Adaptive coping strategies were protective against CVD events (HR 0.97; 95% CI 0.95-0.99), whereas maladaptive strategies increased risk (HR 1.02; 95% CI 1.01-1.04), particularly in adults <60 years.
Cohort (n=6,323)
Do adaptive and maladaptive coping strategies affect the risk of major adverse cardiovascular events in adults?
Adaptive coping strategies are associated with a reduced risk of cardiovascular events, particularly in adults younger than 60, highlighting the potential role of stress management in primary prevention.
Effect estimate: HR 0.97 (95% CI 0.95-0.99)
AIMS: Psychological factors are among the most suspected indicators which may cause atherosclerosis. Coping strategies modifying psychological stress may be significantly associated with health outcomes. However, little is known about the influence of adaptive and maladaptive coping strategies on major adverse cardiovascular disease (CVD) events. The purpose of this study is to examine this idea among a sample of adults. Design: cohort study. METHODS AND RESULTS: The Isfahan cohort study (ICS) is a longitudinal population-based, prospective study. Participants (N=6323 individuals aged 35 years or greater at baseline) were selected by multistage random sampling with 6-year intervals (i.e. 2001: 6323 individuals, 2007: 3296 individuals, and 2013: 1706 individuals). Adaptive and maladaptive coping strategies were evaluated by a multicomponent self-administered stress management paper-based questionnaire. All CVD events were confirmed by a blinded panel of experts and a marginal cox regression model was used to model the survival data. Adaptive coping strategies could be protective against CVD events with hazard ratios (95% confidence interval) 0.97 (0.95-0.99) and maladaptive coping strategies seem to be a risk factor, 1.02 (1.01-1.04) in the whole population. Individuals younger than 60 showed similar results, with 0.96 (0.93-0.98) and 1.04 (1.01-1.07) for adaptive and maladaptive coping strategies, respectively. However, these findings were not replicated among seniors older than age 60. CONCLUSION: Based on our results, coping strategies have an important role in cardiovascular events, particularly among young adults. According to the results, informing patients about adaptive stress management may promote primary prevention of CVD events.
Roohafza et al. (Tue,) conducted a cohort in Cardiovascular disease (n=6,323). Adaptive and maladaptive coping strategies was evaluated on Major adverse cardiovascular disease (CVD) events (HR 0.97, 95% CI 0.95-0.99). Adaptive coping strategies were protective against CVD events (HR 0.97; 95% CI 0.95-0.99), whereas maladaptive strategies increased risk (HR 1.02; 95% CI 1.01-1.04), particularly in adults <60 years.