Associations between Emotional Distress and Coronary Heart Disease: Analysis of National Health Interview Survey 2008-2009

2.50
Hdl Handle:
http://hdl.handle.net/10755/603295
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Associations between Emotional Distress and Coronary Heart Disease: Analysis of National Health Interview Survey 2008-2009
Other Titles:
Emotional Distress for those Afflicted with Cardiovascular Issues [Session]
Author(s):
Hill, Alethea N.
Lead Author STTI Affiliation:
Zeta Gamma
Author Details:
Alethea N. Hill, RN, ACNP-BC, ANP-BC, ahill@southalabama.edu
Abstract:
Session presented on Monday, November 9, 2015: Background:  Studies investigating psychological factors have shown that negative emotions independently influence coronary heart disease (CHD) outcomes, contribute to decreased quality of life, poor prognosis, and decreased medication adherence.  Extant comorbidities, such as diabetes, obesity, hypertension and inadequate sleep are significant correlates of CHD. Yet, the research that has been conducted to distinguish what proportion is independently attributable to these factors lacks consensus. Methods: In a cross-sectional study using a nationally representative sample, we examined the independent associations between emotional distress and CHD among 25, 352 adults from the National Health Interview Survey (2008-2009).  Relationships were examined using a multivariate hierarchical logistic regression model controlling for sociodemographic variables, self-reported physician diagnosed medical history, sleep duration, emotional distress, and health behaviors. Results:  The overall prevalence of participants reporting CHD from the NHIS data was 5.1%, of which 75.2 % self-reported hypertension, 30.5% diabetes, 26.6% <6 or >9 hrs of sleep and 16.4% emotional distress.  While the least prevalent self-reported condition at baseline, analysis revealed individuals reporting emotional distress had an estimated two-fold increased risk for CHD [OR = 2.00 95% CI: 2.00-2.01; p<0.0001]. The estimated risk of CHD for participants reporting diabetes and inadequate sleep were increased by 84% and 14%, respectively.  Conclusion:  In this study, emotional distress confers significant risk for CHD beyond traditional risk factors, such as diabetes and obesity. Our findings suggest that clinicians should work with their patients to promote emotional vitality and wellness to blunt the negative impact emotional distress has on cardiovascular health and refer for mental health services when appropriate.
Keywords:
emotional distress; coronary heart disease; cardiovascular risk
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15E18
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleAssociations between Emotional Distress and Coronary Heart Disease: Analysis of National Health Interview Survey 2008-2009en
dc.title.alternativeEmotional Distress for those Afflicted with Cardiovascular Issues [Session]en
dc.contributor.authorHill, Alethea N.en
dc.contributor.departmentZeta Gammaen
dc.author.detailsAlethea N. Hill, RN, ACNP-BC, ANP-BC, ahill@southalabama.eduen
dc.identifier.urihttp://hdl.handle.net/10755/603295en
dc.description.abstractSession presented on Monday, November 9, 2015: Background:  Studies investigating psychological factors have shown that negative emotions independently influence coronary heart disease (CHD) outcomes, contribute to decreased quality of life, poor prognosis, and decreased medication adherence.  Extant comorbidities, such as diabetes, obesity, hypertension and inadequate sleep are significant correlates of CHD. Yet, the research that has been conducted to distinguish what proportion is independently attributable to these factors lacks consensus. Methods: In a cross-sectional study using a nationally representative sample, we examined the independent associations between emotional distress and CHD among 25, 352 adults from the National Health Interview Survey (2008-2009).  Relationships were examined using a multivariate hierarchical logistic regression model controlling for sociodemographic variables, self-reported physician diagnosed medical history, sleep duration, emotional distress, and health behaviors. Results:  The overall prevalence of participants reporting CHD from the NHIS data was 5.1%, of which 75.2 % self-reported hypertension, 30.5% diabetes, 26.6% <6 or >9 hrs of sleep and 16.4% emotional distress.  While the least prevalent self-reported condition at baseline, analysis revealed individuals reporting emotional distress had an estimated two-fold increased risk for CHD [OR = 2.00 95% CI: 2.00-2.01; p<0.0001]. The estimated risk of CHD for participants reporting diabetes and inadequate sleep were increased by 84% and 14%, respectively.  Conclusion:  In this study, emotional distress confers significant risk for CHD beyond traditional risk factors, such as diabetes and obesity. Our findings suggest that clinicians should work with their patients to promote emotional vitality and wellness to blunt the negative impact emotional distress has on cardiovascular health and refer for mental health services when appropriate.en
dc.subjectemotional distressen
dc.subjectcoronary heart diseaseen
dc.subjectcardiovascular risken
dc.date.available2016-03-21T16:47:30Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:47:30Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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