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Susinski S, Bouchard K, Stragapede E, Dozois S, Sterling E, Tulloch H. Psychological interventions targeting mental health and stress among females with cardiac disease: a scoping review. Can J Physiol Pharmacol 2024. [PMID: 38587177 DOI: 10.1139/cjpp-2023-0416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/09/2024]
Abstract
Interventions that target mental health symptoms and stress among those with established cardiac disease have included predominately male samples despite female patients reporting greater severity of these symptoms. The aim of this scoping review was to synthesize the published literature on psychological interventions for females with cardiac disease. We conducted a systematic search of peer-reviewed randomized clinical trials (RCTs) published in the English language from 2003 to 2023, in three databases: Medline (Ovid), PsycInfo (Ovid), and CINAHL (EBSCO). Articles that included female samples, a control or comparison group, implemented psychological interventions, and measured depression, anxiety, or stress as an outcome were included in the review. Nine articles describing eight RCTs of psychological interventions, with a total of 1587 female patients with cardiac disease, were included. Interventions were most successful at reducing stress (75% of studies measuring stress reported efficacy), while symptoms of depression and anxiety were less responsive to intervention (∼30% of studies targeting these symptoms reported improvements) in comparison to a control condition. This scoping review highlights that further advancement in knowledge is required to better address the needs of females with cardiac disease and distress, particularly depression and anxiety.
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Affiliation(s)
| | - Karen Bouchard
- University of Ottawa Heart Institute, Ottawa, Canada
- University of Ottawa, Ottawa, Canada
| | - Elisa Stragapede
- University of Ottawa Heart Institute, Ottawa, Canada
- University of Ottawa, Ottawa, Canada
| | - Sophie Dozois
- University of Ottawa Heart Institute, Ottawa, Canada
| | - Evan Sterling
- University of Ottawa Heart Institute, Ottawa, Canada
- University of Ottawa, Ottawa, Canada
| | - Heather Tulloch
- University of Ottawa Heart Institute, Ottawa, Canada
- University of Ottawa, Ottawa, Canada
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2
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Gaffey AE, Spatz ES. Psychological Health and Ischemic Heart Disease in Women: A Review of Current Evidence and Clinical Considerations across the Healthspan. Curr Atheroscler Rep 2024; 26:45-58. [PMID: 38240928 DOI: 10.1007/s11883-023-01185-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2023] [Indexed: 02/22/2024]
Abstract
PURPOSE OF REVIEW Psychological health encompasses a constellation of negative and positive factors-i.e., psychosocial stress, depression, anxiety, trauma, loneliness and social isolation, anger and hostility, optimism, and a sense of purpose. This narrative review presents current evidence at the intersection of psychological health, risk of ischemic heart disease (IHD), and IHD-related outcomes, with an emphasis on associations in women. RECENT FINDINGS For women, relations between psychological health and IHD reflect important sex and gender differences in biological and psychosocial factors. Although efforts devoted to understanding psychological health and IHD risk have varied by psychological factor-scientific evidence is strongest for psychosocial stress and depression, while anxiety, trauma, and positive psychological factors warrant more investigation-less optimal psychological health is consistently associated with an earlier and greater risk of IHD morbidity and mortality in women. Still, many past prospective studies of psychological factors and IHD risk had a limited representation of women, did not include analyses by sex, or failed to account for other influential, sex-specific factors. Thus, there are multiple pathways for further, rigorous investigation into psychological health-IHD associations, mechanisms, and empirically supported psychological interventions to mitigate IHD risk among women. Given the robust evidence linking psychological health with women's risk for IHD, implementing routine, brief, psychological screening is recommended. Significant life events, developmental milestones specific to women, and IHD diagnoses or events could cue further psychological assessment and referral, efforts which will mutually strengthen the evidence for integrated psychological and IHD care and delivery of such care to this vulnerable group.
