ArticlePsychosomatic medicine2019
Psychological Traits, Heart Rate Variability, and Risk of Coronary Heart Disease in Healthy Aging Women-The Women's Health Initiative.
Article in Psychosomatic medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Effects of stress management interventions on heart rate variability in adults with cardiovascular disease: a systematic review and meta-analysis.Journal of behavioral medicine · 2024Pooled it
- The simplified method for quantifying metabolic syndrome (siMS) score reflects an increased cardiometabolic burden: adiposity, hemodynamics, and HRV findings in young adults.Journal of diabetes and metabolic disorders · 2026Article
- Blood glucose variability impacts heart rate dynamics in older type 2 diabetic and coronary heart disease patients.World journal of diabetes · 2025Article
- Positive psychological well-being and cardiovascular health.Frontiers in psychiatry · 2024Review
- Balance of Autonomic Nervous Activity, Exercise, and Sleep Status in Older Adults: A Review of the Literature.International journal of environmental research and public health · 2021Review
- Positive psychological well-being and cardiovascular disease: Exploring mechanistic and developmental pathways.Social and personality psychology compass · 2021Article
- Mental Health Monitoring Based on Multiperception Intelligent Wearable Devices.Contrast media & molecular imaging · 2021Article
- Article
- Mind-Body and Psychosocial Interventions May Similarly Affect Heart Rate Variability Patterns in Cancer Recovery: Implications for a Mechanism of Symptom Improvement.Integrative cancer therapiesArticle
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Authors and funding
15 authors at 2 institutions in 1 country.
Funding
Abstract
objectivePsychological traits such as optimism and hostility affect coronary heart disease (CHD) risk, but mechanisms for this association are unclear. We hypothesized that optimism and hostility may affect CHD risk via changes in heart rate variability (HRV).
methodsWe conducted a longitudinal analysis using data from the Women's Health Initiative Myocardial Ischemia and Migraine Study. Participants underwent 24-hour ambulatory electrocardiogram monitoring 3 years after enrollment. Optimism (Life Orientation Test-Revised), cynical hostility (Cook-Medley), demographics, and coronary risk factors were assessed at baseline. HRV measures included standard deviation of average N-N intervals (SDNN); standard deviation of average N-N intervals for 5 minutes (SDANN); and average heart rate (HR). CHD was defined as the first occurrence of myocardial infarction, angina, coronary angioplasty, and bypass grafting. Linear and Cox regression models adjusted for CHD risk factors were used to examine, respectively, associations between optimism, hostility, and HRV and between HRV and CHD risk.
resultsFinal analyses included 2655 women. Although optimism was not associated with HRV, hostility was inversely associated with HRV 3 years later (SDANN: adjusted β = -0.54; 95% CI = -0.97 to -0.11; SDNN: -0.49; 95% CI = -0.93 to -0.05). HRV was inversely associated with CHD risk; for each 10-millisecond increase in SDNN or SDANN, there was a decrease in CHD risk of 9% (p = .023) and 12% (p = .006), respectively.
conclusionsHRV did not play a major role in explaining why more optimistic women seem to be somewhat protected from CHD risk. Although hostility was inversely associated with HRV, its role in explaining the association between hostility and CHD risk remains to be established.
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