title: Understanding and reducing stress and psychological distress in older women with heart disease.
abstract: Stress and psychological distress were assessed in 457 older women who were subsequently randomized to a six-week heart disease management program ("Women take PRIDE") or to a "usual care" control group. Baseline distress was significantly associated with age, symptoms, physical functioning, social support, optimism, and self-esteem (p < .05). Only 20% of women reported their physician had recommended reducing stress. At four months follow-up, intervention women compared to controls were significantly more likely to report reductions in stress levels (p = 0.02) and also showed improvement in emotional behavior (p = 0.09).
authors.affiliation: School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029, USA. nkjanz@umich.edu
authors.forename: Nancy K
authors.initials: NK
authors.lastname: Janz
authors.forename: Julia A
authors.initials: JA
authors.lastname: Dodge
authors.forename: Mary R
authors.initials: MR
authors.lastname: Janevic
authors.forename: Xihong
authors.initials: X
authors.lastname: Lin
authors.forename: Amy E
authors.initials: AE
authors.lastname: Donaldson
authors.forename: Noreen M
authors.initials: NM
authors.lastname: Clark
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019468:Disease Management; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006331:Heart Diseases / Q000150:complications* / Q000523:psychology; D006801:Humans; D016014:Linear Models; D008824:Michigan; D008875:Middle Aged; D012307:Risk Factors; D012959:Socioeconomic Factors; D013312:Stress, Physiological / Q000150:complications / Q000517:prevention & control*; D013315:Stress, Psychological / Q000150:complications / Q000517:prevention & control*; D016387:Women's Health