Sex and Gender Differences in Psychosocial Risk Profiles Among Patients with Coronary Heart Disease — the THORESCI-Gender Study.
Background: Psychosocial factors tend to cluster and exhibit differences associated with sex assigned at birth. Gender disparities, though, remain uncharted so far. The current study aimed to first explore the clustering of eight established psychosocial risk factors among patients with coronary hea...
| Publicado en: | International Journal of Behavioral Medicine Vol. 31; no. 1; pp. 130 - 145 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174953065&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174953065 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Feb2024 vid: 31 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 174953065 163649095 174953065 174953065 10.1007/s12529-023-10170-5 174953065 ppf: 130 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Sex and Gender Differences in Psychosocial Risk Profiles Among Patients with Coronary Heart Disease — the THORESCI-Gender Study. aug: au: van den Houdt, Sophie C. M. Mommersteeg, Paula M. C. Widdershoven, Jos Kupper, Nina affil: https://ror.org/04b8v1s79 Center of Research On Psychological Disorders and Somatic Diseases (CoRPS), Department of Medical & Clinical Psychology, Tilburg University, PO Box 90153, 5000 LE, Tilburg, the Netherlands sug: subj: Coronary Disease Psychosocial Factors Sex Factors Gender Identity Human Male Female Middle Age Aged Questionnaires Psychological Distress Anger Anxiety Trauma Odds Ratio Descriptive Statistics Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Psychosocial factors tend to cluster and exhibit differences associated with sex assigned at birth. Gender disparities, though, remain uncharted so far. The current study aimed to first explore the clustering of eight established psychosocial risk factors among patients with coronary heart disease (CHD), followed by examining how sex and gender differences characterize these psychosocial risk profiles, while adjusting for the effect of age. Method: In total, 532 patients with CHD (Mage = 68.2 ± 8.9; 84% male) completed the comprehensive psychosocial screener and questionnaires to gauge gender identity, traits, and sociocultural norm scores. A three-step latent profile analysis (LPA) was performed to identify latent profiles and their correlates. Results: LPA revealed six psychosocial risk profiles: (1) somewhat distressed overall (32%); (2) low distress (27%); (3) anger, hostility, and Type D (15%); (4) emotional distress and trauma (11%); (5) anxiety (9%); and (6) high overall distress (7%). Masculine traits and older age increased the odds to belong to the low distress profile (#2), while feminine traits and a feminine gender norm score increased the chance to belong to profiles with moderate to high distress. The effects of gender identity and feminine traits were sex dependent. Conclusion: The current study's findings explain heterogeneity among patients with CHD by considering the joint occurrence of psychosocial risk factors, and the role of sex, age, and gender within those profiles. Being more sensitive to the roles that sex, gender, and an integrated set of risk factors play may ultimately improve treatment and adherence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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