Evidence map›Paper›PMID 30084712›Full record

ArticleStress (Amsterdam, Netherlands)2018

Emotion regulation moderates the association between chronic stress and cardiovascular disease risk in humans: a cross-sectional study.

Brita Roy, Carley Riley, Rajita Sinha

Open access · greenAbstract read
In one paragraph

Article in Stress (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. [Effects of propofol sedation on psychological stress in surgical patients under epidural].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2018
    Trial
  3. Article
  4. Emotion regulation as a protective factor in the association between stress and inflammation in older adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  5. Self-harming behavior linked to earlier onset of cardiovascular disease in severe mental disorders.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Brita RoySection of General Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Carley RileyDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Rajita SinhaYale Stress Center and Departments of Psychiatry, Neuroscience and Child Study, Yale School of Medicine, New Haven, CT, USA.
University of Cincinnati Medical Center · USYale University · US

Funding

GLP-1 analogue effects on food cues, stress, motivation for highly palatable foods, and weightR01DK099039 · NIDDK · YALE UNIVERSITY · PI JASTREBOFF, ANIA, SINHA, RAJITA · 2013 to 2024
$6.8M
Interdisciplinary Research on Stress, Self-Control & AddictionUL1DE019586 · NIDCR · YALE UNIVERSITY · PI SINHA, RAJITA · 2008 to 2011
$5.0M
Protocols, Statistics, Collaborative Method Development and ToolsPL1DA024859 · NIDA · YALE UNIVERSITY · PI SINHA, RAJITA · 2007 to 2011
$3.6M
Yale-CORE Career Development Program in Patient-Centered Outcomes ResearchK12HS023000 · AHRQ · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2014 to 2018
$3.4M
AHRQ HHS K12 HS023000NIDA NIH HHS PL1 DA024859NIDCR NIH HHS UL1 DE019586NIDDK NIH HHS R01 DK099039
6 · The paper itself

Abstract

Chronic stress is a risk factor for incident cardiovascular (CV) disease. Emotion regulation is the ability to modulate one's state or behavior in response to a given situation or stressor, and may mitigate the effect of chronic stress on CV disease risk. Data from a cohort of 754 community-dwelling young to middle-aged adults who were assessed between 2007 and 2012 on stress, emotion regulation, and CV risk measures were used to test the hypothesis that emotion regulation mitigates the effect of chronic stress on CV risk. Emotion regulation was measured using the Difficulties in Emotion Regulation Scale (DERS). We created a composite stress score using data from the Cumulative Adversity Interview and the Perceived Stress Scale. Our outcomes included blood pressure, body mass index, and insulin resistance separately and combined into a composite CV risk score. Covariates included age, sex, race, years of education, and smoking status. We used multivariable logistic regression to evaluate associations between stress measures and CV risk among participants and the impact of emotion regulation (DERS scores) on this association. We found that composite stress interacted significantly with the DERS score to affect CV risk (

Indexed as

chronic stressCV disease riskEmotional intelligenceemotion regulationprimary preventionpsychological stress

Identifiers

PMID30084712
PMCPMC6367063
OpenAlexW2886364980

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.