Emotional Processing In Patients with Ischemic Heart Diseases
DOI:
https://doi.org/10.3889/oamjms.2018.325Keywords:
IHD, Emotional processing, CVD, Stress, PsychosomaticAbstract
BACKGROUND: Cardiovascular disease is the most prevalent public health problem on a worldwide scale, and ischemic heart disease accounts for approximately one-half of these events in high-income countries. One of the most important risk factors for this disease is mental and psychological especially stressful experiences.
AIM: This research was established to compare emotional processing, as a key factor in stress appraisal, between IHD patients and people with no cardiovascular disease.
METHODS: Using simple sampling, fifty patients were selected from people who diagnosed as IHD in the hospital and referred for treatment after discharging care and treatment. Control group participants were selected as control group peoples, using neighbourhood controls selection. The Emotional Processing Scale was filled by all members of the two groups.
RESULTS: There were significant differences between the two groups on the EPS-25 total scores, as well as on emotional processing dimensions of signs of unprocessed emotion, unregulated emotion; avoidance and impoverished. Also, there was no significant difference between the two groups in the dimension of Suppression. The final step of regression revealed a β of 10.15 and 1.05 for AVO and IEE subscales respectively.
CONCLUSION: The result showed that patients with IHD are using more negative emotional processing styles.
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Yusuf S, Reddy S, Ôunpuu S, Anand S. Global burden of cardiovascular diseases: Part II: variations in cardiovascular disease by specific ethnic groups and geographic regions and prevention strategies. Circulation. 2001; 104(23):2855-64. https://doi.org/10.1161/hc4701.099488 PMid:11733407
Murray CJ, Abraham J, Ali MK, Alvarado M, Atkinson C, Baddour LM, Bartels DH, Benjamin EJ, Bhalla K, Birbeck G, Bolliger I. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. Jama. 2013; 310(6):591-606. https://doi.org/10.1001/jama.2013.13805 PMid:23842577 PMCid:PMC5436627
WHO. Health statistics and information systems. Disease burden. Estimates for 2000–2012 by region, 2013.
WHO. Projections of mortality and causes of death, 2015 and 2030 , 2014.
Kaplan JR, Manuck SB. Ovarian dysfunction and the premenopausal origins of coronary heart disease. Menopause. 2008; 15(4):768-76. https://doi.org/10.1097/gme.0b013e31815eb18e
Kaplan J, Manuck S, Anthony M, Clarkson T. Premenopausal social status and hormone exposure predict postmenopausal atherosclerosis in female monkeys, Obstetrics & Gynecology. 2002; 99(3):381-388. PMid:11864663
Ramadan R, Sheps D, Esteves F, Maziar Zafari A, Douglas Bremner J, Vaccarino V, Quyyumi AA. Myocardial ischemia during mental stress: role of coronary artery disease burden and vasomotion. Journal of the American Heart Association. 2013; 2(5):e000321. https://doi.org/10.1161/JAHA.113.000321 PMid:24145741 PMCid:PMC3835239
Arrighi JA, Burg M, Cohen IS, Kao AH, Pfau S, Caulin-Glaser T, Zaret BL, Soufer R. Myocardial blood-flow response during mental stress in patients with coronary artery disease. The Lancet. 2000356(9226):310-1. https://doi.org/10.1016/S0140-6736(00)02510-1
Shah AJ, Vaccarino V. Psychosocial risk factors and coronary artery disease. In: Psychotherapy for Ischemic Heart Disease. Springer, Cham. 2016:29-44. https://doi.org/10.1007/978-3-319-33214-7_2
Lampert R. Emotion and sudden cardiac death. Expert review of cardiovascular therapy. 2009; 7(7):723-5. https://doi.org/10.1586/erc.09.75 PMid:19589107
Roncella A. and Pristipino C. Psychotherapy for Ischemic Heart Disease Springer International Publishing Switzerland 2016
Proietti R, Mapelli D, Volpe B, Bartoletti S, Sagone A, Dal Bianco L, DalientoLMental stress and ischemic heart disease: evolving awareness of a complex association. Future Cardiol. 2011; 7(3):425-37. https://doi.org/10.2217/fca.11.13 PMid:21627481
