Ideal cardiovascular health and psychosocial risk factors among Finnish female municipal workers

Aims: Ideal cardiovascular health has been defined by the American Heart Association as the absence of disease and the presence of seven key health factors and behaviours. However, little is known about the mental aspects associated with ideal cardiovascular health metrics. The objective of this study was to assess the relationships between psychosocial risk factors and ideal cardiovascular health metrics among Finnish women at municipal work units. Method: A cross-sectional study was conducted in Finland among 732 female employees (mean±SD age 48±10 years) from ten work units in 2014. Ideal cardiovascular health metrics were evaluated with a physical examination, laboratory tests, medical history and self-administrated questionnaires. Psychosocial risk factors (social isolation, stress, depressive symptoms, anxiety, hostility and type D personality) were assessed with core questions as suggested by the European Society of Cardiology. Results: The prevalence of having 5–7 ideal cardiovascular health metrics was 183 (25.0%), of whom 54.1% had at least one psychosocial risk factor. Anxiety (31.3%), work stress (30.7%) and type D personality (26.1%) were the most prevalent of the psychosocial risk factors. The prevalence of depressive symptoms ( p<0.001) and type D personality ( p=0.049) decreased linearly according to the sum of ideal cardiovascular health metrics after adjustment for age and years of education. Conclusions: Even women with good cardiovascular health are affected by psychosocial risk factors at municipal work units. Although the association is possibly bidirectional, screening and treating depression and dealing with type D personality might be crucial in improving cardiovascular health among women.

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Physical and mental health factors associated with work engagement among Finnish female municipal employees: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-017303 ◽

2017 ◽

Vol 7 (10) ◽

pp. e017303

Author(s):

Veera Veromaa ◽

Hannu Kautiainen ◽

Päivi Elina Korhonen

Keyword(s):

Mental Health ◽

Risk Factors ◽

Work Engagement ◽

Cross Sectional Study ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Psychosocial Risk Factor ◽

Physical And Mental Health ◽

Cross Sectional ◽

Mental Health Factors

ObjectivesWork engagement is related to mental health, but studies of physical health’s association with work engagement are scarce. This study aims to evaluate the relationship between physical health, psychosocial risk factors and work engagement among Finnish women in municipal work units.MethodsA cross-sectional study was conducted in 2014 among 726 female employees from 10 municipal work units of the city of Pori, Finland. Work engagement was assessed with the nine-item Utrecht Work Engagement Scale. The American Heart Association’s concept of ideal cardiovascular health (CVH) was used to define physical health (non-smoking, body mass index <25.0 kg/m2, physical activity at goal, healthy diet, total cholesterol <5.18mmol/L, blood pressure <120/80 mm Hg, normal glucose tolerance). Psychosocial risk factors (social isolation, stress, depressive symptoms, anxiety, hostility and type D personality) were included as core questions suggested by 2012 European Guidelines on cardiovascular disease prevention.ResultsOf the study subjects, 25.2% had favourable 5–7 CVH metrics. The sum of CVH metrics, healthy diet and physical activity at goal were positively associated with work engagement. In subjects without psychosocial risk factors (36.7%), work engagement was high and stable. Presence of even one psychosocial risk factor was associated with a lower level of work engagement regardless of the sum of ideal CVH metrics.ConclusionsBoth physical and mental health factors have a positive relationship with work engagement, whereas the presence of even one psychosocial risk factor has a negative association regardless of the level of classic cardiovascular risk factors.

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Obstetric and psychosocial risk factors for depressive symptoms during pregnancy

Psychiatry Research ◽

10.1016/j.psychres.2012.04.017 ◽

2012 ◽

Vol 200 (2-3) ◽

pp. 323-328 ◽

Cited By ~ 14

Author(s):

Robert B. Dudas ◽

Sarolta Csatordai ◽

Iván Devosa ◽

Annamária Töreki ◽

Bálint Andó ◽

...

