Psychological Distress Among Female Cardiac Patients Presenting to a Women's Heart Health Clinic

Edwards, Katharine S.; Hekler, Andrea C.; Baum, Jessie; Nejedly, Mary; Tsai, Sandra; Khandelwal, Abha; Naderi, Sahar; Hoover, Valerie; Tremmel, Jennifer A.

doi:10.1016/j.amjcard.2019.03.029

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…Importantly, SCAD-AMI remained as a unique predictor of these psychological states even after controlling for previously identified red flags for poor post-event mental health status, namely female sex, younger age, mental health history, social isolation, socioeconomic disadvantage, diabetes, and nonattendance at CR using logistic regression. 22,23,[25][26][27][28][30][31][32][33] Therefore, the current findings confirm that the emotional difficulty associated with SCAD cannot be attributed simply to the fact that most patients with SCAD are younger females, or to their increased likelihood of having a mental health history. Of note, though, the findings regarding post-SCAD depression were not retained after multivariate adjustment using ANCOVA.…”

Section: Discussionsupporting

confidence: 78%

“…The findings of the present study suggest that survivors of SCAD-AMI are more likely than their counterparts without SCAD to experience anxiety, depression, distress, and cardiac distress in the 6 mo after their acute event. Importantly, SCAD-AMI remained as a unique predictor of these psychological states even after controlling for previously identified red flags for poor post-event mental health status, namely female sex, younger age, mental health history, social isolation, socioeconomic disadvantage, diabetes, and nonattendance at CR using logistic regression 22,23,25–28,30–33. Therefore, the current findings confirm that the emotional difficulty associated with SCAD cannot be attributed simply to the fact that most patients with SCAD are younger females, or to their increased likelihood of having a mental health history.…”

Section: Discussionsupporting

confidence: 71%

“… 22 , 23 , 31 Attendance at cardiac rehabilitation (CR) has been shown to ameliorate post-event anxiety and depression risk, providing a protective effect. 30 Finally, given that SCAD is more likely in women, 3 , 4 , 20 who as a group have a tendency toward higher distress, 15 , 22 , 32 , 33 patient sex also needs to be taken into account when attributing post-event mental health problems to the SCAD event.…”

mentioning

confidence: 99%

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Prevalence of Anxiety, Depression, and Distress in SCAD and Non-SCAD AMI Patients

Murphy

Rogerson

Hesselson

et al. 2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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I ncreasing research attention is being paid to the psychosocial consequences of spontaneous coronary artery dissection (SCAD), a cause of acute myocardial infarction (AMI) that is particularly common in young women with few classic cardiac risk factors. [1][2][3][4] Spontaneous coronary artery dissection accounts for up to 35% of AMIs in women aged < 50 yr, 3,4 and is the most common cause of pregnancy-related AMI. 5,6 Unlike typical AMI, which is generally due to atherosclerosis, SCAD-AMI is nonatherosclerotic and occurs when a coronary vessel develops a hematoma within the arterial wall, which bulges inward obstructing blood flow to the heart. 3 Hospital readmission and recurrence are more common post-SCAD than following typical AMI. [7][8][9][10] Studies suggest high levels of anxiety, depression, and stress in survivors of SCAD. 11-15 Indeed, emotional stress is often reported as the precipitating trigger for the acute SCAD event. 3,6,9,11,[16][17][18] Uncertainty and lack of information provision surrounding the diagnosis and optimal management, and the likelihood of recurrence, contribute to the psychosocial sequelae of SCAD. 11,19 Emerging evidence therefore suggests that SCAD may be more stressful than typical AMI.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionsupporting

confidence: 71%

mentioning

confidence: 99%

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Prevalence of Anxiety, Depression, and Distress in SCAD and Non-SCAD AMI Patients

Murphy

Rogerson

Hesselson

et al. 2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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“…Although there has been no research related to a clear relationship between the severity of heart disease with psychological distress levels, individuals with hyperlipidemia and diabetes were reported to experience greater psychological distress. 10 Several studies had shown that individuals with high psychological distress tended to have a higher risk of coronary heart disease. Someone with psychological distress has a 1.7-fold higher risk of experiencing cardiovascular disease.…”