Kubzansky LD, Park N, Peterson C, Vokonas P, Sparrow D. Healthy psychological functioning and incident coronary heart disease: the importance of self-regulation. Arch Gen Psychiatry. 2011; 68:400–8. https://doi.org/10.1001/archgenpsychiatry.2011.23 PMid:21464364
Appleton AA, Buka SL, Loucks EB, Rimm EB, Martin LT, Kubzansky LD. A prospective study of positive early-life psychosocial factors and favorable cardiovascular risk in adulthood. Circulation. 2013; 127:905–12. https://doi.org/10.1161/CIRCULATIONAHA.112.115782 PMid:23339873 PMCid:PMC3762221
Pimple P, Shah AJ, Rooks C et al. Angina and mental stress-induced myocardial ischemia. J Psychosom Res. 2015; 78(5):433–437. https://doi.org/10.1016/j.jpsychores.2015.02.007 PMid:25727240 PMCid:PMC4380582
Steptoe A, Brydon L. Emotional triggering of cardiac events. Neuroscience & Biobehavioral Reviews. 2009; 33(2):63-70. https://doi.org/10.1016/j.neubiorev.2008.04.010 PMid:18534677
Backé EM, Seidler A, Latza U, Rossnagel K, Schumann B. The role of psychosocial stress at work for the development of cardiovascular diseases: a systematic review. International archives of occupational and environmental health. 2012; 85(1):67-79. https://doi.org/10.1007/s00420-011-0643-6 PMid:21584721 PMCid:PMC3249533
Lichtman JH, Froelicher ES, Blumenthal JA, Carney RM, Doering LV, Frasure-Smith N, Freedland KE, Jaffe AS, Leifheit-Limson EC, Sheps DS, Vaccarino V. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association. Circulation. 2014:CIR-0000000000000019. https://doi.org/10.1161/CIR.0000000000000019
Meijer A, Conradi HJ, Bos EH et al. Prognostic association of depression following myocardial infarction with mortality and cardiovascular events: a meta-analysis of 25 years of research. Gen Hosp Psychiatry. 2011; 33(3):203–216. https://doi.org/10.1016/j.genhosppsych.2011.02.007 PMid:21601716
Steptoe A, Strike PC, Perkins-Porras L, et al. Acute depressed mood as a trigger of acute coronary syndromes. Biol Psychiatry. 2006; 60(8):837–842. https://doi.org/10.1016/j.biopsych.2006.03.041 PMid:16780810
Burg, M., Benedetto, C., Rosenberg, R., &Soufer, R. Depression prior to CABG predicts6-month and 2-year morbidity and mortality.Psychosomatic Medicine. 2001; 63:103.
Mostofsky E, Maclure M, Tofler GH, Muller JE, Mittleman MA. Relation of outbursts of anger and risk of acute myocardial infarction. The American journal of cardiology. 2013; 112(3):343-8. https://doi.org/10.1016/j.amjcard.2013.03.035 PMid:23642509 PMCid:PMC3753402
Pimple P, Shah A, Rooks C, Bremner JD, Nye J, Ibeanu I, Murrah N, Shallenberger L, Kelley M, Raggi P, Vaccarino V. Association between anger and mental stress–induced myocardial ischemia. American heart journal. 2015; 169(1):115-21. https://doi.org/10.1016/j.ahj.2014.07.031 PMid:25497256 PMCid:PMC4268485
Vaccarino V, Goldberg J, Rooks C, Shah AJ, Veledar E, Faber TL, Votaw JR, Forsberg CW, Bremner JD. Post-traumatic stress disorder and incidence of coronary heart disease: a twin study. Journal of the American College of Cardiology. 2013; 62(11):970-8. https://doi.org/10.1016/j.jacc.2013.04.085 PMid:23810885 PMCid:PMC3823367
Roest AM, Martens EJ, de Jonge P, Denollet J. Anxiety and risk of incident coronary heart disease: a meta-analysis. Journal of the American College of Cardiology. 2010; 56(1):38-46. https://doi.org/10.1016/j.jacc.2010.03.034 PMid:20620715
Nabavizadeh SH, Malekzadeh M, Mousavizadeh A, Shirazi HR, Ghaffari P, Karshenas N, Malekzadeh T, Zoladl M. Retrospective study of factors related to preterm labor in Yasuj, Iran. International journal of general medicine. 2012; 5:1013. PMid:23271920 PMCid:PMC3526874
Mirzaei A, Toori MA, Mirzaei N, Shirazi RG. Antioxidant, antimicrobial and antimutogenic potential of 4 Iranian medicinal plants. Life Sci. J. 2013; 10(7):1085-91.
