Cargando…

Psychological Traumas and Cardiovascular Disease: A Case-Control Study

Adverse childhood experiences could be important determinants of adult disease. The present study analyzed the association between early traumatic experiences and the onset of cardiovascular disease (CVDs). It was hypothesized that patients with CVD would report a higher number of traumatic experien...

Descripción completa

Detalles Bibliográficos
Autores principales: Galli, Federica, Lai, Carlo, Gregorini, Teresa, Ciacchella, Chiara, Carugo, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8304858/
https://www.ncbi.nlm.nih.gov/pubmed/34356253
http://dx.doi.org/10.3390/healthcare9070875
_version_ 1783727436049940480
author Galli, Federica
Lai, Carlo
Gregorini, Teresa
Ciacchella, Chiara
Carugo, Stefano
author_facet Galli, Federica
Lai, Carlo
Gregorini, Teresa
Ciacchella, Chiara
Carugo, Stefano
author_sort Galli, Federica
collection PubMed
description Adverse childhood experiences could be important determinants of adult disease. The present study analyzed the association between early traumatic experiences and the onset of cardiovascular disease (CVDs). It was hypothesized that patients with CVD would report a higher number of traumatic experiences during childhood and that this association would be stronger in women. The Traumatic Experiences Checklist (TEC) was fulfilled by 75 patients with a first-time diagnosis of CVD and 84 healthy controls randomly selected from the general population. The two groups were not balanced for age and sex. Multivariate analyses of covariance (MANCOVAs) and analyses of covariance (ANCOVAs), with group (clinical vs. control) and gender (male vs. female) as between-subjects factors, and age of participants as covariate, were performed on the number and the impact of the traumatic experiences (emotional neglect, emotional abuse, physical abuse, sexual harassment, and sexual abuse) for the three age group in which the trauma was experienced (from 0 to 10, from 11 to 18, from 19 years onwards). The main results showed that participants with CVDs have experienced a higher number of early traumatic experiences compared to the control group, such as emotional neglect (p = 0.023), emotional abuse (0.008 ≤ p ≤ 0.033), and physical abuse (0.001 < p ≤ 0.038). The results also revealed that women with CVDs have experienced more traumatic events compared to the women of the control group (0.001 < p ≤ 0.020). These results seem to highlight an association between traumatic experiences in childhood and CVD in adulthood, particularly in women. Such findings could have relevant implications for clinical practice, suggesting the importance of adopting an integrated approach in the care of the patient with cardiovascular diseases paying attention also to the clinical psychological risk factors.
format Online
Article
Text
id pubmed-8304858
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-83048582021-07-25 Psychological Traumas and Cardiovascular Disease: A Case-Control Study Galli, Federica Lai, Carlo Gregorini, Teresa Ciacchella, Chiara Carugo, Stefano Healthcare (Basel) Article Adverse childhood experiences could be important determinants of adult disease. The present study analyzed the association between early traumatic experiences and the onset of cardiovascular disease (CVDs). It was hypothesized that patients with CVD would report a higher number of traumatic experiences during childhood and that this association would be stronger in women. The Traumatic Experiences Checklist (TEC) was fulfilled by 75 patients with a first-time diagnosis of CVD and 84 healthy controls randomly selected from the general population. The two groups were not balanced for age and sex. Multivariate analyses of covariance (MANCOVAs) and analyses of covariance (ANCOVAs), with group (clinical vs. control) and gender (male vs. female) as between-subjects factors, and age of participants as covariate, were performed on the number and the impact of the traumatic experiences (emotional neglect, emotional abuse, physical abuse, sexual harassment, and sexual abuse) for the three age group in which the trauma was experienced (from 0 to 10, from 11 to 18, from 19 years onwards). The main results showed that participants with CVDs have experienced a higher number of early traumatic experiences compared to the control group, such as emotional neglect (p = 0.023), emotional abuse (0.008 ≤ p ≤ 0.033), and physical abuse (0.001 < p ≤ 0.038). The results also revealed that women with CVDs have experienced more traumatic events compared to the women of the control group (0.001 < p ≤ 0.020). These results seem to highlight an association between traumatic experiences in childhood and CVD in adulthood, particularly in women. Such findings could have relevant implications for clinical practice, suggesting the importance of adopting an integrated approach in the care of the patient with cardiovascular diseases paying attention also to the clinical psychological risk factors. MDPI 2021-07-12 /pmc/articles/PMC8304858/ /pubmed/34356253 http://dx.doi.org/10.3390/healthcare9070875 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Galli, Federica
Lai, Carlo
Gregorini, Teresa
Ciacchella, Chiara
Carugo, Stefano
Psychological Traumas and Cardiovascular Disease: A Case-Control Study
title Psychological Traumas and Cardiovascular Disease: A Case-Control Study
title_full Psychological Traumas and Cardiovascular Disease: A Case-Control Study
title_fullStr Psychological Traumas and Cardiovascular Disease: A Case-Control Study
title_full_unstemmed Psychological Traumas and Cardiovascular Disease: A Case-Control Study
title_short Psychological Traumas and Cardiovascular Disease: A Case-Control Study
title_sort psychological traumas and cardiovascular disease: a case-control study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8304858/
https://www.ncbi.nlm.nih.gov/pubmed/34356253
http://dx.doi.org/10.3390/healthcare9070875
work_keys_str_mv AT gallifederica psychologicaltraumasandcardiovasculardiseaseacasecontrolstudy
AT laicarlo psychologicaltraumasandcardiovasculardiseaseacasecontrolstudy
AT gregoriniteresa psychologicaltraumasandcardiovasculardiseaseacasecontrolstudy
AT ciacchellachiara psychologicaltraumasandcardiovasculardiseaseacasecontrolstudy
AT carugostefano psychologicaltraumasandcardiovasculardiseaseacasecontrolstudy