Featured Publications
The Yale Roadmap for Health Psychology and Integrated Cardiovascular Care
Gaffey AE, Harris KM, Mena-Hurtado C, Sinha R, Jacoby DL, Smolderen KG. The Yale Roadmap for Health Psychology and Integrated Cardiovascular Care. Health Psychology 2022, 41: 779-791. PMID: 35201804, DOI: 10.1037/hea0001152.Peer-Reviewed Original ResearchConceptsCardiovascular careCardiovascular diseaseHealth care systemRisk factorsBehavioural risk factor managementTraditional atherosclerotic risk factorsWagner's Chronic Care ModelCare systemAtherosclerotic risk factorsRisk factor managementChronic Care ModelCause of morbidityMental health burdenBehavioral risk factorsChronic cardiovascular diseaseHigh-intensity careAdverse health outcomesMental health disordersHealth psychologyEvidence-based approachComplex multimorbidityRisk patientsCardiovascular populationFactor managementChronic diseasesScreening for Psychological Distress and Risk of Cardiovascular Disease and Related Mortality
Gaffey AE, Gathright EC, Fletcher LM, Goldstein CM. Screening for Psychological Distress and Risk of Cardiovascular Disease and Related Mortality. Journal Of Cardiopulmonary Rehabilitation And Prevention 2022, 42: 404-415. PMID: 36342683, PMCID: PMC9646240, DOI: 10.1097/hcr.0000000000000751.Peer-Reviewed Original ResearchConceptsIncident cardiovascular diseasePost-traumatic stress disorderCardiovascular diseasePsychological distressCVD preventionPsychosocial stressGeneral mental health symptomsCVD risk profilePast psychiatric diagnosisMental health servicesMental health symptomsHigh psychological distressCVD onsetProspective evidenceRelated mortalityPsychiatric diagnosisHealth servicesHealth symptomsRisk profileGreater riskStress disorderPractice recommendationsSelf-report instrumentDistressAdditional investigationMilitary sexual trauma and incident hypertension: a 16-year cohort study of young and middle-aged men and women
Gaffey AE, Rosman L, Sico JJ, Haskell SG, Brandt CA, Bathulapalli H, Han L, Dziura J, Skanderson M, Burg MM. Military sexual trauma and incident hypertension: a 16-year cohort study of young and middle-aged men and women. Journal Of Hypertension 2022, 40: 2307-2315. PMID: 35983872, DOI: 10.1097/hjh.0000000000003267.Peer-Reviewed Original ResearchConceptsIncident hypertensionRisk factorsPsychiatric disordersMultivariate Cox proportional hazards modelVeterans Health Administration dataGreater riskCox proportional hazards modelTrauma-related psychiatric disordersMiddle-aged veteransCardiovascular risk factorsBaseline blood pressureElevated cardiovascular riskLarge prospective cohortHealth Administration dataMiddle-aged menProportional hazards modelSex-specific analysesPosttraumatic stress disorderMilitary sexual traumaCardiovascular riskCohort studyProspective cohortBlood pressureTreatment attenuatesCardiovascular impactIntensive Behavioral Counseling in Cardiovascular Care Opportunities to Improve Health Equity
Vela A, Gaffey A, Carroll A, Cavanagh C, Brewer L, Hayman L, Burg M. Intensive Behavioral Counseling in Cardiovascular Care Opportunities to Improve Health Equity. JACC Advances 2023, 2: 100678. PMID: 38938497, PMCID: PMC11198138, DOI: 10.1016/j.jacadv.2023.100678.Peer-Reviewed Original ResearchInsomnia and Early Incident Atrial Fibrillation: A 16‐Year Cohort Study of Younger Men and Women Veterans
Gaffey A, Rosman L, Lampert R, Yaggi H, Haskell S, Brandt C, Enriquez A, Mazzella A, Skanderson M, Burg M. Insomnia and Early Incident Atrial Fibrillation: A 16‐Year Cohort Study of Younger Men and Women Veterans. Journal Of The American Heart Association 2023, 12: e030331. PMID: 37791503, PMCID: PMC10757545, DOI: 10.1161/jaha.123.030331.Peer-Reviewed Original ResearchConceptsObstructive sleep apneaIncident atrial fibrillationAtrial fibrillationHealth care utilizationSleep apneaAF onsetCohort studyCare utilizationAF riskMultivariate Cox proportional hazards modelVeterans Health Administration (VHA) careRisk of AFCox proportional hazards modelCases of AFEarly cardiovascular riskIncident AF riskAssociation of insomniaProportional hazards modelCommon sleep disorderPost-9/11 veteransElectronic health recordsAF incidenceCardiovascular riskClinical comorbiditiesLifestyle factorsStrengthening the Pillars of Cardiovascular Health: Psychological Health is a Crucial Component
