Psychological distress within cardiovascular risks behaviors, conditions and diseases conceptual framework [Psihološka patnja prepoznata kao dio konceptualnog okvira "rizično ponašanje-stanje-bolest" za kardiovaskularne bolesti]

Brborović, Ognjen and Vukušić Rukavina, Tea and Pavleković, Gordana and Džakula, Aleksandar and Šogorić, Selma and Vuletić, Silvije (2009) Psychological distress within cardiovascular risks behaviors, conditions and diseases conceptual framework [Psihološka patnja prepoznata kao dio konceptualnog okvira "rizično ponašanje-stanje-bolest" za kardiovaskularne bolesti]. Collegium antropologicum, 33 (Suppl.). pp. 93-98. ISSN 0350-6134

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Abstract

Psychological distress (PD) is being increasingly recognized as a risk factor for cardiovascular diseases (CVD). Our aim was to recognize an association of PD and CVD in the Croatian adult population. We also explored association's strength obtainable as relative risk of PD on three levels; cardiovascular risk behaviors, conditions and diseases. This study used Croatian Adult Health Survey 2003 (CAHS 2003) data (N = 9,070). PD status was measured by the five-item Mental Health Scale of the Short Form questionnaire (SF-36) hence one distinguished subgroup consisted of population with PD and other without PD. Prevalence of cardiovascular risk behaviors, cardiovascular risk conditions and self-reported cardiovascular diseases within each subgroup were calculated using bootstrap method. Women had higher prevalence of PD in general population. Among distressed population women had higher prevalence of body mass index over 30, metabolic syndrome and angina pectoris. Men with PD had higher prevalence of high blood pressure and myocardial infarction with contradictory lower prevalence of angina pectoris then myocardial infarction. Physical inactivity was proven to be a risk behavior determinant with most impact on mental health. All CVD are consistently associated with higher prevalence and relative risks for PD both in men and women.

Abstract in Croatian

Psihološka patnja (PP) postaje prepoznatljiv rizični čimbenik kardiovaskularnih bolesti (KVB). Cilj ovoga istraživanja bio je prepoznati povezanost PP i KVB u odrasloj populaciji Hrvatske. Također smo istraživali snagu povezanosti putem relativnog rizika za PP na tri razine: kardiovaskularnih rizičnih ponašanja, stanja i bolesti. U istraživanju su korišteni podaci Hrvatske zdravstvene ankete 2003 (HZA 2003). Ukupno je prikupljeno 9070 odgovora ispitanika državljana Hrvatske starijih od 18 godina. Kompletan uzorak je podijeljen u dvije podgrupe, prva s PP a druga bez PP. Postojanje PP procijenjeno je temeljem Skale mentalnog zdravlja koja je dio SF-36 upitnika. Prevalencije kardiovaskularnih rizičnih ponašanja, kardiovaskularnih rizičnih stanja te KVB prema iskazu ispitanika unutar svake podgrupe izračunate su korištenjem »bootstrap« metode. U općoj populaciji, žene imaju veću prevalenciju PP. U populaciji s PP žene imaju veću prevalenciju indeksa tjelesne težine većeg od 30, metaboličkog sindroma, angine pectoris te zatajenja srca. A muškarci u skupini s PP imaju veću prevalenciju povišenog krvnog tlaka, infarkta miokarda te kontradiktorno manju prevalenciju angine pectoris naspram infarkta. Tjelesna neaktivnost pokazala se kao rizično ponašanje s najviše utjecaja na mentalno zdravlje. Sve KVB konzistentno su povezane s većim relativnim rizikom za PP kako u muškaraca tako i u žena.

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