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26-03-2016 | Uitgave 4/2016

Psychosocial predictors of long-term mortality among women with suspected myocardial ischemia: the NHLBI-sponsored Women’s Ischemia Syndrome Evaluation

Tijdschrift:: Journal of Behavioral Medicine > Uitgave 4/2016

Auteurs:: Thomas Rutledge, Tanya S. Kenkre, Diane V. Thompson, Vera A. Bittner, Kerry Whittaker, Jo-Ann Eastwood, Wafia Eteiba, Carol E. Cornell, David S. Krantz, Carl J. Pepine, B. Delia Johnson, Eileen M. Handberg, C. Noel Bairey Merz

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Abstract

This paper evaluated long-term associations between psychosocial factors and premature mortality among women with suspected coronary artery disease (CAD). We tracked total mortality events over a median 9.3 years in a cohort of 517 women [baseline mean age = 58.3 (11.4) years]. Baseline evaluations included coronary angiography, psychosocial testing, and CAD risk factors. Measures included the Spielberger Trait Anxiety Scale, Beck Depression Inventory, self-rated health, and Social Network Index. Cox regression analysis was used to assess relationships. Covariates included age, CAD risk factors, and CAD severity. BDI scores (HR 1.09, 95 % CI 1.02–1.15), STAI scores (HR .86, 95 % CI .78–.93), and very good self-rated health (relative to the poor self-rated health group; HR .33, 95 % CI .12–.96) each independently predicted time to mortality outcomes in the combined model. SNI scores (HR .91, 95 % CI .81–1.06) and other self-rated health categories (i.e., fair, good, and excellent categories) were not significant mortality predictors after adjusting for other psychosocial factors. These results reinforce and extend prior psychosocial research in CAD populations.

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Titel: Psychosocial predictors of long-term mortality among women with suspected myocardial ischemia: the NHLBI-sponsored Women’s Ischemia Syndrome Evaluation
Auteurs:: Thomas Rutledge
Tanya S. Kenkre
Diane V. Thompson
Vera A. Bittner
Kerry Whittaker
Jo-Ann Eastwood
Wafia Eteiba
Carol E. Cornell
David S. Krantz
Carl J. Pepine
B. Delia Johnson
Eileen M. Handberg
C. Noel Bairey Merz
Publicatiedatum: 26-03-2016
DOI: https://doi.org/10.1007/s10865-016-9737-7
Uitgeverij: Springer US
Tijdschrift: Journal of Behavioral Medicine
Uitgave 4/2016
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521

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