The heart-mind relationship in women cardiovascular primary prevention: the role of depression, anxiety, distress and Type-D personality in the 10-years cardiovascular risk evaluation.

Journal: Frontiers in cardiovascular medicine

Volume: 11

Issue: 

Year of Publication: 

Affiliated Institutions:  Psychology Division, Centro Cardiologico Monzino, IRCCS, Milan, Italy. Department of Interventional Cardiology and Women Heart Center, Centro Cardiologico Monzino, IRCCS, Milan, Italy. Biostatistic Unit, Centro Cardiologico Monzino, IRCCS, Milan, Italy. Applied Research Division for Cognitive and Psychological Science, Istituto Europeo di Oncologia (IEO), European Institute of Oncology IRCCS, Milan, Italy. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Abstract summary 

Cardiovascular diseases are the leading cause of death among women. Prevention programmes underscore the need to address women-specific risk factors. Additionally, mental well-being is a significant aspect to consider when grappling with cardiovascular disease in women, particularly depression, anxiety, distress, and personality traits. This study aimed to create "at-risk" psychological profiles for women without prior cardiovascular disease history and to evaluate the association between anxiety, depression, distress, and Type-D personality traits with increased cardiovascular risk over 10 years.219 women voluntarily participated in the "Monzino Women's Heart Centre" project for primary prevention and early diagnosis of cardiovascular diseases. Psychological profiles were developed utilising cluster analysis.The primary finding indicating that belonging to the "at-risk" psychological cluster was associated with a surge in the 10-year cardiovascular risk prediction score, despite the number of comorbid risk factors (Psychological "at-risk" cluster:  = .0674;  = .006; Risk factors:  = .0199;  = .242).This finding suggests that psychological well-being of women should be assessed from the very beginning of cardiovascular prevention programmes.

Authors & Co-authors:  Giuliani Santagostino Baldi Capra Bonomi Marzorati Sebri Guiddi Montorsi Pravettoni Trabattoni

Study Outcome 

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Statistics
Citations :  Vogel B, Acevedo M, Appelman Y, Bairey Merz CN, Chieffo A, Figtree GA, et al. The lancet women and cardiovascular disease commission: reducing the global burden by 2030. Lancet. (2021) 397(10292):2385–438. 10.1016/S0140-6736(21)00684-X
Authors :  10
Identifiers
Doi : 1308337
SSN : 2297-055X
Study Population
Women
Mesh Terms
Other Terms
Type-D personality;anxiety;cardiovascular prevention;depression;distress;gender medicine
Study Design
Study Approach
Country of Study
Publication Country
Switzerland