1. A Role for Behavior in the Relationships Between Depression and Hostility and Cardiovascular Disease Incidence, Mortality, and All-Cause Mortality: the Prime Study.
- Author
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Appleton, K., Woodside, J., Arveiler, D., Haas, B., Amouyel, P., Montaye, M., Ferrieres, J., Ruidavets, J., Yarnell, J., Kee, F., Evans, A., Bingham, A., Ducimetiere, P., Patterson, C., Appleton, K M, Woodside, J V, Ruidavets, J B, Yarnell, J W G, Patterson, C C, and PRIME study group
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HOSTILITY , *CARDIOVASCULAR diseases , *DISEASE incidence , *SOCIAL support , *MENTAL depression , *EMOTIONS , *MORTALITY , *PROPORTIONAL hazards models , *DISEASE complications , *PSYCHOLOGY ,CARDIOVASCULAR disease related mortality - Abstract
Background: Behavioral factors are important in disease incidence and mortality and may explain associations between mortality and various psychological traits.Purpose: These analyses investigated the impact of behavioral factors on the associations between depression, hostility and cardiovascular disease(CVD) incidence, CVD mortality, and all-cause mortality.Methods: Data from the PRIME Study (N = 6953 men) were analyzed using Cox proportional hazards models, following adjustment for demographic and biological CVD risk factors, and other psychological traits, including social support.Results: Following initial adjustment, both depression and hostility were significantly associated with both mortality outcomes (smallest SHR = 1.24, p < 0.001). Following adjustment for behavioral factors, all relationships were attenuated both when accounting for and not accounting for other psychological variables. Associations with all-cause mortality remained significant (smallest SHR = 1.14, p = 0.04). Of the behaviors included, the most significant contribution to outcomes was found for smoking, but a role was also found for fruit and vegetable intakes and high alcohol consumption.Conclusions: These findings demonstrate well-known associations between depression, hostility, and mortality and suggest the potential importance of behaviors in explaining these relationships. [ABSTRACT FROM AUTHOR]- Published
- 2016
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