Stress at work burden as new risk factor in patients with acute cerebro- or cardiovascular events: Preliminary findings from INEV@L, a prospective pilot study - 25/12/18
, E. Salès-Wuillemin 2, J. Chappé 2, S. Guinchard 3, H. Ayari 3, M. Maza 3, C. Aboa-Eboulé 4, D. Truchot 5, L. Lorgis 3, M. Giroud 4, Y. Cottin 3, Y. Bejot 4Résumé |
Introduction and aim |
Although psychosocial factors (PSF) including work-related stress and low quality of life at work are emerging cardiovascular risk factors, PSF burden remains poorly investigated after acute cerebro- or cardiovascular event (CVE).
Methods |
INEV@L, an ongoing prospective multidisciplinary study, included 156 patients aged<65 y, currently working and hospitalized for stroke or MI between 1st January 2016 and 31st august 2017. PSF were examined perceived CV disease severity, anxiety/depression, perceived stress at work (PSW), quality of life at work (QLW) through validated questionnaires and semi-conducted interviews. Patients with higher (supramedian) perceived stress at work (PSW) were compared to lower (inframedian) PSW.
Results |
Among the 156 patients included, 121(78%) had acute MI and 35(22%) stroke. Median (IQR) age was 53(48–58) years, and 18% were women, 56% smokers and had high PSW [15(10–20)], but a low QLW [85(75–95)]. Patients with a higher score to PSW, had similar risk factors including age (P=0.450), women (0.542), hypertension (P=0.791), smoking (P=0.384), diabetes (P=0.193), obesity (P=0.995) than patients with a lower score. Although high PSW patients showed a trend toward lower education level (P=0.067), marital status, and socio-economic categories were similar for both groups. Elevated perceived disease severity was more common (49 vs. 19%) in stressed patients. Patients with high PSW are more anxious (78 vs. 25%, P<0.001), and had twice more depressive symptoms (19 vs. 9%, P=0.100). QLW was significantly lower in high PSW patients (81±16 vs. 90±13, P<0.001). Moreover, QLW was strongly correlated with PSW (r=−0.433, P<0.001).
Conclusion |
These preliminary data from a prospective pilot study shows a high PSF burden in patients hospitalized for acute CVE. If confirmed at a larger scale, our data could identify new opportunities for secondary preventive strategies.
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Vol 11 - N° 1
P. 123 - janvier 2019 Retour au numéro
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