학술논문
Coping strategies and risk of cardiovascular disease incidence and mortality: the Japan Public Health Center-based prospective Study
Document Type
Academic Journal
Author
Svensson, Thomas; Inoue, Manami; Sawada, Norie; Yamagishi, Kazumasa; Charvat, Hadrien; Saito, Isao; Kokubo, Yoshihiro; Iso, Hiroyasu; Kawamura, Noriyuki; Shibuya, Kenji; Mimura, Masaru; Tsugane, Shoichiro; Tsugane, S.; Tsugane, S.; Sawada, N.; Iwasaki, M.; Sasazuki, S.; Shimazu, T.; Yamaji, T.; Hanaoka, T.; Ogata, J.; Baba, S.; Mannami, T.; Okayama, A.; Kokubo, Y.; Miyakawa, K.; Saito, F.; Koizumi, A.; Sano, Y.; Hashimoto, I.; Ikuta, T.; Tanaba, Y.; Sato, H.; Roppongi, Y.; Takashima, T.; Miyajima, Y.; Suzuki, N.; Nagasawa, S.; Furusugi, Y.; Nagai, N.; Ito, Y.; Komatsu, S.; Minamizono, T.; Sanada, H.; Hatayama, Y.; Kobayashi, F.; Uchino, H.; Shirai, Y.; Kondo, T.; Sasaki, R.; Watanabe, Y.; Miyagawa, Y.; Kobayashi, Y.; Machida, M.; Kobayashi, K.; Tsukada, M.; Kishimoto, Y.; Takara, E.; Fukuyama, T.; Kinjo, M.; Irei, M.; Sakiyama, H.; Imoto, K.; Yazawa, H.; Seo, T.; Seiko, A.; Ito, F.; Shoji, F.; Saito, R.; Murata, A.; Minato, K.; Motegi, K.; Fujieda, T.; Yamato, S.; Matsui, K.; Abe, T.; Katagiri, M.; Suzuki, M.; Matsui, K.; Doi, M.; Terao, A.; Ishikawa, Y.; Tagami, T.; Sueta, H.; Doi, H.; Urata, M.; Okamoto, N.; Ide, F.; Goto, H.; Sakiyama, H.; Onga, N.; Takaesu, H.; Uehara, M.; Nakasone, T.; Yamakawa, M.; Horii, F.; Asano, I.; Yamaguchi, H.; Aoki, K.; Maruyama, S.; Ichii, M.; Takano, M.; Tsubono, Y.; Suzuki, K.; Honda, Y.; Yamagishi, K.; Sakurai, S.; Tsuchiya, N.; Kabuto, M.; Yamaguchi, M.; Matsumura, Y.; Sasaki, S.; Watanabe, S.; Akabane, M.; Kadowaki, T.; Inoue, M.; Noda, M.; Mizoue, T.; Kawaguchi, Y.; Takashima, Y.; Yoshida, Y.; Nakamura, K.; Takachi, R.; Ishihara, J.; Matsushima, S.; Natsukawa, S.; Shimizu, H.; Sugimura, H.; Tominaga, S.; Hamajima, N.; Iso, H.; Sobue, T.; Iida, M.; Ajiki, W.; Ioka, A.; Sato, S.; Maruyama, E.; Konishi, M.; Okada, K.; Saito, I.; Yasuda, N.; Kono, S.; Akiba, S.
Source
European Heart Journal. Mar 14, 2016 37(11):890-899
Subject
Language
English
ISSN
0195-668X
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 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.