The Role of Emotional Competence in Takotsubo Cardiomyopathy

Angelo Compare, Agostino Brugnera, Marcantonio M. Spada, Cristina Zarbo, Giorgio A. Tasca, Sandra Sassaroli, Gabriele Caselli, Giovanni Maria Ruggiero, Ilan S Wittstein

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)377-384
Number of pages8
JournalPsychosomatic Medicine
Volume80
Issue number4
DOIs
StatePublished - May 1 2018

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Takotsubo Cardiomyopathy
Mental Competency
Depression
Emotional Intelligence
Emotions
Cognition
Multivariate Analysis

Keywords

  • depression
  • emotional competence
  • emotional intelligence
  • emotional processing
  • metacognitive beliefs
  • takotsubo cardiomyopathy.

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Compare, A., Brugnera, A., Spada, M. M., Zarbo, C., Tasca, G. A., Sassaroli, S., ... Wittstein, I. S. (2018). The Role of Emotional Competence in Takotsubo Cardiomyopathy. Psychosomatic Medicine, 80(4), 377-384. https://doi.org/10.1097/PSY.0000000000000564

The Role of Emotional Competence in Takotsubo Cardiomyopathy. / Compare, Angelo; Brugnera, Agostino; Spada, Marcantonio M.; Zarbo, Cristina; Tasca, Giorgio A.; Sassaroli, Sandra; Caselli, Gabriele; Ruggiero, Giovanni Maria; Wittstein, Ilan S.

In: Psychosomatic Medicine, Vol. 80, No. 4, 01.05.2018, p. 377-384.

Research output: Contribution to journalArticle

Compare, A, Brugnera, A, Spada, MM, Zarbo, C, Tasca, GA, Sassaroli, S, Caselli, G, Ruggiero, GM & Wittstein, IS 2018, 'The Role of Emotional Competence in Takotsubo Cardiomyopathy', Psychosomatic Medicine, vol. 80, no. 4, pp. 377-384. https://doi.org/10.1097/PSY.0000000000000564
Compare A, Brugnera A, Spada MM, Zarbo C, Tasca GA, Sassaroli S et al. The Role of Emotional Competence in Takotsubo Cardiomyopathy. Psychosomatic Medicine. 2018 May 1;80(4):377-384. https://doi.org/10.1097/PSY.0000000000000564
Compare, Angelo ; Brugnera, Agostino ; Spada, Marcantonio M. ; Zarbo, Cristina ; Tasca, Giorgio A. ; Sassaroli, Sandra ; Caselli, Gabriele ; Ruggiero, Giovanni Maria ; Wittstein, Ilan S. / The Role of Emotional Competence in Takotsubo Cardiomyopathy. In: Psychosomatic Medicine. 2018 ; Vol. 80, No. 4. pp. 377-384.
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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.",
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AU - Tasca, Giorgio A.

AU - Sassaroli, Sandra

AU - Caselli, Gabriele

AU - Ruggiero, Giovanni Maria

AU - Wittstein, Ilan S

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N2 - 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.

AB - 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.

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KW - emotional intelligence

KW - emotional processing

KW - metacognitive beliefs

KW - takotsubo cardiomyopathy.

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