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Affiliation(s)
- Allison E Gaffey
- Department of Internal Medicine (Section of Cardiovascular Medicine), Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
- VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, 06516, USA.
| | - Erica S Spatz
- Department of Internal Medicine (Section of Cardiovascular Medicine), Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA
- Department of Epidemiology, Yale School of Public Health, New Haven, CT, USA
- Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT, USA
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3
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Murphy BM, Rogerson MC, Hesselson S, Iismaa SE, Hoover V, Le Grande M, Graham RM, Jackson AC. Prevalence of Anxiety, Depression, and Distress in SCAD and Non-SCAD AMI Patients: A Comparative Study. J Cardiopulm Rehabil Prev 2023; 43:338-345. [PMID: 36892564 PMCID: PMC10467813 DOI: 10.1097/hcr.0000000000000782] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/10/2023]
Abstract
PURPOSE Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute myocardial infarction (AMI), particularly in younger women without classic cardiac risk factors. Spontaneous coronary artery dissection is considered to be particularly stressful; however, few studies have quantified SCAD survivor stress levels. This study compared anxiety, depression, and distress levels in SCAD and non-SCAD AMI patients. METHOD A sample of 162 AMI (35 [22%] SCAD) patients was recruited from hospitals and via social media, in Australia and the United States. All had had their AMI in the past 6 mo. Participants completed an online questionnaire comprising the Generalized Anxiety Disorder-2 (GAD2), Patient Health Questionnaire-2 (PHQ2), Kessler-6 (K6), and Cardiac Distress Inventory (CDI). T-tests, χ 2 tests, Mann-Whitney tests, and analysis of covariance were used to compare SCAD and non-SCAD samples. Logistic regression was used to identify the unique predictors of anxiety, depression, and distress, controlling for relevant confounders. RESULTS Patients with SCAD were more commonly female and significantly younger than non-SCAD patients. Patients with SCAD scored significantly higher on the GAD2, PHQ2, K6, and CDI and a significantly larger proportion was classified as anxious, depressed, or distressed using these instruments. In logistic regression, together with mental health history, having had a SCAD-AMI predicted anxiety, depression, and distress, after controlling for female sex, younger age, and other confounding variables. CONCLUSION This study supports the view that anxiety, depression, and distress are more common after SCAD-AMI than after traditional AMI. These findings highlight the psychosocial impacts of SCAD and suggest that psychological support should be an important component of cardiac rehabilitation for these patients.
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Affiliation(s)
- Barbara M. Murphy
- Australian Centre for Heart Health, Melbourne, Victoria, Australia (Drs Murphy, Rogerson, and Jackson and Mr Le Grande); Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia (Drs Murphy and Jackson and Mr Le Grande); Victor Chang Cardiac Research Institute, Sydney, New South Wales, Australia (Drs Hesselson, Iismaa, and Graham); St Vincent's Clinical School, University of New South Wales, Sydney, Australia (Drs Iismaa and Graham); Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California (Dr Hoover); and Centre on Behavioral Health, University of Hong Kong, Pokfulam, HongKong, China (Dr Jackson)
| | - Michelle C. Rogerson
- Australian Centre for Heart Health, Melbourne, Victoria, Australia (Drs Murphy, Rogerson, and Jackson and Mr Le Grande); Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia (Drs Murphy and Jackson and Mr Le Grande); Victor Chang Cardiac Research Institute, Sydney, New South Wales, Australia (Drs Hesselson, Iismaa, and Graham); St Vincent's Clinical School, University of New South Wales, Sydney, Australia (Drs Iismaa and Graham); Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California (Dr Hoover); and Centre on Behavioral Health, University of Hong Kong, Pokfulam, HongKong, China (Dr Jackson)
| | - Stephanie Hesselson
- Australian Centre for Heart Health, Melbourne, Victoria, Australia (Drs Murphy, Rogerson, and Jackson and Mr Le Grande); Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia (Drs Murphy and Jackson and Mr Le Grande); Victor Chang Cardiac Research Institute, Sydney, New South Wales, Australia (Drs Hesselson, Iismaa, and Graham); St Vincent's Clinical School, University of New South Wales, Sydney, Australia (Drs Iismaa and Graham); Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California (Dr Hoover); and Centre on Behavioral Health, University of Hong Kong, Pokfulam, HongKong, China (Dr Jackson)
| | - Siiri E. Iismaa
