2025
Psychological Interventions for Reducing Distress in Patients with Cardiac Arrhythmias
Särnholm J, Gaffey A, Turchio M, Biviano A, Burg M. Psychological Interventions for Reducing Distress in Patients with Cardiac Arrhythmias. Current Cardiology Reports 2025, 27: 102. PMID: 40560300, PMCID: PMC12198271, DOI: 10.1007/s11886-025-02253-4.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyPsychological healthPsychological interventionsAssociated with anxietyBehavioral therapyAvoidance behaviorReduce distressArrhythmia careReduce anxietyPoor quality of lifeAnxietyDepressionQuality of lifeCare CollaborativeCare systemImprove QoLInterventionCareSummaryFurther researchHealthPoor qualityDistressQoLAvoidanceFearPsychological Aspects of Wearable Health Technologies in Patients with Cardiovascular Disease: A Literature Review and Call to Action
Gaffey A, Hooker S, Lampert R, Gehi A, Rosman L. Psychological Aspects of Wearable Health Technologies in Patients with Cardiovascular Disease: A Literature Review and Call to Action. Current Cardiology Reports 2025, 27: 92. PMID: 40478308, DOI: 10.1007/s11886-025-02234-7.Peer-Reviewed Original ResearchConceptsWearable health technologiesMental healthCardiovascular diseaseHealth technologiesCardiovascular disease self-managementPatients' mental healthAdverse psychological reactionsQuality of lifeProvider burdenHealthy behaviorsHealthcare providersHealthcare utilizationSelf-managementWell-designed prospective studiesCVD managementHealth metricsHealthcare systemHigh-risk groupLifestyle modificationConsumer wearablesImplementation of wearablesPatient outcomesHealthcarePsychological reactionsPsychological effects“Sleep Is Not Getting the Attention It Deserves”
Gaffey A, Mattocks K, Yaggi H, Marteeny V, Walker L, Brandt C, Haskell S, Bastian L, Burg M. “Sleep Is Not Getting the Attention It Deserves”. Medical Care 2025, 63: 472-478. PMID: 40307672, DOI: 10.1097/mlr.0000000000002152.Peer-Reviewed Original ResearchConceptsVA careSleep managementSleep healthCohort of U.S. veteransSemistructured qualitative interviewsMental health providersMental health screeningVA Medical CenterSleep management practicesPost-9/11 veteransPrimary careProvider knowledgeHealth providersCare practicesRoutine educationFront lineHealth screeningUnique barriersInductive codingStandard educationQualitative interviewsU.S. veteransCareSleep knowledgeProvidersCardiac Rehabilitation Among Veterans
Varghese M, Wu W, Drwal K, Burg M, Kazi D, Gaffey A, Mattocks K, Brandt C, Bastian L, Gandhi P. Cardiac Rehabilitation Among Veterans. Journal Of Cardiopulmonary Rehabilitation And Prevention 2025, 45: 78-84. PMID: 40014636, DOI: 10.1097/hcr.0000000000000932.Peer-Reviewed Original ResearchConceptsLocal VA medical centersHome-based CRCardiac rehabilitationVA Medical CenterVeterans Affairs (VA) healthcare systemIn-personImpact of mental healthU.S. veteransIntegrated care networksSecondary prevention interventionsMedical CenterCardiac rehabilitation outcomesImprove exercise capacityRisk of cardiovascular diseaseAttend CRIncreased risk of cardiovascular diseaseRehabilitation outcomesCR utilizationCare networkMental healthPreventive interventionsRacial disparitiesDepressive symptomsHealthcare systemExercise capacityOptimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association
Sharma G, Gaffey A, Hameed A, Kasparian N, Mauricio R, Marsh E, Beck D, Skowronski J, Wolfe D, Levine G, Research T. Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association. Journal Of The American Heart Association 2025, 14: e041369. PMID: 39996493, PMCID: PMC12132617, DOI: 10.1161/jaha.125.041369.Peer-Reviewed Original ResearchConceptsMaternal cardiovascular healthPsychological healthCardiovascular healthAmerican Heart AssociationPerinatal periodCare delivery modelsMaternal psychological healthScientific statementPsychological health carePostpartum follow-upHeart AssociationPsychological health conditionsAssociated with adverse pregnancy outcomesCardiovascular outcomesMaternal mortalityAdverse pregnancy outcomesHealth careDelivery modelsHealth conditionsLong-term cardiovascular outcomesHealthStakeholder partnersOffspring neurodevelopmentPregnancy outcomesCareNatriuretic peptide testing in veterans hospitalized with heart failure: Potential differences by sex
Gandhi P, Runels T, Han L, Skanderson M, Bastian L, Brandt C, Hauser R, Feder S, Rodwin B, Farmer M, Bean-Mayberry B, Placide S, Gaffey A, Akgün K. Natriuretic peptide testing in veterans hospitalized with heart failure: Potential differences by sex. Heart & Lung 2025, 71: 25-31. PMID: 39970822, DOI: 10.1016/j.hrtlng.2025.02.001.Peer-Reviewed Original ResearchConceptsNatriuretic peptide testingHeart failure hospitalizationFacility characteristicsVeterans Affairs Healthcare SystemPeptide testingSex-based differencesFacility-related factorsSex-stratified modelsAssociated with increased likelihoodAssociated with decreased likelihoodHealthcare systemHF diagnosisEjection fractionCardiac comorbiditiesFailure hospitalizationClinical outcomesLogistic regressionAtrial fibrillationHeart failureVeteransClinical covariatesPatientsAdmissionSexAssociationClosing the Gap: Digital Innovations to Address Hypertension Disparities