Gaffey A, Rollman B, Burg M. Strengthening the Pillars of Cardiovascular Health: Psychological Health is a Crucial Component. Circulation 2024, 149: 641-643. PMID: 38408143, PMCID: PMC10924771, DOI: 10.1161/circulationaha.123.066132.Peer-Reviewed Original ResearchDepressive Symptoms and Incident Heart Failure in the Jackson Heart Study: Differential Risk Among Black Men and Women
Gaffey AE, Cavanagh CE, Rosman L, Wang K, Deng Y, Sims M, O’Brien E, Chamberlain AM, Mentz RJ, Glover LM, Burg MM. Depressive Symptoms and Incident Heart Failure in the Jackson Heart Study: Differential Risk Among Black Men and Women. Journal Of The American Heart Association 2022, 11: e022514. PMID: 35191315, PMCID: PMC9075063, DOI: 10.1161/jaha.121.022514.Peer-Reviewed Original ResearchConceptsIncident heart failureHigher depressive symptomsHF risk factorsHeart failureDepressive symptomsCause mortalityGreater riskLifestyle factorsRisk factorsCases of HFHistory of HFJackson Heart Study participantsSignificant depressive symptomsBaseline depressive symptomsJackson Heart StudyProportional hazards modelSex-specific associationsSex-specific managementCardiovascular outcomesUnadjusted associationsUnadjusted modelsHeart StudyHazards modelSymptomsStudy participantsPosttraumatic Stress Disorder, Antidepressant Use, and Hemorrhagic Stroke in Young Men and Women
Gaffey AE, Rosman L, Burg MM, Haskell SG, Brandt CA, Skanderson M, Dziura J, Sico JJ. Posttraumatic Stress Disorder, Antidepressant Use, and Hemorrhagic Stroke in Young Men and Women. Stroke 2020, 52: 121-129. PMID: 33297868, PMCID: PMC7770089, DOI: 10.1161/strokeaha.120.030379.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderHemorrhagic strokeHealth care utilizationUse of SSRIsGreater riskSSRI useStroke riskCare utilizationStress disorderEffects of PTSDIncident hemorrhagic strokeMiddle-aged veteransModifiable risk factorsNon-pharmacological treatmentMultivariate Cox modelNorepinephrine reuptake inhibitorsOverall incidence rateHemorrhagic stroke riskSNRI useIncident strokeAntidepressant useReuptake inhibitorsComorbid conditionsLifestyle factorsPsychiatric comorbidityPerceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure
Gaffey AE, Jeon S, Conley S, Jacoby D, Ash GI, Yaggi HK, O’Connell M, Linsky SJ, Redeker NS. Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure. Behavioral Sleep Medicine 2020, 19: 363-377. PMID: 32394733, PMCID: PMC7658015, DOI: 10.1080/15402002.2020.1762601.Peer-Reviewed Original ResearchConceptsDysfunctional beliefsCognitive abilitiesMental healthCognitive behavioral therapySymptom severitySleep disturbance questionnaireSleep disturbancesHF patientsSelf-reported sleep disturbanceHeart failurePerceived Stress ScaleBehavioral therapyInsomnia Severity IndexPerceived stressStress ScaleBaseline stressPittsburgh Sleep Quality IndexDisturbance QuestionnaireLower symptomsSleep Quality IndexNew York Heart Association classification ISF-36 mental healthSleep-related characteristicsStable heart failureSleep Scale
2024
Ecologically Assessed Sleep Duration and Arterial Stiffness in Healthy Men and Women
Gaffey A, Walenczyk K, Schwartz J, Hall M, Burg M. Ecologically Assessed Sleep Duration and Arterial Stiffness in Healthy Men and Women. Psychosomatic Medicine 2024, 86: 740-747. PMID: 39225340, PMCID: PMC11560491, DOI: 10.1097/psy.0000000000001335.Peer-Reviewed Original ResearchSelf-reported sleep durationArterial stiffnessSleep durationAverage sleep durationActigraphy-assessed sleepAmbulatory arterial stiffness indexSex-specific associationsArterial stiffness indexAssessment of ASResting CaiHealth covariatesValid contextsSex-stratifiedQuadratic associationHealthy MenCAIXAssess sleepExploratory analysisYoung adultsStiffness indexHealthy adultsSex-specificMultivariate regressionSleepAssociationWearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation.
