亚历克西西米亚和健康成年人估计的10年心血管疾病风险:基于社区的横截面研究
Francesco Vadini1, Roberta Lanzara1, Ornella Iuliani2
1Department of Psychology, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy.
Frontiers in psychology
|December 19, 2024
概括
亚历克西西米亚,难以识别情绪,与健康个体心血管疾病 (CVD) 风险增加有关. 这一发现甚至在考虑传统的风险因素时也是如此,突出了心血管疾病的新心理预测因素.
科学领域:
- 精神心脏病学心脏病学
- 心理风险因素 心理风险因素
- 心血管疾病流行病学
背景情况:
- 心血管疾病 (CVD) 仍然是全球主要的死亡原因.
- 除了传统生物标志物之外,识别新的风险因素对于有效的预防策略至关重要.
- 越来越多的人认识到心理因素对心血管健康的作用.
研究的目的:
- 为了研究alexithymia和10年心血管疾病 (CVD) 风险之间的关联.
- 为了确定是否alexithymia预测心血管疾病风险独立于已建立的临床辅因子.
- 为了在低风险的献血者群体中探索这种关系.
主要方法:
- 进行了一项包括1021名意大利献血者在内的队列研究.
- 使用CUORE风险评分 (CRS) 估计了10年心血管疾病风险.
- 收集了社会人口统计,生活方式,人体测量,生物和心理变量 (包括alexithymia) 的数据.
主要成果:
- 患有较高心血管疾病风险的个体表现出显著更高水平的alexithymia.
- 较高的alexithymia得分与心理社会障碍,抑郁症状和生物CVD风险变量增加有关.
- 亚历克西西米亚独立预测了10年心血管疾病风险 (OR=1.02,95% CI=1.01-1.04),即使经过对其他风险因素进行调整.
结论:
- 这项研究提供了第一个证据,证明alexithymia与低风险人群中高估的10年心血管疾病风险有关.
- 无论已知的生物标志物和传统的心血管疾病风险因素如何,这种联系仍然存在.
- 亚历克西西米亚可能是心血管疾病的显著,但被低估的心理预测因素.
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