Giuliani Mattia, Santagostino Baldi Giulia, Capra Nicolò, Bonomi Alice, Marzorati Chiara, Sebri Valeria, Guiddi Paolo, Montorsi Piero, Pravettoni Gabriella, Trabattoni Daniela
Psychology Division, Centro Cardiologico Monzino, IRCCS, Milan, Italy.
Department of Interventional Cardiology and Women Heart Center, Centro Cardiologico Monzino, IRCCS, Milan, Italy.
Front Cardiovasc Med. 2024 Mar 7;11:1308337. doi: 10.3389/fcvm.2024.1308337. eCollection 2024.
Cardiovascular diseases are the leading cause of death among women. Prevention programmes underscore the need to address women-specific risk factors. Additionally, mental well-being is a significant aspect to consider when grappling with cardiovascular disease in women, particularly depression, anxiety, distress, and personality traits. This study aimed to create "at-risk" psychological profiles for women without prior cardiovascular disease history and to evaluate the association between anxiety, depression, distress, and Type-D personality traits with increased cardiovascular risk over 10 years.
219 women voluntarily participated in the "Monzino Women's Heart Centre" project for primary prevention and early diagnosis of cardiovascular diseases. Psychological profiles were developed utilising cluster analysis.
The primary finding indicating that belonging to the "at-risk" psychological cluster was associated with a surge in the 10-year cardiovascular risk prediction score, despite the number of comorbid risk factors (Psychological "at-risk" cluster: = .0674; = .006; Risk factors: = .0199; = .242).
This finding suggests that psychological well-being of women should be assessed from the very beginning of cardiovascular prevention programmes.
心血管疾病是女性死亡的主要原因。预防项目强调需要关注女性特有的风险因素。此外，在应对女性心血管疾病时，心理健康是一个重要的考虑因素，尤其是抑郁、焦虑、痛苦和人格特质。本研究旨在为无心血管疾病病史的女性创建“风险”心理档案，并评估焦虑、抑郁、痛苦和D型人格特质与10年内心血管风险增加之间的关联。
219名女性自愿参与“蒙齐诺女性心脏中心”项目，以进行心血管疾病的一级预防和早期诊断。利用聚类分析建立心理档案。
主要发现表明，尽管存在共病风险因素的数量，但属于“风险”心理聚类与10年心血管风险预测评分的激增相关（心理“风险”聚类：=0.0674；=0.006；风险因素：=0.0199；=0.242）。
这一发现表明，应在心血管预防项目一开始就评估女性的心理健康状况。