- Australian Centre for Heart Health, Melbourne, Victoria, Australia (Drs Murphy, Rogerson, and Jackson and Mr Le Grande); Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia (Drs Murphy and Jackson and Mr Le Grande); Victor Chang Cardiac Research Institute, Sydney, New South Wales, Australia (Drs Hesselson, Iismaa, and Graham); St Vincent's Clinical School, University of New South Wales, Sydney, Australia (Drs Iismaa and Graham); Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California (Dr Hoover); and Centre on Behavioral Health, University of Hong Kong, Pokfulam, HongKong, China (Dr Jackson)
| | - Valerie Hoover
- Australian Centre for Heart Health, Melbourne, Victoria, Australia (Drs Murphy, Rogerson, and Jackson and Mr Le Grande); Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia (Drs Murphy and Jackson and Mr Le Grande); Victor Chang Cardiac Research Institute, Sydney, New South Wales, Australia (Drs Hesselson, Iismaa, and Graham); St Vincent's Clinical School, University of New South Wales, Sydney, Australia (Drs Iismaa and Graham); Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California (Dr Hoover); and Centre on Behavioral Health, University of Hong Kong, Pokfulam, HongKong, China (Dr Jackson)
| | - Michael Le Grande
- Australian Centre for Heart Health, Melbourne, Victoria, Australia (Drs Murphy, Rogerson, and Jackson and Mr Le Grande); Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia (Drs Murphy and Jackson and Mr Le Grande); Victor Chang Cardiac Research Institute, Sydney, New South Wales, Australia (Drs Hesselson, Iismaa, and Graham); St Vincent's Clinical School, University of New South Wales, Sydney, Australia (Drs Iismaa and Graham); Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California (Dr Hoover); and Centre on Behavioral Health, University of Hong Kong, Pokfulam, HongKong, China (Dr Jackson)
| | - Robert M. Graham
- Australian Centre for Heart Health, Melbourne, Victoria, Australia (Drs Murphy, Rogerson, and Jackson and Mr Le Grande); Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia (Drs Murphy and Jackson and Mr Le Grande); Victor Chang Cardiac Research Institute, Sydney, New South Wales, Australia (Drs Hesselson, Iismaa, and Graham); St Vincent's Clinical School, University of New South Wales, Sydney, Australia (Drs Iismaa and Graham); Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California (Dr Hoover); and Centre on Behavioral Health, University of Hong Kong, Pokfulam, HongKong, China (Dr Jackson)
| | - Alun C. Jackson
- Australian Centre for Heart Health, Melbourne, Victoria, Australia (Drs Murphy, Rogerson, and Jackson and Mr Le Grande); Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia (Drs Murphy and Jackson and Mr Le Grande); Victor Chang Cardiac Research Institute, Sydney, New South Wales, Australia (Drs Hesselson, Iismaa, and Graham); St Vincent's Clinical School, University of New South Wales, Sydney, Australia (Drs Iismaa and Graham); Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California (Dr Hoover); and Centre on Behavioral Health, University of Hong Kong, Pokfulam, HongKong, China (Dr Jackson)
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Khakkar M, Kazemi A. Relationship between mental health and climacteric adjustment in middle aged women: a confirmatory analysis. BMC Womens Health 2023; 23:234. [PMID: 37149575 PMCID: PMC10164310 DOI: 10.1186/s12905-023-02397-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Accepted: 04/26/2023] [Indexed: 05/08/2023] Open
Abstract
BACKGROUND Climacteric changes in women are associated with an increased probability of psychological symptoms. Identifying the relationship between adjustment to this period and mental health helps to plan for middle-aged women's health improvement. Therefore, the present study aimed to investigate the relationship between climacteric adjustment (CA) and mental health in middle aged women. METHOD This cross-sectional study was conducted on 190 women aged 40 to 53 years. Mental health symptoms (including hypochondriasis, anxiety, depression, and social impairment) and CA were assessed using 28-item general health questionnaire and the CA questionnaire, respectively, as a self-report. Data were analyzed using linear and stepwise regression methods, and the fitting of the resulting conceptual model was assessed using AMOS software. RESULTS The results showed that hypochondriasis score and social impairment, anxiety level and CA in the perfection dimension, and social impairment score and CA in perfection, decline in beauty, and sexual silence dimensions had an inverse relationship. Moreover, the relationship between anxiety score and CA in the reaction to end of menstruation and the relationship between social impairment and decline of femininity were positive and significant. Factor analysis of the conceptual model obtained from the study results demonstrated a good model fit (CMIN /DF = 0.807, P = .671). CONCLUSION The results showed a relationship between CA and psychological symptoms in middle-aged women. In other words, the level of hypochondriasis, anxiety, and social impairment symptoms decreased with increasing CA in sexual silence, perfection, and decline in beauty.
