女性心理健康与缺血性心脏病:当前证据回顾与跨健康期的临床考虑。

IF 5.7 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE
Current Atherosclerosis Reports Pub Date : 2024-03-01 Epub Date: 2024-01-19 DOI:10.1007/s11883-023-01185-0
Allison E Gaffey, Erica S Spatz
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引用次数: 0

摘要

审查目的:心理健康包含一系列消极和积极因素,即社会心理压力、抑郁、焦虑、创伤、孤独和社会隔离、愤怒和敌意、乐观和目标感。这篇叙述性综述介绍了心理健康、缺血性心脏病(IHD)风险和缺血性心脏病相关结果之间相互关系的现有证据,重点是女性的相关性:对于女性而言,心理健康与缺血性心脏病之间的关系反映了生物和社会心理因素中重要的性别差异。尽管致力于了解心理健康和 IHD 风险的努力因心理因素而异--心理社会压力和抑郁方面的科学证据最为有力,而焦虑、创伤和积极的心理因素则需要更多的调查--但不理想的心理健康始终与女性更早、更高的 IHD 发病和死亡风险相关。尽管如此,过去许多关于心理因素和心肌梗死风险的前瞻性研究中,女性的代表性有限,没有按性别进行分析,或者没有考虑其他有影响的性别特异性因素。因此,有多种途径可以进一步严格调查心理健康与 IHD 的关联、机制以及经验支持的心理干预措施,以降低女性的 IHD 风险。鉴于有大量证据表明心理健康与女性的 IHD 风险有关,建议实施常规、简短的心理筛查。重要的生活事件、女性特有的发育里程碑以及 IHD 诊断或事件可能会引发进一步的心理评估和转诊,这些努力将共同加强综合心理和 IHD 护理的证据,并为这一弱势群体提供此类护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Psychological Health and Ischemic Heart Disease in Women: A Review of Current Evidence and Clinical Considerations across the Healthspan.

Psychological Health and Ischemic Heart Disease in Women: A Review of Current Evidence and Clinical Considerations across the Healthspan.

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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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment. We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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