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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 6/2015

01-12-2015 | Original Article

Perceived Stress and Atrial Fibrillation: The REasons for Geographic and Racial Differences in Stroke Study

Authors: Wesley T. O’Neal, M.D., M.P.H., Waqas Qureshi, M.D., Suzanne E. Judd, Ph.D., Stephen P. Glasser, M.D., Lama Ghazi, M.D., LeaVonne Pulley, Ph.D., Virginia J. Howard, Ph.D., George Howard, Dr.P.H., Elsayed Z. Soliman, M.D., M.Sc., M.S.

Published in: Annals of Behavioral Medicine | Issue 6/2015

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Abstract

Background

The association between perceived stress and atrial fibrillation (AF) remains unclear.

Purpose

The aim of this study was to examine the association between perceived stress and AF.

Methods

A total of 25,530 participants (mean age 65 ± 9.4 years; 54 % women; 41 % blacks) from the REasons for Geographic And Racial Differences in Stroke (REGARDS) study were included in this analysis. Logistic regression was used to compute odds ratios (OR) and 95 % confidence intervals (CI) for the association between the short version of the Cohen Perceived Stress Scale and AF.

Results

In a multivariable analysis adjusted for demographics, cardiovascular risk factors, and potential confounders, the prevalence of AF was found to increase with higher levels of stress (none: OR = 1.0, referent; low stress: OR = 1.12, 95 % CI = 0.98, 1.27; moderate stress OR = 1.27, 95 % CI = 1.11, 1.47; high stress: OR = 1.60, 95 % CI = 1.39, 1.84).