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Affiliation(s)
- Maedeh Khakkar
- Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ashraf Kazemi
- Reproductive Health Departments, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
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Hutchens J, Frawley J, Sullivan EA. Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum. BMC Pregnancy Childbirth 2022; 22:797. [PMID: 36307772 PMCID: PMC9617394 DOI: 10.1186/s12884-022-05123-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 09/25/2022] [Accepted: 10/12/2022] [Indexed: 11/10/2022] Open
Abstract
Purpose Cardiac disease is a leading cause of maternal morbidity and mortality yet there is limited research on women’s experiences and quality of life (QoL) outcomes. The aim of this study is to explore the general and health-related QoL (HRQoL) and mental health outcomes for women who have experienced cardiac disease in pregnancy and the first 12 months postpartum (CDPP). Methods This exploratory descriptive study recruited 43 women with acquired, genetic and congenital CDPP. Patient reported outcomes measures (PROMs) used were: WHOQoL-Bref, a Kansas City Cardiac Questionnaire (KCCQ), the Depression, Anxiety and Stress Scales-21 (DASS-21), the Cardiac Anxiety Questionnaire (CAQ) plus newly developed questions. Results Women reported low health satisfaction (51.7/100), physical health (55.2/100) and low HRQoL (63.1/100). Women had clinically significant scores for depression (24%), anxiety (22%) and stress (19.5%) (DASS-21) and 44.5% scored at least moderate anxiety on the CAQ. Most women (83.7%) were advised to avoid pregnancy which 88.9% found “upsetting” to “devastating”; 10.0% were offered counselling. Most women were concerned about reduced longevity (88.1%), offspring developing a cardiac condition (73.8%), and the limitations on enjoyment of life (57.1%). Women missed medical appointments due to cost (25.03%) and difficulty arranging childcare (45.5%). Conclusion The majority of women reported inadequate information and counselling support, with women with CDPP having sustained impaired QoL and mental health outcomes. The new and modified questions relating to mothering and children reflected the primacy of mothering to women’s identity and needs. Supplementary information The online version contains supplementary material available at 10.1186/s12884-022-05123-x.
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6
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Hutchens J, Frawley J, Sullivan EA. Cardiac disease in pregnancy and the first year postpartum: a story of mental health, identity and connection. BMC Pregnancy Childbirth 2022; 22:382. [PMID: 35501828 PMCID: PMC9063289 DOI: 10.1186/s12884-022-04614-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Accepted: 03/21/2022] [Indexed: 11/10/2022] Open
Abstract
Background Women with cardiac disease in pregnancy and the first year postpartum often face uncertainty about their condition and the trajectory of their recovery. Cardiac disease is a leading cause of serious maternal morbidity and mortality, and the prevalence is increasing. Affected women are at risk of worsening cardiac disease, chronic illness, mental illness and trauma. This compounded risk may lead to significant and long-term negative outcomes. The aim of this study is to correct the lack of visibility and information on the experiences of women with cardiac disease in pregnancy and the first year postpartum. Methods A qualitative study using in-depth semi-structured interviews with twenty-five women who had acquired, congenital or genetic cardiac disease during pregnancy or the first year postpartum. Data were analysed and interpreted using a thematic analysis framework. Results Analysis of the interviews produced three major themes: 1) Ground zero: index events and their emotional and psychological impact, 2) Self-perception, identity and worthiness, and 3) On the road alone; isolation and connection. There was a narrative consistency across the interviews despite the women being diverse in age, cardiac diagnosis and cardiac health status, parity and timing of diagnosis. The thread prevailing over the temporal and clinical differences was one of distress, biographical disruption, identity, isolation, a necessitated re-imagining of their lives, and the process of multi-layered healing. Conclusion Acknowledging and understanding the breadth, complexity and depth of women’s experiences is fundamental to improving outcomes. Our findings provide unique insights into women’s experiences and challenges across a spectrum of diseases. Most women did not report an isolated trauma or distressing event, rather there was a layering and persistence of psychological distress necessitating enhanced assessment, management and continuity of care beyond the routine 6-week postpartum check. Further research is required to understand long-term outcomes and to refine the findings for specific disease cohorts to be able to respond effectively.