Sirois BC, Burg MM. Negative emotion and coronary heart disease: A review. Behavior modification. 2003; 27(1):83-102. https://doi.org/10.1177/0145445502238695 PMid:12587262
Mehrabi S, Ghafarian Shirhzi HR, Rasti M. Normal serum prostate specific antigen levels in men in Yasuj province, Islamic Republic of Iran. Eastern Mediterranean Health Journal. 2007; 13(5):1190-4. https://doi.org/10.26719/2007.13.5.1190 PMid:18290413
Manuck SB, Kaplan JR, Clarkson TB. Social instability and coronary artery atherosclerosis incynomolgus monkeys. NeurosciBiobehav Rev. 1983; 7(4):485–491. https://doi.org/10.1016/0149-7634(83)90028-3
Consoli SM, Lemogne C, Roch B, Laurent S, Plouin PF, Lane RD. Differences in emotion processing in patients with essential and secondary hypertension. Am J Hypertens. 2010; 14(5):515–521. https://doi.org/10.1038/ajh.2010.9 PMid:20134404
Potijk MR, Janszky I, Reijneveld SA, Falkstedt D.Risk of Coronary Heart Disease in Men With Poor Emotional Control: A Prospective Study. Psychosom Med. 2016; 78(1):60-7. https://doi.org/10.1097/PSY.0000000000000254 PMid:26569537
Abad NH, Najafi Shala Doulatabad AM, Srazi HR. Treatment of Visual Hallucinations in Schizophrenia by Acetylcholinesterase Inhibitors: a case report. Iranian journal of psychiatry. 2011; 6(4):161. PMid:22952543 PMCid:PMC3395955
http://emotionalprocessing.org/definitions/ available 15/12/2017
Rachman S. Unwanted intrusive images in obsessive compulsive disorders. J Behav Ther Exp Psychiatry. 2007; 38(4):402-10. https://doi.org/10.1016/j.jbtep.2007.10.008 PMid:18054779
Rachman S. Emotional processing, with special reference to post-traumatic stress disorder. International Review of Psychiatry. 2001; 13(3):164-71. https://doi.org/10.1080/09540260120074028
Baker R, Holloway J, Thomas PW, Thomas S, Owens M. Emotional processing and panic. Behaviour Research and Therapy. 2004; 42(11):1271-87. https://doi.org/10.1016/j.brat.2003.09.002 PMid:15381438
Ali M, Nazir H, Banafshe A, Mohsen M, Fateme G, Hamidreza GS. Prevalence of dementia in Boyerahmad county of Iran. Life Science Journal-Acta Zhengzhou University Overseas Edition. 2012; 9(3):1312-4.
Brosschot JF, Aarsse HR. Restricted emotional processing and somatic attribution in fibromyalgia. The International Journal of Psychiatry in Medicine. 2001; 31(2):127-46. https://doi.org/10.2190/K7AU-9UX9-W8BW-TETL PMid:11760858
Brooks SK, Chalder T, Rimes KA. Chronic Fatigue Syndrome: Cognitive, Behavioural and Emotional Processing Vulnerability Factors. Behav Cogn Psychother. 2017; 45(2):156-169. https://doi.org/10.1017/S1352465816000631 PMid:28098051
Mayall C, Esteves J. Emotional processing and its contribution to chronic lower back pain –a pilot study. Platform Presentation at International Conference on Advances in Osteopathic Research. Italian College of Osteopathic Medicine, 2010. PMCid:PMC2976618
Verissimo R, Mota-Cardoso R, Taylor G. Relationships between alexithymia, emotional control, and quality of life in patients with inflammatory bowel disease. Psychotherapy and psychosomatics. 1998; 67(2):75-80. https://doi.org/10.1159/000012263 PMid:9556198
Mazaheri M, Afshar H, Weinland S, Mohammadi N, Adibi P. Alexithymia and functional gastrointestinal disorders (FGID). Med Arh. 2012; 66(1):28-32. https://doi.org/10.5455/medarh.2012.66.28-32 PMid:22482339
Weihs KL, Enright TM, Simmens SJ. Close relationships and emotional processing predict decreased mortality in women with breast cancer: preliminary evidence. Psychosom Med. 2008; 70(1):117-24. https://doi.org/10.1097/PSY.0b013e31815c25cf PMid:18158376
Gremigni P, Santanastaso M. The emotional processing scale in Italy. In: Denollet J, Gidron Y, NyklÃÄek I, Vingerhoets A, editors. Proceedings of the Fourth International Conference on the (Non)Expression of Emotions in Health and Disease. the Netherlands: Tilburg, 2007; 131.
