Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/78367
Citations
Scopus Web of Science® Altmetric
?
?
Full metadata record
DC FieldValueLanguage
dc.contributor.authorTully, P.-
dc.contributor.authorCosh, S.-
dc.contributor.authorBaune, B.-
dc.date.issued2013-
dc.identifier.citationPsychology, Health and Medicine, 2013; 18(6):627-644-
dc.identifier.issn1354-8506-
dc.identifier.issn1465-3966-
dc.identifier.urihttp://hdl.handle.net/2440/78367-
dc.descriptionPublished online: 16 Jan 2013-
dc.description.abstractOBJECTIVE: The aims of this review article are to present psychophysiological and behavioral pathways for the involvement of worry and generalized anxiety disorder (GAD) upon cardiovascular function. The review will focus on persons with and without coronary heart disease (CHD), and encompass etiological and prognostic studies. METHODS: Articles (1975–2011) reporting on GAD or worry affecting CHD prognosis or cardiovascular function were found using MEDLINE, EMBASE, SCOPUS and PsychINFO database searches, and extracted to form a narrative review. RESULTS: Available evidence in experimental and observational studies in CHD free samples consistently showed that worry was associated with diminished heart rate variability (HRV) and elevated heart rate. Worry and GAD were commonly associated with blood pressure and diagnosed hypertension or medication use in both disease-free and established CHD populations. No evidence was found to support worry being beneficial to cardiovascular function or conducive to health promoting behaviors. The literature indicated that measures of worry were associated with fatal and nonfatal CHD in seven etiological studies of initially disease-free individuals; however, females were underrepresented. Three studies reported that GAD was associated with poorer prognosis in establish CHD, independent of depression. The median GAD prevalence was 10.4% in 3266 patients across 15 studies, suggesting that GAD is marginally less common in CHD samples than is depression. CONCLUSIONS: A growing literature highlights the association between worry and development of CHD. The association between worry, GAD and CHD risk factors (e.g. blood pressure), and HRV are leading mechanisms of cardiopathogenesis that may affect cardiovascular function. Findings regarding worry and GAD in established CHD are less clear.-
dc.description.statementofresponsibilityPhillip J. Tully, Suzie M. Cosh and Bernhard T. Baune-
dc.language.isoen-
dc.publisherCarfax Publishing Limited-
dc.rights© 2013 Taylor & Francis-
dc.subjectanxiety disorders-
dc.subjectheart diseases-
dc.subjectworry-
dc.subjectdepression-
dc.subjectreview-
dc.titleA review of the affects of worry and generalized anxiety disorder upon cardiovascular health and coronary heart disease-
dc.typeJournal article-
dc.identifier.doi10.1080/13548506.2012.749355-
pubs.publication-statusPublished-
dc.identifier.orcidTully, P. [0000-0003-2807-1313]-
dc.identifier.orcidCosh, S. [0000-0002-8003-3704]-
dc.identifier.orcidBaune, B. [0000-0001-6548-426X]-
Appears in Collections:Aurora harvest
Psychology publications

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.