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Affiliation(s)
- Jane Hutchens
- School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
| | - Jane Frawley
- School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
| | - Elizabeth A Sullivan
- Faculty of Health and Medicine, University of Newcastle, University Dr, Callaghan, NSW, 2308, Australia
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7
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Jackson AC, Rogerson MC, Amerena J, Smith J, Hoover V, Alvarenga ME, Higgins RO, Grande MRL, Ski CF, Thompson DR, Murphy BM. Unraveling the Complexity of Cardiac Distress: A Study of Prevalence and Severity. Front Psychiatry 2022; 13:808904. [PMID: 35432039 PMCID: PMC9009040 DOI: 10.3389/fpsyt.2022.808904] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 02/23/2022] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION While much research attention has been paid to anxiety and depression in people who have had a recent cardiac event, relatively little has focused on the broader concept of cardiac distress. Cardiac distress is a multidimensional construct that incorporates but extends beyond common mood disorders such as anxiety and depression. In the present study we assessed the prevalence, severity and predictors of a broad range of physical, affective, cognitive, behavioral and social symptoms of cardiac distress. This is the first study to investigate cardiac distress in this comprehensive way. METHOD A sample of 194 patients was recruited from two hospitals in Australia. Eligible participants were those who had recently been hospitalized for an acute cardiac event. Data were collected at patients' outpatient clinic appointment ~8 weeks after their hospital discharge. Using a questionnaire developed through a protocol-driven 3-step process, participants reported on whether they had experienced each of 74 issues and concerns in the past 4 weeks, and the associated level of distress. They also provided sociodemographic and medical information. Regression analyses were used to identify risk factors for elevated distress. RESULTS Across the 74 issues and concerns, prevalence ratings ranged from a high of 66% to a low of 6%. The most commonly endorsed items were within the domains of dealing with symptoms, fear of the future, negative affect, and social isolation. Common experiences were "being physically restricted" (66%), "lacking energy" (60%), "being short of breath" (60%), "thinking I will never be the same again" (57%), and "not sleeping well" (51%). While less prevalent, "not having access to the health care I need," "being concerned about my capacity for sexual activity," and "being unsupported by family and friends" were reported as highly distressing (74, 64, and 62%) for those experiencing these issues. Having a mental health history and current financial strain were key risk factors for elevated distress. CONCLUSION AND IMPLICATIONS Specific experiences of distress appear to be highly prevalent in people who have had a recent cardiac event. Understanding these specific fears, worries and stressors has important implications for the identification and management of post-event mental health and, in turn, for supporting patients in their post-event cardiac recovery.
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Affiliation(s)
- Alun C Jackson
- Australian Centre for Heart Health, Melbourne, VIC, Australia.,Center on Behavioral Health, Faculty of Health, Deakin University, Geelong, VIC, Australia.,Behavioral Health, University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | | | - John Amerena
- Barwon Health, Geelong, VIC, Australia.,Deakin School of Medicine, University Hospital Geelong, Geelong, VIC, Australia
| | - Julian Smith
- Department of Cardiothoracic Surgery, Monash Health, Melbourne, VIC, Australia.,Department of Surgery, School of Clinical Sciences, Monash Health, Melbourne, VIC, Australia
| | - Valerie Hoover
- Psychiatry and Behavioral Sciences, Stanford Women's Heart Health Clinic, Stanford, CA, United States
| | - Marlies E Alvarenga
- Australian Centre for Heart Health, Melbourne, VIC, Australia.,School of Health and Life Sciences, Federation University Australia, Berwick, VIC, Australia.,Victorian Heart Institute, Melbourne, VIC, Australia.,Monash Health & Department of Medicine, Monash University, Melbourne, VIC, Australia
| | - Rosemary O Higgins
- Australian Centre for Heart Health, Melbourne, VIC, Australia.,Department of Psychology, Deakin University, Geelong, VIC, Australia.,Department of Physiotherapy, University of Melbourne, Melbourne, VIC, Australia
| | - Michael R Le Grande
- Australian Centre for Heart Health, Melbourne, VIC, Australia.,Centre for Behaviour Change, Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, VIC, Australia
| | - Chantal F Ski
- Australian Centre for Heart Health, Melbourne, VIC, Australia.,Integrated Care Academy, University of Suffolk, Ipswich, United Kingdom.,Department of Psychiatry, University of Melbourne, Melbourne, VIC, Australia
| | - David R Thompson
- Australian Centre for Heart Health, Melbourne, VIC, Australia.,Department of Psychiatry, University of Melbourne, Melbourne, VIC, Australia.,School of Nursing and Midwifery, Queen's University Belfast, Belfast, United Kingdom
| | - Barbara M Murphy
- Australian Centre for Heart Health, Melbourne, VIC, Australia.,Center on Behavioral Health, Faculty of Health, Deakin University, Geelong, VIC, Australia.,Department of Psychology, University of Melbourne, Melbourne, VIC, Australia
