, epidemiologic data suggest that people who have larger and more integrated social networks are at reduced risk for depression 31 , ischemic heart disease 10 and stroke 11 and have better prognoses following myocardial infarction 13 as compared to their more socially isolated counterparts. In patients with end stage renal disease on dialysis, perceiving a discrepancy between expected and received social support was associated with increased mortality.…”

Section: Discussionmentioning

confidence: 99%

“…7-13 This study conceptualizes social support into two different elements: social integration and systemic social support (Figure 1). Social integration is defined as an objective state relating to the number of contacts and interaction between persons and their wider social network.…”

Section: Introductionmentioning

confidence: 99%

“…Low levels of social integration has been linked to a number of negative health outcomes. 7-13 Systemic social support is the support provided by a society to patients with impairment and handicap. This includes policy set by local and federal government, such as the Americans with Disabilities Act, and the attitudes of society at large to patients with disability.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effect of social integration on outcomes after major lower extremity amputation

Hawkins

Pallangyo

Herman

et al. 2016

Journal of Vascular Surgery

View full text Add to dashboard Cite

Objective Major lower extremity amputation is a common procedure that results in a profound change in a patient's life. We sought to determine the association between social support and outcomes after amputation. We hypothesized that patients with greater social support will have better post amputation outcomes. Methods From November 2011 to May 2013, we conducted a cross-sectional, observational, multicenter study. Social integration was measured by the social integration subset of the Short Form (Craig Handicap Assessment and Reporting Technique (CHART). Systemic social support was assessed by comparing a US and Tanzanian population. Walking function was measured using the 6MWT and quality of life (QoL) was measured using the EQ-5D. Results 102 major lower extremity amputees were recruited. 63 patients were enrolled in the US with a mean age of 58.0. Forty-two (67%) were male. Patients with low social integration were more likely to be unable to ambulate (no walk 39% vs. slow walk 23% vs. fast walk 10%; P=.01) and those with high social integration were more likely to be fast walkers (no walk 10% vs. slow walk 59% vs. fast walk 74%; P=.01). This relationship persisted in a multivariable analysis. Increasing social integration scores were also positively associated with increasing quality of life scores in a multivariable analysis (β .002; SE .0008; P = .02). In comparing the US population with the Tanzanian cohort (39 subjects), there were no significant differences between functional or quality of life outcomes in the systemic social support analysis. Conclusions In the US population, increased social integration is associated with both improved function and quality of life outcomes among major lower extremity amputees. Systemic social support, as measured by comparing the US population with a Tanzanian population, was not associated with improved function or quality of life outcomes. In the US, steps should be taken to identify and aid amputees with poor social integration.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of social integration on outcomes after major lower extremity amputation

Hawkins

Pallangyo

Herman

et al. 2016

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Social network ties, support, and integration vary in relation to SEP and are strongly associated with premature death and disease (Cacioppo et al 2002; Heaney and Israel 1997), including CVD (Berkman et al 1992; Case et al 1992; Kawachi et al 1996). The availability of social support when faced with stressful life conditions is also associated with depression and psychological distress (Israel et al 2002; Lepore 1997; McEwen and Seeman 1999).…”

Section: The Healthy Environments Partnership Conceptual Modelmentioning

confidence: 99%

Social and Physical Environments and Disparities in Risk for Cardiovascular Disease: The Healthy Environments Partnership Conceptual Model

Schulz¹,

Kannan

Dvonch

et al. 2005

Environ Health Perspect

204

235

View full text Add to dashboard Cite

The Healthy Environments Partnership (HEP) is a community-based participatory research effort investigating variations in cardiovascular disease risk, and the contributions of social and physical environments to those variations, among non-Hispanic black, non-Hispanic white, and Hispanic residents in three areas of Detroit, Michigan. Initiated in October 2000 as a part of the National Institute of Environmental Health Sciences’ Health Disparities Initiative, HEP is affiliated with the Detroit Community–Academic Urban Research Center. The study is guided by a conceptual model that considers race-based residential segregation and associated concentrations of poverty and wealth to be fundamental factors influencing multiple, more proximate predictors of cardiovascular risk. Within this model, physical and social environments are identified as intermediate factors that mediate relationships between fundamental factors and more proximate factors such as physical activity and dietary practices that ultimately influence anthropomorphic and physiologic indicators of cardiovascular risk. The study design and data collection methods were jointly developed and implemented by a research team based in community-based organizations, health service organizations, and academic institutions. These efforts include collecting and analyzing airborne particulate matter over a 3-year period; census and administrative data; neighborhood observation checklist data to assess aspects of the physical and social environment; household survey data including information on perceived stressors, access to social support, and health-related behaviors; and anthropometric, biomarker, and self-report data as indicators of cardiovascular health. Through these collaborative efforts, HEP seeks to contribute to an understanding of factors that contribute to racial and socioeconomic health inequities, and develop a foundation for efforts to eliminate these disparities in Detroit.

show abstract

“…Although less powerful in influence than subjective loneliness, simply being alone does have significant effects on one’s health (e.g., living alone has been tied to cardiovascular problems; Case, Moss, Case, McDermott, & Eberly, 1992). A recent study on both objective isolation and subjective loneliness shows that social isolation predicts mortality separately from loneliness (Steptoe, Shankar, Demakakos, & Wardle, 2013).…”

mentioning

confidence: 99%

Out of the frying pan, into the fire: Mixed affective reactions to social proximity in borderline and avoidant personality disorders in daily life.

Gadassi¹,

Snir²,

Berenson³

et al. 2014

Journal of Abnormal Psychology

View full text Add to dashboard Cite

Social proximity typically helps individuals meet their belongingness needs, but several forms of psychopathology, including borderline and avoidant personality disorders (BPD and APD, respectively) are characterized by social difficulties. This experience-sampling study is one of the first to directly investigate the affective reactions of individuals with BPD and APD (compared with healthy controls [HC]) to social proximity in daily life. We examined both person-level and day-level reactions. At the person level, the rate of social proximity across the diary period was associated with diminished feelings of rejection, isolation, shame, and dissociation in the HC group. In contrast, it was not associated with any affective reaction in the BPD group, and was associated with decreased rejection and isolation on the one hand, but also with increased anxiety in the APD group. At the day level, we used multilevel regression to examine affective reactions when in social proximity. The HC group showed a consistent benefit when in social proximity. In contrast, both PD groups exhibited mixed affective reactions to social proximity; specifically, benefits (increased positive affect, decreased rejection, isolation, and dissociation) were interspersed with costs (increased shame for both PD groups; increased anger for BPD; increased anxiety for APD). The mixed reactions found in both PDs may contribute to the disturbed relationships of individuals with these disorders.

show abstract

Living Alone After Myocardial Infarction

Abstract: Living alone but not a disrupted marriage is an independent risk factor for prognosis after myocardial infarction when compared with all other known risk factors.

Cited by 375 publications

References 28 publications

The effect of social integration on outcomes after major lower extremity amputation

The effect of social integration on outcomes after major lower extremity amputation

Social and Physical Environments and Disparities in Risk for Cardiovascular Disease: The Healthy Environments Partnership Conceptual Model

Out of the frying pan, into the fire: Mixed affective reactions to social proximity in borderline and avoidant personality disorders in daily life.

Contact Info

Product

Resources

About