{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:08:13Z","timestamp":1787580493370,"version":"build-2736575974"},"reference-count":63,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T00:00:00Z","timestamp":1729209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["R01HL149672"],"award-info":[{"award-number":["R01HL149672"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>This secondary analysis aimed to (i) describe psychological resources and distress in women with takotsubo syndrome (TS) and (ii) explore whether such factors affect blood pressure (BP) responses to acute mental stress.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Participants were 47 women consecutively enrolled in an ongoing study examining the prognostic significance of stress reactivity in TS. Psychological resources (resilience and adaptive coping) and distress [depression, anxiety, post-traumatic stress disorder (PTSD), and perceived stress] were self-reported using validated questionnaires &amp;lt;12 weeks after TS. Using a standardized protocol, systolic BP (SBP) and diastolic BP (DBP) (mmHg) were measured every 5\u2005min during baseline (10\u2005min), mental stress (10\u2005min), and recovery (20\u2005min). Associations of psychological resources and distress (high vs. low composite scores), respectively, with BP during mental stress and recovery (change from baseline), were examined using one-way analyses of covariance (covariates: age and anti-hypertensive medications). Given the study\u2019s exploratory nature, results are shown as effect sizes. On average, women (Mage = 64.3 years) had high perceived stress, anxiety, and PTSD symptoms and low resilience. Women with high (vs. low) psychological distress displayed less complete SBP (d = 0.57) and DBP (d = 0.33) recovery to baseline. Women with low (vs. high) psychological resources demonstrated lower SBP responses during mental stress (d = \u22120.26) alongside a more complete SBP recovery (d = 0.30).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Female survivors of TS with high psychological distress exhibited impaired BP recovery following acute mental stress. While the prognostic significance of impaired BP recovery from mental stress remains to be determined in longitudinal studies, this finding could help identify TS survivors at risk for recurrence.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvae148","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T10:48:02Z","timestamp":1729248482000},"page":"434-443","source":"Crossref","is-referenced-by-count":3,"title":["Psychological factors and blood pressure responses to acute stress in women with takotsubo syndrome: an exploratory study"],"prefix":"10.1093","volume":"24","author":[{"given":"Sara","family":"Ouaddi","sequence":"first","affiliation":[{"name":"Brown University Health Cardiovascular Institute, The Miriam Hospital , 180 Corliss St, Providence, RI 02904 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1455-7964","authenticated-orcid":false,"given":"Natalie G","family":"Keirns","sequence":"additional","affiliation":[{"name":"Brown University Health Cardiovascular Institute, The Miriam Hospital , 180 Corliss St, Providence, RI 02904 ,","place":["USA"]},{"name":"Department of Nutrition and Health Science, Ball State University , 1615 W. Riverside Ave, Muncie, IN 47303 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon Y","family":"Lee","sequence":"additional","affiliation":[{"name":"Center for Behavioral and Preventive Medicine, The Miriam Hospital , Providence, RI ,","place":["USA"]},{"name":"Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University , Providence, RI ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shira","family":"Dunsiger","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, School of Public Health, Brown University , Providence, RI ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Gathright","sequence":"additional","affiliation":[{"name":"Center for Behavioral and Preventive Medicine, The Miriam Hospital , Providence, RI ,","place":["USA"]},{"name":"Department of Psychiatry and Human Behavior, Warren 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