Shanab B, Gaffey A, Schwamm L, Zawalich M, Sarpong D, Pérez-Escamilla R, Dorney J, Cooperman C, Schafer R, Lipkind H, Lu Y, Onuma O, Spatz E. Closing the Gap: Digital Innovations to Address Hypertension Disparities. Current Cardiology Reports 2025, 27: 23. PMID: 39812880, DOI: 10.1007/s11886-024-02171-x.Peer-Reviewed Original ResearchConceptsHypertension disparitiesCare teamSocial determinants of healthCommunity health workersDeterminants of healthRemote blood pressure monitoringIncrease patient empowermentBlood pressure controlMultidisciplinary care teamBlood pressure machineIntegration of servicesHealth equityHealth inequalitiesHealth disparitiesPatient empowermentPatient engagementInfluence blood pressure controlSocial determinantsHealth workersTelehealth visitsPayment modelsHypertension managementPressure controlHypertension DetectionPatient outcomes
2024
Strengthening 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 ResearchPsychological 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 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 factorsThe 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 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 FreedomVeteransCancerCareScreening 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 investigationThe 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 diseasesGender Differences in Guideline-Directed Medical Therapy for Cardiovascular Disease Among Young Veterans
Dhruva SS, Dziura J, Bathulapalli H, Rosman L, Gaffey AE, Davis MB, Brandt CA, Haskell SG. Gender Differences in Guideline-Directed Medical Therapy for Cardiovascular Disease Among Young Veterans. Journal Of General Internal Medicine 2022, 37: 806-815. PMID: 36042086, PMCID: PMC9481764, DOI: 10.1007/s11606-022-07595-1.Peer-Reviewed Original ResearchConceptsGuideline-directed medical therapyIncident coronary artery diseaseCoronary artery diseaseHeart failureMedical therapyCardiovascular diseaseWomen veteransDiagnosis of HFAldosterone system inhibitorsIncident heart failureAdverse cardiovascular outcomesClinical practice guidelinesRisk of mortalityLevel of evidenceYounger women veteransHF medicationsMultiple pharmacotherapiesAntiplatelet therapyCardiovascular outcomesYounger average ageArtery diseaseCVD careGuideline recommendationsSystem inhibitorsAdverse outcomesMilitary 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 impactDepressive 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 participants
2021
Post-9/11 Veterans’ Heart Disease Knowledge, Self-Perceived Risk, and Prevention Beliefs and Behaviors
Gaffey AE, Haskell SG, Brandt CA, Bastian LA, Meadows JL, Burg MM. Post-9/11 Veterans’ Heart Disease Knowledge, Self-Perceived Risk, and Prevention Beliefs and Behaviors. Health Psychology 2021, 40: 737-746. PMID: 34780203, PMCID: PMC10691753, DOI: 10.1037/hea0001110.Peer-Reviewed Original ResearchConceptsSelf-perceived riskHeart diseasePrevention beliefsExact testHeart disease risk factorsPrevention behaviorsNontraditional factorsHeart disease awarenessDisease risk factorsHeart disease riskDisease-related knowledgeHeart disease knowledgeFisher's exact testMental health treatmentPost-9/11 veteransRisk factorsDisease awarenessDisease knowledgeWomen veteransPrevention strategiesHealth treatmentDisease riskGreater riskPersonalized approachDiseaseEstablishing a Global Standard for Wearable Devices in Sport and Exercise Medicine: Perspectives from Academic and Industry Stakeholders
Ash GI, Stults-Kolehmainen M, Busa MA, Gaffey AE, Angeloudis K, Muniz-Pardos B, Gregory R, Huggins RA, Redeker NS, Weinzimer SA, Grieco LA, Lyden K, Megally E, Vogiatzis I, Scher L, Zhu X, Baker JS, Brandt C, Businelle MS, Fucito LM, Griggs S, Jarrin R, Mortazavi BJ, Prioleau T, Roberts W, Spanakis EK, Nally LM, Debruyne A, Bachl N, Pigozzi F, Halabchi F, Ramagole DA, Janse van Rensburg DC, Wolfarth B, Fossati C, Rozenstoka S, Tanisawa K, Börjesson M, Casajus JA, Gonzalez-Aguero A, Zelenkova I, Swart J, Gursoy G, Meyerson W, Liu J, Greenbaum D, Pitsiladis YP, Gerstein MB. Establishing a Global Standard for Wearable Devices in Sport and Exercise Medicine: Perspectives from Academic and Industry Stakeholders. Sports Medicine 2021, 51: 2237-2250. PMID: 34468950, PMCID: PMC8666971, DOI: 10.1007/s40279-021-01543-5.Peer-Reviewed Original Research
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