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Olive LS, Sciberras E, Berkowitz TS, Hoare E, Telford RM, O'Neil A, Mikocka-Walus A, Evans S, Hutchinson D, McGillivray JA, Berk M, Teague SJ, Wood AG, Olsson C, Westrupp EM. Child and Parent Physical Activity, Sleep, and Screen Time During COVID-19 and Associations With Mental Health: Implications for Future Psycho-Cardiological Disease? Front Psychiatry 2021; 12:774858. [PMID: 35242059 PMCID: PMC8886612 DOI: 10.3389/fpsyt.2021.774858] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 11/23/2021] [Indexed: 12/12/2022] Open
Abstract
The COVID-19 pandemic has afforded the opportunity for some to improve lifestyle behaviours, while for others it has presented key challenges. Adverse changes in global lifestyle behaviours, including physical activity, sleep, and screen time can affect proximal mental health and in turn distal cardiovascular outcomes. We investigated differences in physical activity, sleep, and screen time in parents and children during early stages of the COVID-19 pandemic in Australia compared to pre-COVID-19 national data; and estimated associations between these movement behaviours with parent and child mental health. Cross-sectional baseline data from the COVID-19 Pandemic Adjustment Study (CPAS; N = 2,365) were compared to nationally representative pre-pandemic data from the Longitudinal Study of Australian Children (LSAC; N = 9,438). Participants were parents of children aged ≤ 18 years, residing in Australia. Parents provided self-report measures of mental health, physical activity and sleep quality, and reported on child mental health, physical activity and screen time. Children in CPAS had significantly more sleep problems and more weekend screen time. Their parents had significantly poorer sleep quality, despite increased weekly physical activity. Children's sleep problems were significantly associated with increased mental health problems, after accounting for socioeconomic status, physical activity, and screen time. Poorer parent sleep quality and lower levels of physical activity were significantly associated with poorer mental health. Monitoring this cohort over time will be important to examine whether changes in movement behaviour are enduring or naturally improve with the easing of restrictions; and whether these changes have lasting effects on either parent or child mental health, and in turn, future risk for CVD.
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Affiliation(s)
- Lisa S Olive
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia.,Faculty of Health, The Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University, Geelong, VIC, Australia.,Orygen, Elite Sports and Mental Health, and the Department of Psychiatry, The University of Melbourne, Parkville, VIC, Australia
| | - Emma Sciberras
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC, Australia
| | - Tomer S Berkowitz
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia
| | - Erin Hoare
- Faculty of Health, The Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University, Geelong, VIC, Australia
| | - Rohan M Telford
- Research Institute for Sport and Exercise, University of Canberra, Canberra, VIC, Australia
| | - Adrienne O'Neil
- Faculty of Health, The Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University, Geelong, VIC, Australia.,The Food and Mood Centre, Deakin University, Geelong, VIC, Australia
| | - Antonina Mikocka-Walus
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia
| | - Subhadra Evans
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia
| | - Delyse Hutchinson
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC, Australia.,The National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Jane A McGillivray
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia
| | - Michael Berk
- Faculty of Health, The Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University, Geelong, VIC, Australia.,Orygen, Elite Sports and Mental Health, and the Department of Psychiatry, The University of Melbourne, Parkville, VIC, Australia.,Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Sam J Teague
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia
| | - Amanda G Wood
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC, Australia.,College of Health & Life Sciences, Aston University, Birmingham, United Kingdom
| | - Craig Olsson
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC, Australia
| | - Elizabeth M Westrupp
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Canberra, VIC, Australia.,Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia.,Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia
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9
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Zaman S, Chow C, Lam CSP, Saw J, Nicholls SJ, Figtree GA. Heart Disease in Women: Where Are We Now and What is The Future? Heart Lung Circ 2020; 30:1-2. [PMID: 33261741 DOI: 10.1016/j.hlc.2020.11.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Sarah Zaman
- Westmead Applied Research Centre, University of Sydney, Sydney, NSW, Australia; Department of Cardiology, Westmead Hospital, Sydney, NSW, Australia.
| | - Clara Chow
- Westmead Applied Research Centre, University of Sydney, Sydney, NSW, Australia; Department of Cardiology, Westmead Hospital, Sydney, NSW, Australia
| | - Carolyn S P Lam
- National Heart Center Singapore, and Duke National University of Singapore, Singapore
| | - Jacqueline Saw
- Division of Cardiology, Vancouver General Hospital, British Columbia, Canada
| | - Stephen J Nicholls
- MonashHeart, Monash Health, Melbourne, Vic, Australia; Victorian Heart Institute, Monash University, Melbourne, Vic, Australia
| | - Gemma A Figtree
- Kolling Institute, University of Sydney, Sydney, NSW, Australia; Department of Cardiology, Royal North Shore Hospital, Sydney, NSW, Australia
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