Objective The current study examined the role of emotional competences and depression in takotsubo cardiomyopathy (TTC). Methods We compared 37 TTC patients who experienced emotion triggers (TTC-t: M (SD) age = 66.4 (12.8) years, 33 women) with 37 TTC patients who did not experience emotion triggers (TTC-nt: M (SD) age = 65.8 (11.1) years, 33 women) and 37 patients with acute myocardial infarction who experienced an emotion trigger (AMI-t: M (SD) age = 66.1 (10.1) years, 33 women). Three aspects of emotional competence (emotional intelligence, metacognitive beliefs, and emotional processing deficits) were assessed using the Trait Meta-Mood Scale (TMMS), the Meta-Cognitions Questionnaire 30, and the Emotional Processing Scale. Differences between-group means were evaluated using multivariate analysis of covariance, adjusting for depressive symptom (Hamilton Rating Scale for Depression). Results Compared with the TTC-nt and AMI-t comparison groups, TTC-t patients had low scores on emotional intelligence (TMMS Attention: F(2, 184) = 23.10, p <.001; TMMS Repair: F(2, 184) = 11.98, p <.001) and high scores in metacognitive beliefs and emotional processing deficits (e.g., Meta-Cognitions Questionnaire 30 Negative Beliefs about Thoughts: F(2, 184) = 56.93, p <.001), independent of the levels of depressive symptom. TTC-nt patients also had significantly lower scores on the Hamilton Rating Scale for Depression scale compared with AMI-t (p =.021) and TTC-t (p =.004) patients. Conclusions TTC-t patients showed a specific dysfunctional profile of emotional competence, even after adjusting for depressive symptom. These results provided a better understanding of the psychological factors that contribute to TTC.

(2018). The Role of Emotional Competence in Takotsubo Cardiomyopathy [journal article - articolo]. In PSYCHOSOMATIC MEDICINE. Retrieved from http://hdl.handle.net/10446/127723

The Role of Emotional Competence in Takotsubo Cardiomyopathy

Compare, Angelo;Brugnera, Agostino;Zarbo, Cristina;Tasca, Giorgio A.;
2018-01-01

Abstract

Objective The current study examined the role of emotional competences and depression in takotsubo cardiomyopathy (TTC). Methods We compared 37 TTC patients who experienced emotion triggers (TTC-t: M (SD) age = 66.4 (12.8) years, 33 women) with 37 TTC patients who did not experience emotion triggers (TTC-nt: M (SD) age = 65.8 (11.1) years, 33 women) and 37 patients with acute myocardial infarction who experienced an emotion trigger (AMI-t: M (SD) age = 66.1 (10.1) years, 33 women). Three aspects of emotional competence (emotional intelligence, metacognitive beliefs, and emotional processing deficits) were assessed using the Trait Meta-Mood Scale (TMMS), the Meta-Cognitions Questionnaire 30, and the Emotional Processing Scale. Differences between-group means were evaluated using multivariate analysis of covariance, adjusting for depressive symptom (Hamilton Rating Scale for Depression). Results Compared with the TTC-nt and AMI-t comparison groups, TTC-t patients had low scores on emotional intelligence (TMMS Attention: F(2, 184) = 23.10, p <.001; TMMS Repair: F(2, 184) = 11.98, p <.001) and high scores in metacognitive beliefs and emotional processing deficits (e.g., Meta-Cognitions Questionnaire 30 Negative Beliefs about Thoughts: F(2, 184) = 56.93, p <.001), independent of the levels of depressive symptom. TTC-nt patients also had significantly lower scores on the Hamilton Rating Scale for Depression scale compared with AMI-t (p =.021) and TTC-t (p =.004) patients. Conclusions TTC-t patients showed a specific dysfunctional profile of emotional competence, even after adjusting for depressive symptom. These results provided a better understanding of the psychological factors that contribute to TTC.
articolo
2018
Compare, Angelo; Brugnera, Agostino; Spada, Marcantonio M.; Zarbo, Cristina; Tasca, Giorgio Angelo; Sassaroli, Sandra; Caselli, Gabriele; Ruggiero, Giovanni Maria; Wittstein, Ilan
(2018). The Role of Emotional Competence in Takotsubo Cardiomyopathy [journal article - articolo]. In PSYCHOSOMATIC MEDICINE. Retrieved from http://hdl.handle.net/10446/127723
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