Rosman L, Lampert R, Zhuo S, Li Q, Varma N, Burg M, Gaffey A, Armbruster T, Gehi A. Wearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation. Journal Of The American Heart Association 2024, 13: e033750. PMID: 39011944, DOI: 10.1161/jaha.123.033750.Peer-Reviewed Original ResearchHealth care useCare useHealth care resourcesSymptom monitoringAtrial fibrillationPsychological well-beingCare resourcesWearable usersPatients' health care useWell-beingElectronic health record dataTreatment concernsHealth record dataHealth care systemStudy of patientsAssociated with higher ratesPropensity-matched studyCare systemPatient behaviorRandomized studyRecord dataHealth managementPatientsHealthNonusersElectronic Health Record Concordance with Survey-Reported Military Sexual Trauma Among Younger Veterans: Associations with Health Care Utilization and Mental Health Diagnoses
Gaffey A, Burg M, Skanderson M, Deviva J, Brandt C, Bastian L, Haskell S. Electronic Health Record Concordance with Survey-Reported Military Sexual Trauma Among Younger Veterans: Associations with Health Care Utilization and Mental Health Diagnoses. Journal Of Women's Health 2024 PMID: 38946553, DOI: 10.1089/jwh.2023.0993.Peer-Reviewed Original ResearchElectronic health recordsHealth care utilizationAssociated with health care utilizationMilitary sexual traumaVeterans Health AdministrationCare utilizationPosttraumatic stress disorderVeteran health care utilizationMental health visitsPrimary care utilizationMental health diagnosesCross-sectional associationsService-related characteristicsPost-9/11 veteransSexual traumaLikelihood of posttraumatic stress disorderEHR screensPrimary careVHA careHealth visitsOlder veteransHealth recordsYounger veteransDepression diagnosisExperience MSTThe Interactive Effects of Rejection and Rumination on Diurnal Cortisol among Adolescent Girls: A Preliminary Daily Diary Study
Vergara-Lopez C, Scalco M, Gaffey A, Reid B, Bublitz M, Lee S, Gomez A, Mercado N, Stroud L. The Interactive Effects of Rejection and Rumination on Diurnal Cortisol among Adolescent Girls: A Preliminary Daily Diary Study. Cognitive Therapy And Research 2024, 48: 1027-1034. PMID: 39359256, PMCID: PMC11444640, DOI: 10.1007/s10608-024-10492-y.Peer-Reviewed Original ResearchDiurnal cortisol slopePerseverative cognition hypothesisCortisol awakening responseWaking cortisol levelsSocial rejectionEffects of rejectionCortisol slopeDiurnal cortisolAwakening responseCognition hypothesisBlunted diurnal cortisol slopeEffects of social rejectionExperience of social rejectionSaliva samples 4 timesFlatter diurnal cortisol slopesDaily diary studyDaily diary reportsCortisol levelsAbsence of ruminationStress physiologyAdolescent girlsInteraction effectsPsychiatric riskCognitive mechanismsDiary reportsFemale adolescents’ early life stress and body mass index: Differential effects of anger and anxiety in response to rejection