Conclusion

Increasing levels of perceived stress are associated with prevalent AF in REGARDS.
Literature
1.
Wiernik E, Nabi H, Pannier B, et al. Perceived stress, sex and occupational status interact to increase the risk of future high blood pressure: The IPC cohort study. J Hypertens. 2014; 32(10): 1979-1986.CrossRefPubMed
2.
Gallo LC, Roesch SC, Fortmann AL, et al. Associations of chronic stress burden, perceived stress, and traumatic stress with cardiovascular disease prevalence and risk factors in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Psychosom Med. 2014; 76(6): 468-475.PubMedCentralCrossRefPubMed
3.
Redmond N, Richman J, Gamboa CM, et al. Perceived stress is associated with incident coronary heart disease and all-cause mortality in low- but not high-income participants in the Reasons for Geographic And Racial Differences in Stroke study. J Am Heart Assoc. 2013; 2(6): e000447.PubMedCentralCrossRefPubMed
4.
5.
Lane DA, Langman CM, Lip GY, Nouwen A. Illness perceptions, affective response, and health-related quality of life in patients with atrial fibrillation. J Psychosom Res. 2009; 66(3): 203-210.CrossRefPubMed
6.
Thrall G, Lip GY, Carroll D, Lane D. Depression, anxiety, and quality of life in patients with atrial fibrillation. Chest. 2007; 132(4): 1259-1264.CrossRefPubMed
7.
Ong L, Irvine J, Nolan R, et al. Gender differences and quality of life in atrial fibrillation: The mediating role of depression. J Psychosom Res. 2006; 61(6): 769-774.CrossRefPubMed
8.
Eaker ED, Sullivan LM, Kelly-Hayes M, D’Agostino RB Sr, Benjamin EJ. Anger and hostility predict the development of atrial fibrillation in men in the Framingham Offspring Study. Circulation. 2004; 109(10): 1267-1271.CrossRefPubMed
9.
Eaker ED, Sullivan LM, Kelly-Hayes M, D’Agostino RB Sr, Benjamin EJ. Tension and anxiety and the prediction of the 10-year incidence of coronary heart disease, atrial fibrillation, and total mortality: The Framingham Offspring Study. Psychosom Med. 2005; 67(5): 692-696.CrossRefPubMed
10.
Roger VL, Go AS, Lloyd-Jones DM, et al. Heart disease and stroke statistics–2012 update: A report from the American Heart Association. Circulation. 2012; 125(1): e2-e220.PubMedCentralCrossRefPubMed
11.
Howard VJ, Cushman M, Pulley L, et al. The reasons for geographic and racial differences in stroke study: Objectives and design. Neuroepidemiology. 2005; 25(3): 135-143.CrossRefPubMed
12.
Howard G, Anderson R, Johnson NJ, Sorlie P, Russell G, Howard VJ. Evaluation of social status as a contributing factor to the stroke belt region of the United States. Stroke. 1997; 28(5): 936-940.CrossRefPubMed
13.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 24(4): 385-396.CrossRefPubMed
14.
Soliman EZ, Howard G, Meschia JF, et al. Self-reported atrial fibrillation and risk of stroke in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study. Stroke. 2011; 42(10): 2950-2953.PubMedCentralCrossRefPubMed
15.
Fava GA, Pilowsky I, Pierfederici A, Bernardi M, Pathak D. Depressive symptoms and abnormal illness behavior in general hospital patients. Gen Hosp Psychiatry. 1982; 4(3): 171-178.CrossRefPubMed
16.
Bowling CB, Booth JN 3rd, Safford MM, et al. Nondisease-specific problems and all-cause mortality in the REasons for Geographic and Racial Differences in Stroke study. J Am Geriatr Soc. 2013; 61(5): 739-746.PubMedCentralCrossRefPubMed
17.
Sokolow M, Lyon TP. The ventricular complex in left ventricular hypertrophy as obtained by unipolar precordial and limb leads. Am Heart J. 1949; 37(2): 161-186.CrossRefPubMed
18.
Lange HW, Herrmann-Lingen C. Depressive symptoms predict recurrence of atrial fibrillation after cardioversion. J Psychosom Res. 2007; 63(5): 509-513.CrossRefPubMed
19.
Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation. 1999; 99(16): 2192-2217.CrossRefPubMed
20.
Orpana HM, Lemyre L, Gravel R. Income and psychological distress: The role of the social environment. Health Rep. 2009; 20(1): 21-28.PubMed
21.
Go AS, Hylek EM, Phillips KA, et al. Prevalence of diagnosed atrial fibrillation in adults: National implications for rhythm management and stroke prevention: The AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA. 2001; 285(18): 2370-2375.CrossRefPubMed
22.
Odden MC, Coxson PG, Moran A, Lightwood JM, Goldman L, Bibbins-Domingo K. The impact of the aging population on coronary heart disease in the United States. Am J Med. 2011; 124(9): 827-833. 9.PubMedCentralCrossRefPubMed
23.
Naccarelli GV, Johnston SS, Dalal M, Lin J, Patel PP. Rates and implications for hospitalization of patients >/=65 years of age with atrial fibrillation/flutter. Am J Cardiol. 2012; 109(4): 543-549.CrossRefPubMed
24.
25.
O’Neal WT, Sangal K, Zhang ZM, Soliman EZ. Atrial fibrillation and incident myocardial infarction in the elderly. Clin Cardiol. 2014; 37(12): 750-755.CrossRefPubMed
26.
Soliman EZ, Lopez F, O’Neal WT, et al. Atrial Fibrillation and Risk of ST-Segment Elevation versus Non-ST Segment Elevation Myocardial Infarction: The Atherosclerosis Risk in Communities (ARIC) Study. Circulation. 2015.
Metadata
Title
Perceived Stress and Atrial Fibrillation: The REasons for Geographic and Racial Differences in Stroke Study
Authors
Wesley T. O’Neal, M.D., M.P.H.
Waqas Qureshi, M.D.
Suzanne E. Judd, Ph.D.
Stephen P. Glasser, M.D.
Lama Ghazi, M.D.
LeaVonne Pulley, Ph.D.
Virginia J. Howard, Ph.D.
George Howard, Dr.P.H.
Elsayed Z. Soliman, M.D., M.Sc., M.S.
Publication date
01-12-2015
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 6/2015
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-015-9715-2

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