Journal
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
Volume 19, Issue 2, Pages 250-257Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/1741826711399426
Keywords
Lifestyle; behaviour; distress; neuroticism
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Funding
- Australian National Health and Medical Research Council [455268]
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Background: Anxiety, psychological distress and personality may not be independent risk factors for cardiovascular disease; however they may contribute via their relationship with unhealthy lifestyle behaviours. This study aimed to examine the association between psychological distress, risk behaviours and patient demographic characteristics in a sample of general practice patients aged 40-65 years with at least one risk factor for cardiovascular disease. Design: Cross-sectional analytic study. Methods: Patients, randomly selected from general practice records, completed a questionnaire about their behavioural risk factors and psychological health as part of a cluster randomized controlled trial of a general practice based intervention to prevent chronic vascular disease. The Kessler Psychological Distress Score (K10) was the main outcome measure for the multilevel, multivariate analysis. Results: Single-level bi-variate analysis demonstrated a significant association between higher K I 0 and middle age (p = 0.001), high neuroticism (p = 0), current smoking (p = 0), physical inactivity (p = 0.003) and low fruit and vegetable consumption (p = 0.008). Socioeconomic (SES) indicators of deprivation (employment and accommodation status) were also significantly associated with higher K I 0 (p = 0). No individual behavioural risk factor was associated with K 10 on multilevel multivariate analysis; however indicators of low SES remained significant (p < 0.001). Conclusions: When all factors were considered, psychological distress was not associated with behavioural risk factors for cardiovascular disease. Other underlying factors, such as personality type and socioeconomic status, may be associated with both the behaviours and the distress.
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