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Coping strategies and risk of cardiovascular disease incidence and mortality : The Japan Public Health Center-based prospective Study

Svensson, Thomas LU ; Inoue, Manami; Sawada, Norie; Yamagishi, Kazumasa; Charvat, Hadrien; Saito, Isao; Kokubo, Yoshihiro; Iso, Hiroyasu; Kawamura, Noriyuki and Shibuya, Kenji, et al. (2016) In European Heart Journal 37(11). p.890-899
Abstract

Aims: Coping strategies may be significantly associated with health outcomes. This is the first study to investigate the association between baseline coping strategies and cardiovascular disease (CVD) incidence and mortality in a general population cohort. Methods and results: The Japan Public Health Center-based prospective Study asked questions on coping in its third follow-up survey (2000- 04). Analyses on CVD incidence and mortality included 57 017 subjects aged 50-79 without a history of CVD and who provided complete answers on approach- and avoidance-oriented coping behaviours and strategies. Cox regression models, adjusted for confounders, were used to determine hazard ratios (HRs) according to coping style. Mean follow-up time... (More)

Aims: Coping strategies may be significantly associated with health outcomes. This is the first study to investigate the association between baseline coping strategies and cardiovascular disease (CVD) incidence and mortality in a general population cohort. Methods and results: The Japan Public Health Center-based prospective Study asked questions on coping in its third follow-up survey (2000- 04). Analyses on CVD incidence and mortality included 57 017 subjects aged 50-79 without a history of CVD and who provided complete answers on approach- and avoidance-oriented coping behaviours and strategies. Cox regression models, adjusted for confounders, were used to determine hazard ratios (HRs) according to coping style. Mean follow-up time was 7.9 years for incidence and 8.0 years for mortality. The premorbid use of an approach-oriented coping strategy was inversely associated with incidence of stroke (HR = 0.85; 95% CI, 0.73-1.00) and CVD mortality (HR = 0.74; 95% CI, 0.55-0.99). Stroke subtype analyses revealed an inverse association between the approach-oriented coping strategy and incidence of ischaemic stroke (HR = 0.79; 95% CI, 0.64-0.98) and a positive association between the combined coping strategy and incidence of intra-parenchymal haemorrhage (HR = 2.03; 95% CI, 1.01-4.10). Utilizing an avoidance coping strategy was associated with increased mortality from ischaemic heart disease (IHD) only in hypertensive individuals (HR = 3.46; 95% CI, 1.07-11.18). The coping behaviours fantasizing and positive reappraisal were associated with increased risk of CVD incidence (HR = 1.24; 95% CI, 1.03-1.50) and reduced risk of IHD mortality (HR = 0.63; 95% CI, 0.40-0.99), respectively. Conclusion: An approach-oriented coping strategy, i.e. proactively dealing with sources of stress, may be associated with significantly reduced stroke incidence and CVD mortality in a Japanese population-based cohort.

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type
Contribution to journal
publication status
published
keywords
Cohort, Coping, Incidence, Mortality, Myocardial infarction, Stroke
in
European Heart Journal
volume
37
issue
11
pages
10 pages
publisher
Oxford University Press
external identifiers
  • scopus:85015432606
ISSN
0195-668X
DOI
10.1093/eurheartj/ehv724
language
English
LU publication?
no
id
bddb6394-eb1d-4c05-a978-acca49b2a98c
date added to LUP
2017-05-11 07:41:37
date last changed
2017-10-01 05:34:16
@article{bddb6394-eb1d-4c05-a978-acca49b2a98c,
  abstract     = {<p>Aims: Coping strategies may be significantly associated with health outcomes. This is the first study to investigate the association between baseline coping strategies and cardiovascular disease (CVD) incidence and mortality in a general population cohort. Methods and results: The Japan Public Health Center-based prospective Study asked questions on coping in its third follow-up survey (2000- 04). Analyses on CVD incidence and mortality included 57 017 subjects aged 50-79 without a history of CVD and who provided complete answers on approach- and avoidance-oriented coping behaviours and strategies. Cox regression models, adjusted for confounders, were used to determine hazard ratios (HRs) according to coping style. Mean follow-up time was 7.9 years for incidence and 8.0 years for mortality. The premorbid use of an approach-oriented coping strategy was inversely associated with incidence of stroke (HR = 0.85; 95% CI, 0.73-1.00) and CVD mortality (HR = 0.74; 95% CI, 0.55-0.99). Stroke subtype analyses revealed an inverse association between the approach-oriented coping strategy and incidence of ischaemic stroke (HR = 0.79; 95% CI, 0.64-0.98) and a positive association between the combined coping strategy and incidence of intra-parenchymal haemorrhage (HR = 2.03; 95% CI, 1.01-4.10). Utilizing an avoidance coping strategy was associated with increased mortality from ischaemic heart disease (IHD) only in hypertensive individuals (HR = 3.46; 95% CI, 1.07-11.18). The coping behaviours fantasizing and positive reappraisal were associated with increased risk of CVD incidence (HR = 1.24; 95% CI, 1.03-1.50) and reduced risk of IHD mortality (HR = 0.63; 95% CI, 0.40-0.99), respectively. Conclusion: An approach-oriented coping strategy, i.e. proactively dealing with sources of stress, may be associated with significantly reduced stroke incidence and CVD mortality in a Japanese population-based cohort.</p>},
  author       = {Svensson, Thomas and Inoue, Manami and Sawada, Norie and Yamagishi, Kazumasa and Charvat, Hadrien and Saito, Isao and Kokubo, Yoshihiro and Iso, Hiroyasu and Kawamura, Noriyuki and Shibuya, Kenji and Mimura, Masaru and Tsugane, Shoichiro and Tsugane, S. and Sawada, Norie and Iwasaki, M and Sasazuki, Shizuka and Shimazu, Taichi and Yamaji, Taiki and Baba, P. V. K. S. and Kokubo, Yoshihiro and Miyakawa, K and Sano, Yoriko and Sato, H. D. and Suzuki, N and Ito, Y and Kobayashi, Fumi and Shirai, Y and Kondo, T and Sasaki, R and Watanabe, Y and Machida, M and Kobayashi, K and Kishimoto, Y and Saito, T. R. and Matsui, Keijiro and Abe, T and Matsui, Keijiro and Doi, M and Ishikawa, Y and Okamoto, Nobuaki and Uehara-Prado, Marcio and Yamaguchi, H. and Aoki, K. and Maruyama, S and Suzuki, K. and Tsuchiya, N and Kabuto, M. and Yamaguchi, Manami and Matsumura, Yutaka and Sasaki, Sei and Watanabe, S and Kadowaki, Takashi and Inoue, Makoto and Yoshida, Yukio and Nakamura, K and Sugimura, H and Hamajima, N and Iso, H and Sato, S and Okada, K and Akiba, S.},
  issn         = {0195-668X},
  keyword      = {Cohort,Coping,Incidence,Mortality,Myocardial infarction,Stroke},
  language     = {eng},
  month        = {03},
  number       = {11},
  pages        = {890--899},
  publisher    = {Oxford University Press},
  series       = {European Heart Journal},
  title        = {Coping strategies and risk of cardiovascular disease incidence and mortality : The Japan Public Health Center-based prospective Study},
  url          = {http://dx.doi.org/10.1093/eurheartj/ehv724},
  volume       = {37},
  year         = {2016},
}