scholarly journals Psychological resilience predicting cardiometabolic conditions in adulthood in the Midlife in the United States Study

2021 ◽  
Vol 118 (32) ◽  
pp. e2102619118
Author(s):  
Kristen M. Nishimi ◽  
Karestan C. Koenen ◽  
Brent A. Coull ◽  
Ruijia Chen ◽  
Laura D. Kubzansky
Keyword(s):  
United States ◽  
Psychological Health ◽  
Cardiometabolic Risk ◽  
Psychological Symptoms ◽  
The United States ◽  
Cardiometabolic Health ◽  
Early Adversity ◽  
Psychological Resilience ◽  
Healthy Sample ◽  
Secondary Analyses

Early adversity is associated with poor cardiometabolic health, potentially via psychological distress. However, not everyone exposed to adversity develops significant distress. Psychological resilience and positive psychological health despite adversity may protect against unfavorable cardiometabolic outcomes that are otherwise more likely. We examined early adversity, psychological resilience, and cardiometabolic risk among 3,254 adults in the Midlife in the United States Study. Psychological resilience was defined according to both early psychosocial adversity and adult psychological health (characterized by low distress and high wellbeing) at Wave 1 (1994 to 1995). Categorical resilience was derived by cross-classifying adversity (exposed versus unexposed) and psychological health (higher versus lower). We also assessed count of adversities experienced and psychological symptoms as separate variables. Incident cardiometabolic conditions (e.g., heart attack, stroke, and diabetes) were self-reported at Waves 2 (2004 to 2005) and 3 (2013 to 2014). Secondary analyses examined biological cardiometabolic risk using a composite of biomarkers available within a Wave-2 subsample. Logistic and Poisson regressions evaluated associations of resilience with cardiometabolic health across 20 follow-up y, adjusting for relevant covariates. In this initially healthy sample, nonresilient (adversity-exposed, lower psychological health) versus resilient (adversity-exposed, high psychological health) individuals had 43% higher odds of cardiometabolic conditions (95% CI 1.10 to 1.85). Odds of cardiometabolic conditions were similar among resilient versus unexposed, psychologically healthy individuals. More adversity experiences were associated with increased odds, while better psychological health with decreased odds of cardiometabolic conditions, and effects were largely independent. Patterns were similar for objectively assessed cardiometabolic risk. Psychological resilience in midlife may protect against negative cardiometabolic impacts of early adversity.

Importance of Behavioral and Psychological Symptoms of Dementia in Primary Care

2000 ◽  
Vol 12 (S1) ◽  
pp. 67-72 ◽  
Author(s):  
William H. Coleman
Keyword(s):  
United States ◽  
Primary Care ◽  
Psychological Distress ◽  
Direct Relationship ◽  
Psychological Symptoms ◽  
The United States ◽  
Comprehensive Treatment ◽  
The Cost ◽  
Number Of Individuals ◽  
Behavioral And Psychological Symptoms

There is a direct relationship between years lived beyond age 65 and the number of individuals diagnosed with dementia, primarily Alzheimer's disease (AD). The occurrence of AD has no socioeconomic, geographical, or ethnic limitations. The problem is worldwide. Its magnitude is demonstrated by the following facts: (a) approximately 6% to 8% of persons 65 years or older have AD, and the prevalence of the disease doubles each 5 years after 60 years of age; (b) 30% of 85-year-old individuals can be expected to have the disease; (c) AD affects an estimated 4 million people in the United States, and is expected to affect approximately 14 million Americans within the next few decades; (d) AD patients average 6 to 10 years of comprehensive treatment from symptom onset to death; (e) AD is the fourth leading cause of mortality among elderly Americans, more than 100,000 each year; (f) caregiver attempts at management of the behavioral and psychological symptoms of AD result in up to 50% developing significant psychological distress themselves; and (g) the cost for the management of AD patients is estimated to be between US $80 billion and US $120 billion annually. Primary care is essential for the appropriate diagnosis and treatment of the complex set of behavioral and psychological symptoms of dementia (BPSD) associated with AD.

Can We Change the Culture to Promote Psychological Health?

