Marital Stress Worsens Prognosis in Women With Coronary Heart Disease

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

doi:10.1001/jama.284.23.3008

Cited by 555 publications

(167 citation statements)

References 52 publications

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“…The patients in the present study also reported similar difficulties (data not shown). Physical disabilities, marital tensions because of impaired sexual activity, and reduced social support due to chronic CAD can influence QOL and increase the risk of depression (6,37,38).…”

Section: Discussionmentioning

confidence: 99%

Effects of Saffron Aqueous Extract and Its Main Constituent, Crocin, on Health-Related Quality of Life, Depression, and Sexual Desire in Coronary Artery Disease Patients: A Double-Blind, Placebo-Controlled, Randomized Clinical Trial

Abedimanesh

Ostadrahimi

Bathaie

et al. 2017

Iran Red Crescent Med J

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Background: Depression and sexual problems are common in patients with coronary artery disease (CAD) and can influence their quality of life. Objectives: The aim of this study was to compare the efficacy of saffron and its main constituent, crocin, in improving mental and sexual health and ultimately quality of life in CAD patients. Methods: This double-blind, placebo-controlled, randomized clinical trial was carried out during 8 weeks in 3 groups, including 1 placebo and 2 intervention groups. The study sample included 58 CAD patients within the age range of 40 -65 years, referred to Shahid Madani cardiovascular hospital, Tabriz, Iran, from April 2015 to November 2016. The intervention groups received saffron aqueous extract (SAE; 30 mg; n, 20) or crocin (30 mg; n,19). All the groups completed the demographic questionnaire, Beck depression inventory-II (BDI-II), Hulbert index of sexual desire (HISD), and MacNew health-related quality of life questionnaire.

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Section: Discussionmentioning

confidence: 99%

Effects of Saffron Aqueous Extract and Its Main Constituent, Crocin, on Health-Related Quality of Life, Depression, and Sexual Desire in Coronary Artery Disease Patients: A Double-Blind, Placebo-Controlled, Randomized Clinical Trial

Abedimanesh

Ostadrahimi

Bathaie

et al. 2017

Iran Red Crescent Med J

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“…There is increasing evidence that positive, supportive relationships are associated with lower levels of cardiovascular and neurohormonal reactivity, whereas non-supportive relationships are associated with heightened physiological stress responses [13, 22, 23, 24]. Abrasive marital interactions may have also important endocrinological and immunological correlates [25].…”

Section: Discussionmentioning

confidence: 99%

Perceived Family Difficulties and Prediction of 23-Year Stroke Mortality among Middle-Aged Men

2004

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Background/Objective: To examine the association of indicators of family problems, support and coping style and prediction of stroke mortality among a large cohort of middle-aged men. Methods: A cohort of 10,059 men aged ≧40 years at study inclusion that were tenured civil servants or municipal employees were followed for mortality over 23 years, for a total of about 200,000 person-years of follow-up. Mortality attributed to stroke and to CHD as underlying causes was determined. Subjects underwent a structured psychosocial questionnaire at baseline by trained interviewers, and associations between each indicator of perceived family difficulties, support and coping (9 indicators in total) and mortality from stroke and from CHD were estimated using the proportional hazard model by Cox. Results: During the 23-year follow-up period, 364 men died of stroke, and 1,098 men died of CHD.Among the indicators, perceived serious family difficulties at baseline, adjusted for traditional risk factors, were associated with higher risk of dying from stroke (HR 1.34, 95% CI 1.04–1.72), as were wife and children not tending to listen (HR 1.29, 95% CI 1.00–1.65), and person tending to keep feelings to oneself when conflict with wife (HR 1.27, 95% CI 1.03–1.37), while other indicators had associated HRs nearer unity. None of the variables assessed predicted mortality from CHD over a long-term follow-up. Conclusion: Several indicators of perceived family problems, family support and coping style are related to risk of dying from stroke over a long-term follow-up among middle-aged men.

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“…There is increasing evidence that marital problems contribute to women's emotional distress and poor health, for example, coronary disease, pain, and depression, more than they affect men (Balogh et al, 2003;Kiecolt-Glaser & Newton, 2001;Orth-Gomér et al, 2000). The marital relationship is also shown to impact on the rehabilitation process and prognosis for women suffering from musculoskeletal pain (Hamberg, Johansson, Lindgren, & Westman, 1997) and coronary heart disease (Orth-Gomér et al, 2000) among others. There is also increasing evidence concerning the extensive damage to women's health caused by men's physical and mental abuse (Plichta, 2004).…”

Section: Valborgmentioning

confidence: 99%

Compulsive Sensitivity—A Consequence of Caring: A Qualitative Investigation Into Women Carer's Difficulties in Limiting Their Labours

Forssén

Carlstedt²,

Mörtberg

2005

Health Care for Women International

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Marital Stress Worsens Prognosis in Women With Coronary Heart Disease

Abstract: Our results indicate that marital stress but not work stress predicts poor prognosis in women aged 30 to 65 years with CHD. These findings differ from previous findings in men and suggest that specific preventive measures be tailored to the needs of women with CHD.

Cited by 555 publications

References 52 publications

Effects of Saffron Aqueous Extract and Its Main Constituent, Crocin, on Health-Related Quality of Life, Depression, and Sexual Desire in Coronary Artery Disease Patients: A Double-Blind, Placebo-Controlled, Randomized Clinical Trial

Effects of Saffron Aqueous Extract and Its Main Constituent, Crocin, on Health-Related Quality of Life, Depression, and Sexual Desire in Coronary Artery Disease Patients: A Double-Blind, Placebo-Controlled, Randomized Clinical Trial

Perceived Family Difficulties and Prediction of 23-Year Stroke Mortality among Middle-Aged Men

Compulsive Sensitivity—A Consequence of Caring: A Qualitative Investigation Into Women Carer's Difficulties in Limiting Their Labours

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