Section: Discussionmentioning

confidence: 99%

The Relationship of Psychological Distress and Framingham Score in Population at Risk of Coronary Heart Disease in Malang, Indonesia

et al. 2020

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Objective: The purpose of this study was to analyze the relationship between psychological distress and CHD risk in the next ten years. Methodology: This research was a cross-sectional study carried out on 73 participants in Malang City, Indonesia, from December 2019 to January 2020. The psychological distress assessment was carried out using the DASS 42 instrument. Meanwhile, the assessment of CHD risk was carried out using the Framingham score instrument. Data analysis used the Spearmen Rank Analysis in the SPSS version 16.0 software with a level of significance at p ≤0.05. Results: Most participants had normal psychological distress (56.2%) and a low Framingham score (75.3%). Spearmen correlation between psychological distress and Framingham scores showed a coefficient value of 0.177 with a p-value of 0.134 (p>0.05). This study showed that there was a positive but not significant relationship between psychological distress and Framingham scores. Conclusion: This study shows that psychological distress influences the risk of developing CHD 10 years later. Psychological conditions that are not good can affect physical conditions as well as cardiovascular health. This can provide new insights into the importance of paying attention to a psychological condition. Keywords: cardiovascular disease, coronary heart disease, Framingham risk score, psychological distress, the risk factor

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“… 30 , 31 Women's Heart Clinics (WHCs) have become established in several tertiary institutions in the United States. 32 , 33 , 34 The driver for this model of care is the recognition that heart disease in women has been historically underrecognized and undertreated by health care providers 35 and that women are largely unaware of their risk. 22 However, this health care service is rarely used in other countries and supportive evidence is lacking.…”

mentioning

confidence: 99%

Prevention of Cardiovascular Disease in Women With Pregnancy‐Related Risk Factors: A Prospective Women's Heart Clinic Study

Marschner,

Mukherjee,

Watts

et al. 2023

JAHA

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Background Hypertensive disorders of pregnancy, gestational diabetes, and having a small‐for‐gestational‐age baby are known to substantially increase a woman's risk of cardiovascular disease. Despite this, evidence for models of care that mitigate cardiovascular disease risk in women with these pregnancy‐related conditions is lacking. Methods and Results A 6‐month prospective cohort study assessed the effectiveness of a multidisciplinary Women's Heart Clinic on blood pressure and lipid control in women aged 30 to 55 years with a past pregnancy diagnosis of hypertensive disorders of pregnancy, gestational diabetes, or a small‐for‐gestational age baby in Melbourne, Australia. The co‐primary end points were (1) blood pressure <140/90 mm Hg or <130/80 mm Hg if diabetes and (2) total cholesterol to high‐density lipoprotein cholesterol ratio <4.5. The study recruited 156 women with a mean age of 41.0±4.2 years, 3.9±2.9 years from last delivery, 68.6% White, 20.5% South/East Asian, and 80.5% university‐educated. The proportion meeting blood pressure target increased (69.2% to 80.5%, P =0.004), with no significant change in lipid targets (80.6% to 83.7%, P =0.182). Systolic blood pressure (−6.9 mm Hg [95% CI, −9.1 to −4.7], P <0.001), body mass index (−0.6 kg/m 2 [95% CI, −0.8 to −0.3], P <0.001), low‐density lipoprotein cholesterol (−4.2 mg/dL [95% CI, −8.2 to −0.2], P =0.042), and total cholesterol (−4.6 mg/dL [95% CI, −9.1 to −0.2] P =0.042) reduced. Heart‐healthy lifestyle significantly improved with increased fish/olive oil (36.5% to 51.0%, P =0.012), decreased fast food consumption (33.8% to 11.0%, P <0.001), and increased physical activity (84.0% to 92.9%, P =0.025). Conclusions Women at high risk for cardiovascular disease due to past pregnancy‐related conditions experienced significant improvements in multiple cardiovascular risk factors after attending a Women's Heart Clinic, potentially improving long‐term cardiovascular disease outcomes. Registration URL: https://www.anzctr.org.au ; Unique identifier: ACTRN12622000646741.

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Psychological Distress Among Female Cardiac Patients Presenting to a Women's Heart Health Clinic

Cited by 6 publications

References 27 publications

Prevalence of Anxiety, Depression, and Distress in SCAD and Non-SCAD AMI Patients

Prevalence of Anxiety, Depression, and Distress in SCAD and Non-SCAD AMI Patients

The Relationship of Psychological Distress and Framingham Score in Population at Risk of Coronary Heart Disease in Malang, Indonesia

Prevention of Cardiovascular Disease in Women With Pregnancy‐Related Risk Factors: A Prospective Women's Heart Clinic Study

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