Mood Prep 101 ◽  
2020 ◽  
pp. 255-266
Author(s):  
Carol Landau
Keyword(s):  
Mental Health ◽  
United States ◽  
Young People ◽  
Psychological Health ◽  
The United States ◽  
Psychological Problems ◽  
College Application ◽  
Individual Achievement ◽  
The Way

All of the issues in this book take place in the context of a competitive, overly individualistic environment. Many educators and journalists have suggested that this is stressful to students. A study of stress in in the United States confirms that students view college application stress as detrimental to their mental health. This chapter suggests that it is incumbent upon parents and educators to lead the way in reducing the pressure, to focus more on collaboration and less on competition and individual achievement. At the same time, we need to reduce the stigma of psychological problems in order to be more humane and to encourage young people to get help when they need it.

scholarly journals Productivity Costs Associated with Cardiometabolic Risk Factor Clusters in the United States

2007 ◽  
Vol 10 (6) ◽  
pp. 443-450 ◽  
Author(s):  
Patrick W. Sullivan ◽  
Vahram Ghushchyan ◽  
Holly R. Wyatt ◽  
Eric Q. Wu ◽  
James O. Hill
Keyword(s):  
United States ◽  
Risk Factor ◽  
Cardiometabolic Risk ◽  
The United States ◽  
Cardiometabolic Risk Factor ◽  
Productivity Costs

scholarly journals Sex Differences in the Heritability of Resilience

2008 ◽  
Vol 11 (1) ◽  
pp. 12-27 ◽  
Author(s):  
Jason D. Boardman ◽  
Casey L. Blalock ◽  
Tanya M. M. Button
Keyword(s):  
United States ◽  
Positive Affect ◽  
Psychological Functioning ◽  
The United States ◽  
Psychological Resilience ◽  
Dizygotic Twin ◽  
Same Sex ◽  
Men And Women ◽  
Environmental Mastery ◽  
Exhaustive List

AbstractWe examine the heritability of psychological resilience among US adults aged 25 to 74 years. Using monozygotic and same sex dizygotic twin pairs from the National Survey of Mid-Life Development in the United States (MIDUS) we show that positive affect is equally heritable among men (h2= .60) and women (h2= .59). We then estimate the heritability of positive affect after controlling for an exhaustive list of social and inter-personal stressors, and we operationalize the residual for positive affect as resilience. According to this specification, the heritability of resilience is higher among men (h2= .52) compared to women (h2= .38). We show that self-acceptance is one of the most important aspects of psychological functioning that accounts for the heritability of resilience among both men and women. However, compared to women, men appear to derive additional benefits from environmental mastery that may enable otherwise sex-neutral resilient tendencies to manifest.

scholarly journals Employer costs of mental health claims and how psychologically healthy workplaces align with successful DM programs

2014 ◽  
Vol 9 ◽  
Author(s):  
Wendy Coduti
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Illness ◽  
Emotional Disorders ◽  
Psychological Health ◽  
Work Performance ◽  
The United States ◽  
Health Claims ◽  
Future Research ◽  
The Impact

Mental health (MH) and disability management (DM) businesses and DM professionals are proficient at addressing employee physical health, yet promoting employee MH is often ignored. Individuals claiming long-term disability (LTD), 85% identified MH conditions as their primary disability (Carls et al., 2012). Mental health LTD expenses are often higher due to longer recovery and challenges in return to work (Salkever, Goldman, Purushothaman, & Shinogle, 2000). Financial burdens of depression, anxiety, and emotional disorders are among the greatest of any disease condition in the workforce (Johnston et al., 2009). Globally, a fifth to a quarter of employees go to work everyday with a mental illness (Lorenzo-Romanella, 2011). Health care research has shown the impact of mental illness on work performance, however many employers and researchers are unaware of the value quality MH care has on employees and costs (Langlieb, & Kahn, 2005). The American Psychological Association (APA) identified five categories of workplace practices that promote psychological health in employees including: employee involvement; work-life balance; employee growth and development; health and safety; and employee recognition (APA, 2014). Organizational benefits of the five elements include: improved quality, performance and productivity; reduced absenteeism, presenteeism and turnover; fewer accidents and injuries; improved ability to attract and retain quality employees; improved customer service and satisfaction; and lower healthcare costs (APA, 2014). The presenters will discuss employer costs of MH claims and how psychologically healthy workplaces align with successful DM programs, decreasing MH claims and costs. Opportunities for future research include the United States Affordable Care Act (ACA) and its impact on MH (Mechanic, 2012) through provisions that encourage employers to adopt health promotion programs (Goetzel et al., 2012) and opportunities for research including comparisons of multinational employers regarding MH costs in countries with single payer systems, and in those without (United States), (Tanner, 2013).

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