Lesson 1 of 7  - free your true Self and reduce psychological wounds

Depressed? angry? Your Heart
 May Suffer As a Result

By John Cloud

Time Magazine via Yahoo Online News
3-16-2009

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The Web address of this article is http://sfhelp.org/gwc/news/cardiac.htm

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          This dual-research summary suggests that intense anger or depression can damage your heart and your health. Chronic and/or intense emotions like these may be caused by psychological wounds from childhood neglect. Lesson 1 in this nonprofit Web site is about detecting and reducing such wounds. The whole Web site is about preventing them.

See my comments after the article. The links and hilights below are mine. 

- Peter Gerlach, MSW

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We all know that emotions originate in the brain. But we usually talk about our emotions coming from our hearts. If someone you know doesn't give up easily, you might say, "He's got a lot of heart." Not every culture would agree - for instance, when Italians want to say someone has heart, they say instead, "Ha fegato": "He has liver."

But what about bad emotions? When you feel so sad or so angry that your heart "aches," could it actually be true? Two new studies add support to the theory that, yes, what goes on in your mind can, literally, break your heart. (Read "Giving the Finger: This Hurts Me More Than You.")

In the first study, just published in the Journal of the American College of Cardiology (J.A.C.C.) a team of eight researchers looking at more than 63,000 women who were par-ticipants in the ongoing Nurses' Health Study, found that those who reported basic symp-toms of depression (like feeling down and incapable of happiness) had a higher-than-nor-mal risk of coronary heart disease.

And women who were clinically depressed were more than twice as likely as other women to suffer sudden cardiac death. None of the participants had heart problems at the study's outset, but nearly 8% had symptoms of depression.

The researchers theorize that depression might have some direct physiological impact on the heart - like causing it to work harder in the face of stress. The study also found that the more depressed women were, the more likely they were to smoke cigarettes or have high blood pressure and diabetes - not exactly heart-healthy conditions.

Or it may be that the anti-depressants prescribed to treat those with mood problems were associated with heart ailments; in the study, sudden cardiac death was linked more strongly with antidepressant use than with women's symptoms of depression.

The antidepressant theory is just that - a theory. It could be that the antidepressant ta-kers in the study were simply the most depressed. But if the theory is substantiated by further research, it would add to a growing body of evidence suggesting that anti-depres-sants carry a high risk (particularly for teen-agers) when weighed against the drugs' still uncertain benefits. Scientists have already shown that antidepressants are a bad idea for those about to undergo coronary artery bypass surgery.

No one is sure exactly how depression hurts the heart, and one plausible explanation is that the train runs in the opposite direction - a damaged heart and its consequent stress on the body might activate, somehow, genes or other physiological changes that contri-bute to depression.

But another new paper, also published in the J.A.C.C., lends credence to the idea that it is our moods that work on our hearts and not the other way around. In this paper, resear-chers from University College London reviewed the findings of 39 previously published arti-cles and found that men who are angry and hostile are significantly more likely to have a cardiac event than those who aren't.

That may sound unsurprising - we all know that anger can stress your heart. But it's im-portant to note the difference between aggression and just being aggressive. Previous studies (here's one) have found that so-called type A's - those who are driven, competi-tive and obsessed with deadlines - are not more likely to experience heart disease.

In other words, your type A co-workers who are annoyingly ambitious and dutiful are no more likely to have a heart attack than you are. Rather, it's the seething, angry types with underlying hostility who are the ticking time bombs. Anger, it turns out, is physiologically toxic.

The authors of the second paper offer the standard theories about how an angry emotion translates to a physical heart attack: angry people have a harder time sleeping; they take prescribed drugs less often; they eat worse, exercise less, smoke more and are fatter.

These things add up: compared with the good-humored, those who were angry and hostile - but had no signs of heart problems at the outset - ended up with a 19% higher risk of developing coronary heart disease, according to the University College London paper.

The two studies reify gender stereotypes: women get their hearts broken through sad-ness; men "break" their hearts (via heart attack) through anger. But both studies suggest that men and women have a common interest in understanding that some causes of car-diac disease - poor diet or lack of exercise or bad sleep habits - may have a precipitating cause themselves. Whether male or female, letting yourself get overwhelmed by emotion can damage not only your mind but also that crucial organ, the heart.


  Comments

        This article is instructive for several reasons. One is the author's dubbing emotions like anger and depression "bad." This superficial opinion blocks readers' awareness that all emotions are healthy pointers to unfilled needs.

        The researchers and author also routinely use the term "depression" without noting that the same symptoms may indicate normal or blocked grief. The second research team and the author also fail to note the similarity between anger and frustration. Both feel the same and may evoke similar behavior - but they have different causes. These illustrate popular media's promoting public unawareness on key topics.

        Note that significant anger is also a sign of normal grief. Our pleasure-oriented society generally minimizes healthy mourning, and ignores mourning basics. To see if this describes you, try this quiz. Then study Lesson 3 on behalf of any youngsters in your life

        Regardless, these two studies suggest that "significant" depression in women and angry hostility in men can cause risk of cardiac disease and sudden death. Like many such studies, these two apparently make no attempt to learn the causes of depression or angry hostility - which are the primary problems.

        My clinical experience since 1979 suggests that chronic or excessive emotions are often symp-toms of significant childhood neglect - i.e. being raised in a low-nurturance environment by wounded, un-aware caregivers. Other symptoms are "a poor diet or lack of exercise or bad sleep habits" (self neglect).

That comes from our society's not alerting courting couples to potentially unwise mate-commitments and unqualified child conception. That comes from public unawareness of the lethal [wounds + unawareness) cycle. This Web site exists to promote awareness of the cycle and it's effects, and motivate people like you to break the cycle!.  

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        Pause, breathe, and reflect - why did you read this article? Did you get what you needed? If not, what do you need? Who's answering these questions - your true Self, or someone else?

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