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Prospective Impact of Psychiatric Disorders on Employment Status and Health Care Use in Patients Investigated for Occupational Asthma.

Author(s): Lavoie KL, Favreau H, Paine NJ, Lemière C, Joseph M, Gagnon-Chauvin A, Cartier A, Bacon SL

J Occup Environ Med. 2016 12;58(12):1196-1201 Authors: Lavoie KL, Favreau H, Paine NJ, Lemière C, Joseph M, Gagnon-Chauvin A, Cartier A, Bacon SL

Article GUID: 27930478
Positive and Negative Affect Is Related to Experiencing Chest Pain During Exercise-Induced Myocardial Ischemia.

Author(s): Stébenne P, Bacon SL, Austin A, Paine NJ, Arsenault A, Laurin C, Meloche B, Gordon J, Dupuis J, Lavoie KL

Psychosom Med. 2017 May;79(4):395-403 Authors: Stébenne P, Bacon SL, Austin A, Paine NJ, Arsenault A, Laurin C, Meloche B, Gordon J, Dupuis J, Lavoie KL

Article GUID: 28009652
Impact of Panic Attacks on Bronchoconstriction and Subjective Distress in Asthma Patients With and Without Panic Disorder.

Author(s): Boudreau M, Bacon SL, Paine NJ, Cartier A, Trutschnigg B, Morizio A, Lavoie KL

Psychosom Med. 2017 Jun;79(5):576-584 Authors: Boudreau M, Bacon SL, Paine NJ, Cartier A, Trutschnigg B, Morizio A, Lavoie KL

Article GUID: 28033197
Relationship between antidepressant therapy and risk for cardiovascular events in patients with and without cardiovascular disease.

Author(s): Lavoie KL, Paine NJ, Pelletier R, Arsenault A, Diodati JG, Campbell TS, Pilote L, Bacon SL

Health Psychol. 2018 Nov;37(11):989-999 Authors: Lavoie KL, Paine NJ, Pelletier R, Arsenault A, Diodati JG, Campbell TS, Pilote L, Bacon SL

Article GUID: 30247064
Psychological distress is related to poor health behaviours in COPD and non-COPD patients: Evidence from the CanCOLD study.

Author(s): Paine NJ, Bacon SL, Bourbeau J, Tan WC, Lavoie KL, CanCOLD Study Investigators, Aaron SD, Chapman KR, FitzGerald JM, Hernandez P, Marciniuk ...

Respir Med. 2019 Jan;146:1-9 Authors: Paine NJ, Bacon SL, Bourbeau J, Tan WC, Lavoie KL, CanCOLD Study Investigators, Aaron SD, Chapman KR, FitzGerald JM, Hernandez P, Marciniuk DD, Maltais F, O&#...

Article GUID: 30665505
Association Between Depression, Lung Function and Inflammatory Markers in Patients with Asthma and Occupational Asthma.

Author(s): Paine NJ, Joseph MF, Bacon SL, Julien CA, Cartier A, Ditto B, Favreau H, Lavoie KL

J Occup Environ Med. 2019 Mar 01;: Authors: Paine NJ, Joseph MF, Bacon SL, Julien CA, Cartier A, Ditto B, Favreau H, Lavoie KL

Article GUID: 30855523
Title:Positive and Negative Affect Is Related to Experiencing Chest Pain During Exercise-Induced Myocardial Ischemia.
Authors:Stébenne P,  Bacon SL,  Austin A,  Paine NJ,  Arsenault A,  Laurin C,  Meloche B,  Gordon J,  Dupuis J,  Lavoie KL
Link:https://www.ncbi.nlm.nih.gov/pubmed/28009652?dopt=Abstract
Category:Psychosom Med
PMID:28009652
Dept Affiliation: HKAP
1 From the Department of Psychology (Stébenne, Lavoie), University of Québec at Montréal; Research Centre (Stébenne, Bacon, Arsenault, Meloche, Dupuis, Lavoie), Montreal Heart Institute, Montréal, Québec, Canada; Montreal Behavioural Medicine Centre, Research Centre (Stébenne, Bacon, Austin, Paine, Laurin, Gordon, Lavoie), Hôpital du Sacré-Coeur - CIUSSS-NIM; Department of Exercise Science (Bacon, Austin, Paine), Concordia University, Montréal, Québec, Canada; Department of Social and Behavioral Sciences (Austin), University of Arkansas at Pine Bluff, Arkansas; and Department of Psychology (Gordon), University of Regina, Regina, Saskatoon, Canada.

Description:

Positive and Negative Affect Is Related to Experiencing Chest Pain During Exercise-Induced Myocardial Ischemia.

Psychosom Med. 2017 May;79(4):395-403

Authors: Stébenne P, Bacon SL, Austin A, Paine NJ, Arsenault A, Laurin C, Meloche B, Gordon J, Dupuis J, Lavoie KL

Abstract

OBJECTIVE: Silent myocardial ischemia is thought to be associated with worse cardiovascular outcomes due to a lack of perception of pain cues that initiate treatment seeking. Negative affect (NA) has been associated with increased pain reporting and positive affect (PA) with decreased pain reporting, but these psychological factors have not been examined within the context of myocardial ischemia. This study evaluated the associations between PA, NA, and chest pain reporting in patients with and without ischemia during exercise testing.

METHODS: A total of 246 patients referred for myocardial perfusion single-photon emission computed tomography exercise stress testing completed the positive and negative affect schedule-expanded version, a measure of PA and NA. Presence of chest pain and myocardial ischemia were evaluated using standardized protocols.

RESULTS: Logistic regression analyses revealed that for every 1-point increase in NA, there was a 13% higher chance for ischemic patients (odds ratio [OR] = 1.13; 95% confidence interval [CI] = 1.02 to 1.26) and an 11% higher chance in nonischemic patients (OR = 1.11; 95% CI = 1.03 to 1.19) to report chest pain. A significant interaction of PA and NA on chest pain reporting (ß = 0.02; 95% CI = 0.002 to 0.031) was also observed; nonischemic patients with high NA and PA reported more chest pain (57%) versus patients with low NA and low PA (13%), with high NA and low PA (17%), and with high PA and low NA (7%).

CONCLUSIONS: Patients who experience higher NA are more likely to report experiencing chest pain. In patients without ischemia, high NA and PA was also associated with a higher likelihood of reporting chest pain. Results suggest that high levels of PA as well as NA may increase the experience and/or reporting of chest pain.

PMID: 28009652 [PubMed - indexed for MEDLINE]