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 ResearchOptimizing 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 outcomesCareClosing 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
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 effectsPsychological Knowledge as an Essential Component of Adequate Medical Care: Position Statement for the Integration of Biopsychosocial Components in Modern Cardiology
Beckmann J, Burg M, Gaffey A, Andonian-Dierks C, Beckmann-Waldenmayer D, Lemmer J, Freiberger A. Psychological Knowledge as an Essential Component of Adequate Medical Care: Position Statement for the Integration of Biopsychosocial Components in Modern Cardiology. Heart And Mind 2025 DOI: 10.4103/hm.hm-d-24-00144.Peer-Reviewed Original ResearchImproving Cardiovascular Clinical Competencies for the Menopausal Transition A Focus on Cardiometabolic Health in Midlife
Dastmalchi L, Gulati M, Thurston R, Lau E, Sarma A, Marfori C, Gaffey A, Faubion S, Laddu D, Shufelt C, Sharma G. Improving Cardiovascular Clinical Competencies for the Menopausal Transition A Focus on Cardiometabolic Health in Midlife. JACC Advances 2025, 4: 101791. PMID: 40392169, DOI: 10.1016/j.jacadv.2025.101791.Peer-Reviewed Original ResearchWomen's cardiovascular healthCardiovascular healthCardiovascular diseaseMenopausal transitionCardiovascular disease risk scoreSystemic menopausal hormone therapyMental health changesCardiovascular disease riskMenopausal hormone therapyManagement of cardiovascular diseaseCardiometabolic healthHealth changesClinical competenceMedical trainingInfluence of chronological ageHormone therapyPostgraduate curriculaRisk scoreScreening toolVasomotor symptomsOvarian agingHealthSleep problemsHormonal changesLongitudinal studyClinical Management of Sleep Disturbances in Post-9/11 Men and Women Veterans: A 20-year Prospective Cohort Study
Gaffey A, Haskell S, Burg M, Yaggi H, Mattocks K, Bastian L, Skanderson M, DeRycke E, Hermes E, Brandt C. Clinical Management of Sleep Disturbances in Post-9/11 Men and Women Veterans: A 20-year Prospective Cohort Study. Journal Of General Internal Medicine 2025, 1-10. PMID: 40329029, DOI: 10.1007/s11606-025-09534-2.Peer-Reviewed Original ResearchVeterans Health AdministrationProspective cohort studyPost-9/11 veteransSleep disordersCohort studyProportion of women veteransSleep careDisordered sleepMethodsThis prospective cohort studyPatient-centered careResultsThe final sampleOdds of insomniaIntroductionSleep disordersTreatment of insomniaManagement of sleep disturbancesWomen VeteransVA careSex-based disparitiesChronic conditionsClinical managementHealth factorsHealth AdministrationOutpatient encountersVeteran cohortFinal sample“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 knowledgeProvidersPsychological Distress and Cardiovascular Health in Pregnancy Findings From the U.S. National Health Interview Survey
Satti D, Chan J, Metlock F, Mszar R, Mehta A, Chan R, Chang R, Spitz J, Saad A, Gaffey A, Javed Z, Dastmalchi L, Mehta A, Powell-Wiley T, Sharma G. Psychological Distress and Cardiovascular Health in Pregnancy Findings From the U.S. National Health Interview Survey. JACC Advances 2025, 4: 101683. PMID: 40286355, PMCID: PMC12102523, DOI: 10.1016/j.jacadv.2025.101683.Peer-Reviewed Original ResearchU.S. National Health Interview SurveySevere psychological distressNational Health Interview SurveyHealth Interview SurveyModerate psychological distressPsychological distressCardiovascular healthPsychological healthPregnant individualsInterview SurveyCardiovascular health scoreSeverity of psychological distressSuboptimal cardiovascular healthLife's Essential 8Multivariable Poisson regressionCross-sectional analysisKessler scaleDietary dataPoisson regressionPotential confoundersPregnant participantsEducation levelFamily incomeHealthDistressASSOCIATIONS OF MENTAL HEALTH DISORDERS WITH CARDIAC REHABILITATION PARTICIPATION AMONG WOMEN AND MEN VETERANS
Varghese M, Han L, Skanderson M, Wu W, Burg M, Gaffey A, Mattocks K, Gandhi P, Brandt C, Bastian L, Akgun K. ASSOCIATIONS OF MENTAL HEALTH DISORDERS WITH CARDIAC REHABILITATION PARTICIPATION AMONG WOMEN AND MEN VETERANS. Journal Of The American College Of Cardiology 2025, 85: 507. DOI: 10.1016/s0735-1097(25)00991-x.Peer-Reviewed Original ResearchCardiac 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 capacityNatriuretic 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 covariatesPatientsAdmissionSexAssociationBehavioral Medicine Can Tackle Cardiovascular Disease Risk and Burden: A Call for New Priorities
Burg M, Stewart J, Gaffey A, Särnholm J, Vela A, Kovacs R. Behavioral Medicine Can Tackle Cardiovascular Disease Risk and Burden: A Call for New Priorities. Policy Insights From The Behavioral And Brain Sciences 2025, 12: 28-36. DOI: 10.1177/23727322241306071.Peer-Reviewed Original ResearchCardiovascular disease riskCardiovascular diseaseHealth-related quality of lifeCosts of cardiovascular diseaseBehavioral medicineHealth-related qualityQuality of lifeCardiovascular behavioral medicinePsychosocial healthPsychosocial factorsCV careProfessional groupsDisease riskModify behaviorAnnual costRiskMedicineCareHealthcareHealthTreatment of cardiovascular diseasesTacklesBurdenPreventionTraining
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. Biopsychosocial Science And 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 regressionSleepAssociation
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