Facial emotion expression and the inducibility of myocardial ischemia during Cardiac stress testing
| Autor: | Maria T, Bekendam, Paula M C, Mommersteeg, Ilse A C, Vermeltfoort, Jos W, Widdershoven, Willem J, Kop |
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| Přispěvatelé: | Cognitive Neuropsychology, Medical and Clinical Psychology |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
DS14=14-item Type D Personality Scale Happiness D PERSONALITY OR = odds ratio GENERALIZED ANXIETY DISORDER facial emotion expression emotions psychological factors CI = confidence interval TPD = total perfusion defect Humans ANGER CORONARY-HEART-DISEASE CARDIOVASCULAR EVENTS NEGATIVE AFFECTIVITY Applied Psychology Aged LOT = Life Orientation Test SI = social inhibition MORTALITY CST = cardiac stress testing cardiac stress testing PREDICTIVE-VALUE Facial Expression SOCIAL INHIBITION Psychiatry and Mental health myocardial ischemia NA = negative affect PHQ-9=Patient Health Questionnaire-9 RISK-FACTORS Female Stress Psychological |
| Zdroj: | Psychosomatic Medicine, 84(5), 588-596. Lippincott Williams and Wilkins |
| ISSN: | 0033-3174 |
| DOI: | 10.1097/PSY.0000000000001085 |
| Popis: | Objective Negative emotional states, such as anger and anxiety, are associated with the onset of myocardial infarction and other acute clinical manifestations of ischemic heart disease. The likelihood of experiencing these short-term negative emotions has been associated with long-term psychological background factors such as depression, generalized anxiety, and personality factors. We examined the association of acute emotional states preceding cardiac stress testing (CST) with inducibility of myocardial ischemia and to what extent psychological background factors account for this association. Methods Emotional states were assessed in patients undergoing CST (n = 210; mean [standard deviation] age = 66.9 [8.2] years); 91 (43%) women) using self-report measures and video recordings of facial emotion expression. Video recordings were analyzed for expressed anxiety, anger, sadness, and happiness before CST. Psychological background factors were assessed with validated questionnaires. Single-photon emission computed tomography was used to evaluate inducibility of ischemia. Results Ischemia occurred in 72 patients (34%). Emotional states were not associated with subsequent inducibility of ischemia during CST (odds ratio between 0.93 and 1.04; p values > .50). Psychological background factors were also not associated with ischemia (odds ratio between 0.96 and 1.06 per scale unit; p values > .20) and did not account for the associations of emotional states with ischemia. Conclusions Emotional states immediately before CST and psychological background factors were not associated with the inducibility of ischemia. These findings indicate that the well-documented association between negative emotions with acute clinical manifestations of ischemic heart disease requires a different explanation than a reduced threshold for inducible ischemia. |
| Databáze: | OpenAIRE |
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