Greenberg LS, Pascual-Leone A. Emotion in psychotherapy: A practice-friendly research review.Journal of Clinical Psychology: In Session. 2006; 62:611–630. https://doi.org/10.1002/jclp.20252 PMid:16523500
Gay M-C, Bungener C, Thomas S, Vrignaud P, Thomas PW, Baker R, Montel S, Heinzlef O, Papeix C, Assouad R, Montreuil M. Anxiety, motional processing and depression in people with multiple sclerosis. BMC Neurology. 2017; 17:43-5. https://doi.org/10.1186/s12883-017-0803-8 PMid:28231828 PMCid:PMC5324294
Low CA, Stanton AL, Bower JE. Effects of acceptance-oriented versus evaluative emotional processing on heart rate recovery and habituation. Emotion. 2008; 8(3):419. https://doi.org/10.1037/1528-3542.8.3.419 PMid:18540758
Baker R, Thomas S, Thomas PW, Owens M. Development of an emotional processing scale. Journal of Psychosomatic Research. 2007; 62(2):167-78. https://doi.org/10.1016/j.jpsychores.2006.09.005 PMid:17270575
Baker R, Thomas S, Thomas PW, Gower P, Santonastaso M, Whittlesea A. The Emotional Processing Scale: scale refinement and abridgement (EPS-25). Journal of psychosomatic research. 2010; 68(1):83-8. https://doi.org/10.1016/j.jpsychores.2009.07.007 PMid:20004304
Hashemi SN, Shirazi HG, Mohammadi A, Zadeh-Bagheri GH, Noorian KH, Malekzadeh M. Nortriptyline versus fluoxetine in the treatment of major depressive disorder: a six-month, double-blind clinical trial. Clinical pharmacology: advances and applications. 2012; 4:1. PMid:22359466 PMCid:PMC3284259
Field A. Discovering statistics using SPSS. Sage publications; 2009.
Isasi CR, Ostrovsky NW, Wills TA. The association of emotion regulation with lifestyle behaviors in inner-city adolescents. Eat Behav 2013; 14:518–21. https://doi.org/10.1016/j.eatbeh.2013.07.009 PMid:24183148 PMCid:PMC3817414
Pressman SD, Cohen S. Does positive affect influence health? Psychol Bull. 2005; 131(6):925-971. https://doi.org/10.1037/0033-2909.131.6.925 PMid:16351329
Steptoe A, Wardle J, Marmot M. Positive affect and health-related neuroendocrine, cardiovascular, and inflammatory processes. Proc Natl Acad Sci U S A. 2005; 102(18):6508-6512. https://doi.org/10.1073/pnas.0409174102 PMid:15840727 PMCid:PMC1088362
Steptoe A, Wardle J. Positive affect and biological function in everyday life. Neurobiol Aging. 2005; 26(1):108-112. https://doi.org/10.1016/j.neurobiolaging.2005.08.016 PMid:16213629
Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of personality and social psychology. 2003; 85(2):348. https://doi.org/10.1037/0022-3514.85.2.348
Haukkala A, Konttinen H, Laatikainen T, Kawachi I, Uutela A. Hostility, anger control, and anger expression as predictors of cardiovascular disease. Psychosom Med. 2010; 72:556–62. https://doi.org/10.1097/PSY.0b013e3181dbab87 PMid:20410251
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