Keyword(s):

Risk Factors ◽

Depressive Symptoms ◽

Psychosocial Risk Factors ◽

Psychosocial Risk

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Prevalence of Depressive Symptoms and Associated Psychosocial Risk Factors among French University Students: the Moderating and Mediating Effects of Resilience

Psychiatric Quarterly ◽

10.1007/s11126-020-09812-8 ◽

2020 ◽

Author(s):

Cyrille Kossigan Kokou-Kpolou ◽

Askar Jumageldinov ◽

Sunyoung Park ◽

Nicolas Nieuviarts ◽

Pari-Gole Noorishad ◽

...

Keyword(s):

Risk Factors ◽

Depressive Symptoms ◽

University Students ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Mediating Effects

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Abstract P282: Depressive Symptoms Are Associated with Worsening of Arterial Stiffness With Mental Stress

Circulation ◽

10.1161/circ.129.suppl_1.p282 ◽

2014 ◽

Vol 129 (suppl_1) ◽

Author(s):

Pratik M Pimple ◽

Amit J Shah ◽

Cherie Rooks ◽

J. Douglas Bremner ◽

Ijeoma Ibeanu ◽

...

Keyword(s):

Risk Factors ◽

Depressive Symptoms ◽

Arterial Stiffness ◽

Trait Anxiety ◽

Mental Stress ◽

Pulse Wave ◽

Psychosocial Risk Factors ◽

The State ◽

Psychosocial Risk ◽

Trait Anger

Introduction: Arterial stiffness is an important marker of cardiovascular risk which worsens with acute mental stress. Psychological conditions, particularly depression, have been linked to recurrent cardiac events and death, but the mechanisms are unclear. We examined whether depressive symptoms, anxiety and anger worsen arterial stiffness induced by mental stress. Methods: In 81 subjects with a history of MI in the previous 6 months, we used the SphygmoCor® Pulse Wave Velocity system at rest and 60 minutes after a standardized psychological stress (via speech task) and after a conventional physical (exercise or pharmacological) stress test. The central augmentation index (CAIx) was derived by pulse wave analysis software and the difference between CAIx after each stress condition and the respective resting phase was calculated. Depressive symptoms were assessed with the Beck Depression Inventory-II (BDI-II), state and trait anxiety with the State-Trait Anxiety Inventory (STAI), and state and trait anger with the State-Trait Anger Expression Inventory (STAXI-II). Linear regression models were used to model the association between change in CAIx with each stress (dependent variable) and BDI total score, anxiety and anger subscales as individual predictors, adjusting for potential confounding factors. Results: Forty-one subjects were ≤ 50 years of age, 41 were female and 46 were non-white. Systolic and diastolic blood pressure and heart rate significantly increased in response to mental stress (48 ± 23 and 30 ± 13 (mmHg), and 28 ± 18 (bpm); p<0.001 for each), but this increase was not related to psychosocial risk factors. None of the psychosocial risk factors were associated with baseline/resting phase CAix. In unadjusted analysis, BDI total score, trait anger and trait anxiety were all significantly associated with an increase in CAIx with mental stress. After adjustment for demographic factors, CAD risk factors, CAD severity, and hemodynamic changes induced by mental stress, each 1-point increase in the BDI total score was associated with 0.34 units increase in mental stress-induced change in CAIx (95% CI: 0.10 - 0.57, p=0.005). The association did not persist for trait anger and anxiety, however. None of the psychological factors were related to changes in CAIx induced by physical stress. Conclusion: Higher depressive, but not anxiety or anger symptoms are associated with an increase in arterial stiffness during mental stress. This finding may provide a mechanistic link for the association between depression and adverse cardiovascular outcomes.

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Abstract 16569: Psychosocial Risk Factors for Depression in Women With Myocardial Infarction: Mindfulness and Rumination

Circulation ◽

10.1161/circ.142.suppl_3.16569 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Sarah H Sperber ◽

Zoe T Duberstein ◽

Jolaade Kalinowski ◽

Harmony R Reynolds ◽

Jeffrey S Berger ◽

...

