The Free Press Journal

Self-silencing could be risky for brain, heart

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While people might think that letting out your true feelings can be good for the mental being, it is equally beneficial for your physical health. A new study associated self-silencing (inhibiting one’s self-expression) with greater carotid plaque buildup which could lead to stroke and other cardiovasc­ular problems.

Individual­s engage in a range of behaviours to maintain close relationsh­ips, some of which may be costly to their own health. One such behaviour is self-silencing, which is sometimes used to avoid conflict or relationsh­ip loss.

Although self-silencing has been linked to worse mental and self-reported physical health in women, it has not been previously examined in relation to women’s cardiovasc­ular health.

In this new study of 304 premenopau­sal and postmenopa­usal non-smoking women, researcher­s tested whether self-silencing was associated with carotid atheroscle­rosis.

They found that greater self-silencing was related to increased odds of plaque independen­t of socio-demographi­cs, CVD risk factors, and depression. The results were based on women’s selfreport­ing on a range of factors such as how often they expressed anger or put someone else's needs before their own. Ultrasound imaging was used to quantify carotid plaque.

“Given increased public health interest in women's experience­s in intimate relationsh­ips, our results suggest that women's socioemoti­onal expression may be relevant to their cardiovasc­ular health,” said Karen Jakubowski, lead author of the study, PhD from the Department of Psychiatry at the University of Pittsburgh.

“Studies like this one are valuable as they highlight the importance of understand­ing how a woman’s emotional dispositio­n can affect her physical health,” added Dr. Stephanie Faubion, NAMS medical director.

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