Astrid Suchy-Dicey1, Harry Eyituoyo2, Marcia O'Leary3, Shelley A Cole4, Aminata Traore5, Steve Verney6, Barbara Howard7, Spero Manson8, Dedra Buchwald2, Paul Whitney9. 1. Washington State University Elson S Floyd College of Medicine, 1100 Olive Way Suite 1200, Seattle, WA, 98101, USA. astrid.suchy-dicey@wsu.edu. 2. Washington State University Elson S Floyd College of Medicine, 1100 Olive Way Suite 1200, Seattle, WA, 98101, USA. 3. Missouri Breaks Industries Research, Inc., Eagle Butte, USA. 4. Texas Biomedical Research Institute, San Antonio, TX, USA. 5. Department of Health, Oklahoma State, Stillwater, USA. 6. Department of Psychology, University of New Mexico, Albuquerque, USA. 7. MedStar Health Research Institute, Hyattsville, USA. 8. University of Colorado, Denver, USA. 9. Department of Psychology, Washington State University, Pullman, USA.
Abstract
PURPOSE: Our study examined psychosocial risk and protective features affecting cardiovascular and mortality disparities in American Indians, including stress, anger, cynicism, trauma, depression, quality of life, and social support. METHODS: The Strong Heart Family Study cohort recruited American Indian adults from 12 communities over 3 regions in 2001-2003 (N = 2786). Psychosocial measures included Cohen Perceived Stress, Spielberger Anger Expression, Cook-Medley cynicism subscale, symptoms of post-traumatic stress disorder, Centers for Epidemiologic Studies Depression scale, Short Form 12-a quality of life scale, and the Social Support and Social Undermining scale. Cardiovascular events and all-cause mortality were evaluated by surveillance and physician adjudication through 2017. RESULTS: Participants were middle-aged, 40% male, with mean 12 years formal education. Depression symptoms were correlated with anger, cynicism, poor quality of life, isolation, criticism; better social support was correlated with lower cynicism, anger, and trauma. Adjusted time-to-event regressions found that depression, (poor) quality of life, and social isolation scores formed higher risk for mortality and cardiovascular events, and social support was associated with lower risk. Social support partially explained risk associations in causal mediation analyses. CONCLUSION: Altogether, our findings suggest that social support is associated with better mood and quality of life; and lower cynicism, stress, and disease risk-even when said risk may be increased by comorbidities. Future research should examine whether enhancing social support can prospectively reduce risk, as an efficient, cost-effective intervention opportunity that may be enacted at the community level.
PURPOSE: Our study examined psychosocial risk and protective features affecting cardiovascular and mortality disparities in American Indians, including stress, anger, cynicism, trauma, depression, quality of life, and social support. METHODS: The Strong Heart Family Study cohort recruited American Indian adults from 12 communities over 3 regions in 2001-2003 (N = 2786). Psychosocial measures included Cohen Perceived Stress, Spielberger Anger Expression, Cook-Medley cynicism subscale, symptoms of post-traumatic stress disorder, Centers for Epidemiologic Studies Depression scale, Short Form 12-a quality of life scale, and the Social Support and Social Undermining scale. Cardiovascular events and all-cause mortality were evaluated by surveillance and physician adjudication through 2017. RESULTS: Participants were middle-aged, 40% male, with mean 12 years formal education. Depression symptoms were correlated with anger, cynicism, poor quality of life, isolation, criticism; better social support was correlated with lower cynicism, anger, and trauma. Adjusted time-to-event regressions found that depression, (poor) quality of life, and social isolation scores formed higher risk for mortality and cardiovascular events, and social support was associated with lower risk. Social support partially explained risk associations in causal mediation analyses. CONCLUSION: Altogether, our findings suggest that social support is associated with better mood and quality of life; and lower cynicism, stress, and disease risk-even when said risk may be increased by comorbidities. Future research should examine whether enhancing social support can prospectively reduce risk, as an efficient, cost-effective intervention opportunity that may be enacted at the community level.
Authors: Janette Beals; Thomas K Welty; Christina M Mitchell; Dorothy A Rhoades; Jeun-Liang Yeh; Jeffrey A Henderson; Spero M Manson; Dedra S Buchwald Journal: J Clin Epidemiol Date: 2005-09-30 Impact factor: 6.437
Authors: Todd S Harwell; Carrie S Oser; Nicholas J Okon; Crystelle C Fogle; Steven D Helgerson; Dorothy Gohdes Journal: Circulation Date: 2005-10-03 Impact factor: 29.690
Authors: Myron F Weiner; Roger N Rosenberg; Doris Svetlik; Linda S Hynan; Kyle B Womack; Charles White; Shane Good; Carey Fuller; David Wharton; Ralph Richter Journal: Int Psychogeriatr Date: 2003-12 Impact factor: 3.878
Authors: Catherine A Okoro; Clark H Denny; Lisa C McGuire; Lina S Balluz; R Turner Goins; Ali H Mokdad Journal: Ethn Dis Date: 2007 Impact factor: 1.847
Authors: Jeong Hwan Kim; Shabatun J Islam; Matthew L Topel; Yi-An Ko; Mahasin S Mujahid; Viola Vaccarino; Chang Liu; Mario Sims; Mohamed Mubasher; Charles D Searles; Sandra B Dunbar; Priscilla Pemu; Herman A Taylor; Arshed A Quyyumi; Peter Baltrus; Tené T Lewis Journal: Circ Cardiovasc Qual Outcomes Date: 2020-10-07
Authors: Astrid Suchy-Dicey; Dean Shibata; Brenna Cholerton; Lonnie Nelson; Darren Calhoun; Tauqeer Ali; Thomas J Montine; W T Longstreth; Dedra Buchwald; Steven P Verney Journal: J Int Neuropsychol Soc Date: 2019-12-03 Impact factor: 2.892