ArticleFrontiers in psychology2020
Traumatic Stress, Attachment Style, and Health Outcomes in Cardiac Rehabilitation Patients.
Article in Frontiers in psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- The relationship between psychological factors and temporomandibular disorders: a systematic review and meta-analysis.Head & face medicine · 2025Pooled it
- Investigating the association between stressful life events and the risk of myocardial infarction and mortality: the Tromsø study.BMC cardiovascular disorders · 2025Article
- Lean on me: attachment and mental health in couples facing cardiovascular disease.Frontiers in psychology · 2025Article
- How Does Trauma Make You Sick? The Role of Attachment in Explaining Somatic Symptoms of Survivors of Childhood Trauma.Healthcare (Basel, Switzerland) · 2024Review
- Psychological risk factors and cardiovascular disease.Frontiers in psychology · 2024Review
- Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre.Research in psychotherapy (Milano) · 2022Article
- The prevalence of acute stress disorder after acute myocardial infarction and its psychosocial risk factors among young and middle-aged patients.Scientific reports · 2022Article
- Impact of the COVID-19 pandemic in patients with a previous history of premature myocardial infarction.American journal of preventive cardiology · 2020Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveResearch on psychosocial risk factors in cardiovascular disease (CVD) has identified traumatic stress and attachment style as independent risk factors for the development of CVD and poor prognosis for those with established CVD. Exploring the interrelationships between these variables will inform psychosocial risk factor modeling and potential avenues for intervention. Therefore, the hypothesis that attachment style is related to health outcomes among CR patients and that traumatic stress mediates this relationship was tested.
methodsPatients in a cardiac rehabilitation program (
resultsOf the 201 participants, 42 (21%) had trauma scores indicating the probable presence of posttraumatic stress disorder. Via greater levels of traumatic stress, greater attachment anxiety at baseline was indirectly related to greater anxiety, depression, fasting blood glucose, and HbA1c, and poorer physical and mental quality of life. There were no significant indirect effects on HDL ratios.
conclusionGreater attachment anxiety predicted greater traumatic stress; this, in turn, predicted poorer health outcomes. Screening and treatment for these constructs in CVD patients is warranted.
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