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Depressive Symptoms ◽

Pearson Correlation ◽

Multivariable Analysis ◽

Antidepressant Medication ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Financial Strain ◽

Five Facet Mindfulness Questionnaire

Introduction: Depression is associated with adverse health outcomes in women with myocardial infarction (MI). Little is known about modifiable psychosocial risk factors for depression in this population. We analyzed baseline data from an ongoing multicenter clinical trial to test the hypothesis that depressive symptom severity is associated with low mindfulness and high rumination, two psychosocial factors targeted by the mindfulness-based cognitive therapy (MBCT) program being tested. Methods: Women with MI reporting elevated stress levels ≥2 months post-MI are eligible for the trial. Participants complete baseline measures including demographics, medical history and validated measures of depressive symptoms (Patient Health Questionnaire [PHQ-9]), mindfulness (Five Facet Mindfulness Questionnaire [FFMQ]), rumination (Rumination-Reflection Questionnaire [RRQ]) and disease-specific quality of life (Seattle Angina Questionnaire [SAQ-7]). Pearson correlation coefficients and multivariable linear regression were used to identify correlates of baseline depressive symptoms. Results: The 127 participants had a mean age of 60.0 years (SD=12.8); 33.1% were racial or ethnic minorities and 16.5% were participating in cardiac rehabilitation. The mean PHQ-9 score was 7.5 (SD=4.7), 31.5% of participants had elevated depressive symptoms (PHQ-9≥10) and 23.6% were taking antidepressant medication. In univariate analyses, higher depressive symptoms were associated with higher rumination (r=.412, p<.001) and lower mindfulness (r=-.370, p<.001). In multivariable analysis, higher depressive symptoms were associated with higher rumination (B=.253, p=.005), financial strain (B=.180, p=.02), lower SAQ score (B=-.269, p=.001) and use of antidepressant medication (B=.283, p<.001). Mindfulness, age, race/ethnicity, marital status and cardiac rehab were not associated. Conclusions: About one-third of women reported clinically significant depressive symptoms after acute recovery from MI. Higher depressive symptoms were independently associated with higher levels of rumination. Future analyses will test whether hypothesized effects of MBCT on depression in post-MI women are mediated by reductions in negative thought patterns.

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Type D personality and metabolic syndrome among Finnish female municipal workers

BMC Women s Health ◽

10.1186/s12905-020-01052-z ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Susa Majaluoma ◽

Tellervo Seppälä ◽

Hannu Kautiainen ◽

Päivi Korhonen

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Metabolic Syndrome ◽

Depressive Symptoms ◽

Leisure Time Physical Activity ◽

Type D Personality ◽

Female Population ◽

Type D ◽

Working Age ◽

The Relationship

Abstract Background Type D personality is a combination of high negative affectivity (NA) and high social inhibition (SI). This personality trait is suspected to impair cardiovascular patients’ recovery. The 2016 European Guidelines on cardiovascular disease prevention in clinical practice recommend screening of psychosocial risk factors as Type D personality. The aim of this study was to assess the relationship between Type D personality and Metabolic syndrome (MetS) in working-age female population. Methods Six hundred thirty-four female employees with mean age of 48 ± 10 years were evaluated. Type D personality and its components (NA) and (SI) were screened with DS14 questionnaire. The definition of MetS was based on measurements done by trained medical staff. We investigated the relationship between Mets and Type D personality, NA and SI using the logistic regression models adjusting for age, education years, leisure-time physical activity, smoking, alcohol use and depressive symptoms. Results The prevalence of Type D personality was 10.6% (n = 67) [95% CI: 8.3 to 13.2] and MetS 34.7% (n = 220). Type D personality or its subcomponents were not associated with MetS. Women with Type D personality had significantly worse quality of sleep and lower LTPA. They were also more often unsatisfied with their economic situation, they had more often depressive symptoms and psychiatric disorders than non-D type persons. There were no differences in risk factors for cardiovascular diseases. Conclusion Screening for Type D personality among working- age, reasonably healthy female population seems not to be practical method for finding persons with risk for cardiovascular disease.

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