Lee S, Jao N, Gaffey A, Reid B, Vergara‐Lopez C, Bublitz M, Stroud L. Female adolescents’ early life stress and body mass index: Differential effects of anger and anxiety in response to rejection. Journal Of Adolescence 2024, 96: 830-840. PMID: 38402417, PMCID: PMC11153026, DOI: 10.1002/jad.12302.Peer-Reviewed Original ResearchEarly life stressBMI-for-ageResponses to rejectionRejection sensitivityLife stressBody mass indexFemale adolescentsChildren's Rejection Sensitivity QuestionnaireHigher early life stressRejection Sensitivity QuestionnaireExperiencing early life stressEffects of angerMass indexHigher BMI-for-ageHigher body mass indexAssess angerDevelopmental perspectiveAngerAnxietyCardiometabolic riskSensitivity QuestionnaireAdolescentsChildhood obesityDifferential effectsSecondary data analysisPsychological Health and Ischemic Heart Disease in Women: A Review of Current Evidence and Clinical Considerations across the Healthspan
Gaffey A, Spatz E. Psychological Health and Ischemic Heart Disease in Women: A Review of Current Evidence and Clinical Considerations across the Healthspan. Current Atherosclerosis Reports 2024, 26: 45-58. PMID: 38240928, PMCID: PMC11219074, DOI: 10.1007/s11883-023-01185-0.Peer-Reviewed Original ResearchConceptsIschemic heart disease riskPsychological healthIschemic heart diseasePsychosocial stressRisk of ischemic heart diseaseIschemic heart disease diagnosisPsychological factorsStudy of psychological factorsPositive psychological factorsOptimal psychological healthHeart diseaseSignificant life eventsIHD riskPsychosocial factorsSense of purposeWoman's riskPsychological screeningPsychological assessmentPsychological interventionsLife eventsSex-specific factorsSocial isolationHealthVulnerable groupsNarrative review
2023
Psychological Risk Factors in Pulmonary Rehabilitation
Gaffey A, Goldstein C, Lee S, Hays M, Gaalema D. Psychological Risk Factors in Pulmonary Rehabilitation. Journal Of Cardiopulmonary Rehabilitation And Prevention 2023, 44: e3-e4. PMID: 38079256, PMCID: PMC10842152, DOI: 10.1097/hcr.0000000000000843.Peer-Reviewed Original ResearchThe Perceived Stress Scale as a Measure of Stress: Decomposing Score Variance in Longitudinal Behavioral Medicine Studies
Harris K, Gaffey A, Schwartz J, Krantz D, Burg M. The Perceived Stress Scale as a Measure of Stress: Decomposing Score Variance in Longitudinal Behavioral Medicine Studies. Annals Of Behavioral Medicine 2023, 57: 846-854. PMID: 37084792, PMCID: PMC10498818, DOI: 10.1093/abm/kaad015.Peer-Reviewed Original ResearchPhysiological Arousal
Gaffey A, Wirth M. Physiological Arousal. 2023, 5181-5184. DOI: 10.1007/978-3-031-17299-1_2169.Peer-Reviewed Original ResearchPsychophysiological Measures
Gaffey A, Wirth M. Psychophysiological Measures. 2023, 5570-5574. DOI: 10.1007/978-3-031-17299-1_2315.Peer-Reviewed Original Research
2022
Post-9/11 deployment history and the incidence of breast cancer among women veterans
Gaffey A, Han L, Ramsey C, Skanderson M, Dziura J, Driscoll M, Burg M, Brandt C, Bastian L, Haskell S. Post-9/11 deployment history and the incidence of breast cancer among women veterans. Annals Of Epidemiology 2022, 77: 98-102. PMID: 36470323, DOI: 10.1016/j.annepidem.2022.11.010.Peer-Reviewed Original ResearchConceptsOEF/OIF deploymentBreast cancerWomen veteransHealthcare utilizationHormone replacement therapy useRetrospective cohort studyVeterans Affairs (VA) careHealthy soldier effectOEF/OIFCohort studyTherapy useBC incidenceHormonal contraceptivesLifestyle factorsPrimary careBC diagnosisLower incidenceOperations Enduring Freedom/Iraqi FreedomWomenIncidenceGreater likelihoodIraqi FreedomVeteransCancerCare