Lynda H Powell
Biographic Data
| ID | 102656 |
|---|---|
| NAME | Lynda H Powell |
| GIVEN NAMES | Lynda H |
| FAMILY NAME | Powell |
| SIGNATURE | POWELL L H |
| AFFILIATIONS | Rush University Medical Center |
| ORCID | 0000-0002-3527-8227 |
| VERIFIED | Yes |
| TOTAL WORKS | 35 |
| TOTAL CITATIONS | 187 |
| AUTHOR COUNT | 35 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1984 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 6 |
Association between self-reported behavioral habits and their respective behavioral risk factors in individuals with metabolic syndrome
The Association between Use of Tobacco, Alcohol, or Cannabis and Metabolic Syndrome
Objectives: In this study, we describe the relationship between metabolic syndrome (MetS) components and tobacco use and other behavioral and socio-economic characteristics. Methods: We collected demographic, anthropometric, and bioclinical data on 961 individuals at risk of MetS. We categorized frequency of use of tobacco product and other substances (alcohol and cannabis) as never, occasional, and regular. We used regression models to assess th…
Behavioral interventions—past, present, and future
Food Security and Cardio-Metabolic Risk in Individuals with Metabolic Syndrome
This study assessed the association of food security with potential cardio-metabolic risk factors among persons with metabolic syndrome (MetS). Data were derived from the baseline data of a randomized controlled lifestyle intervention trial for individuals with MetS. Household food security, fruit and vegetable intake, perceived food environment, and perceived stress were collected using validated questionnaires. Cardio-metabolic measures assesse…
Weight Loss Program Preferences of Men Working in Blue-Collar Occupations
Men who work in blue-collar occupations (skilled and unskilled trades) experience high rates of obesity and comorbid conditions. This group is underrepresented in behavioral interventions for weight management, which may stem from a mismatch between the features of available programs and these men’s preferences. This qualitative study explored the views of these men, their experiences with weight loss, their preferences for weight loss programs, …
Race/ethnic comparisons of waist‐to‐height ratio for cardiometabolic screening
OBJECTIVE: To compare the performance of waist-to-height ratio as a screening tool for cardiometabolic conditions - hypertension, prediabetes/diabetes, dyslipidemia, and subclinical inflammation - in 5 race/ethnic groups of mid-life women. METHODS: Waist-to-height ratio and 4 cardiometabolic conditions were assessed in 3033 premenopausal midlife women (249 Hispanic, 226 Chinese, 262 Japanese, 1435 European-American, and 861 African American). The…
Associations of Psychological Well-Being With Carotid Intima Media Thickness in African American and White Middle-Aged Women
OBJECTIVES: The present cross-sectional study aimed to a) examine associations between measures of psychological well-being, specifically life satisfaction and life engagement, and intima media thickness, a subclinical marker of atherosclerosis; b) investigate if the interaction of psychological well-being and life events correlated with intima media thickness; and c) explore these relationships across race. METHODS: A sample of 485 women (38% Af…
Calling for a Bold New Vision of Health Disparities Intervention Research
From ideas to efficacy
Given the critical role of behavior in preventing and treating chronic diseases, it is important to accelerate the development of behavioral treatments that can improve chronic disease prevention and outcomes. Findings from basic behavioral and social sciences research hold great promise for addressing behaviorally based clinical health problems, yet there is currently no established pathway for translating fundamental behavioral science discover…
Mexican American Trial of Community Health Workers
Objectives. We assessed whether community health workers (CHWs) could improve glycemic control among Mexican Americans with diabetes. Methods. We recruited 144 Mexican Americans with type 2 diabetes between January 2006 and September 2008 into the single-blinded, randomized controlled Mexican American Trial of Community Health Workers (MATCH) and followed them for 2 years. Participants were assigned to either a CHW intervention, delivering self-m…
Does self-management counseling in patients with heart failure improve quality of life? Findings from the Heart Failure Adherence and Retention Trial (Hart)
How well does the body adiposity index capture adiposity change in midlife women
Objectives: The body adiposity index (BAI) is a proposed alternative to the body mass index (BMI) that has shown good cross‐sectional agreement with percent body fat (%BF) in validation studies. The objective of this study was to examine the ability of BAI to track adiposity change over time in a biracial sample of midlife women. Methods: African‐American ( n = 159) and Caucasian ( n = 206) women, aged 42–60 years, at the Chicago site of the Stud…
Cortisol and Depressive Symptoms in a Population-Based Cohort of Midlife Women
OBJECTIVE: To determine whether there is a relationship between depressive symptoms and cortisol assessed at first morning awakening, 6 PM, and 9 PM in a population-based sample of midlife women. If this relationship is not linear, we aim to test whether this relationship is nonlinear, only present in those with more severe depressive symptoms, better accounted for by diurnal slope, or only apparent under uncontaminated conditions. METHODS: We in…
Religiosity/Spirituality and Mortality
Background: The relationship between religiosity/spirituality and physical health has been the subject of growing interest in epidemiological research. We systematically reviewed prospective observational cohort studies of the association between this potentially protective psychological factor and mortality using meta-analytic methods. Methods: We searched general bibliographic databases: Medline, PsycINFO, Web of Science and PubMed (up to 20 Ma…
Depressive Symptoms and Increased Visceral Fat in Middle-Aged Women
Objective: To examine whether depressive symptoms are differentially associated with visceral adipose tissue (VAT), which is more metabolically active and confers greater cardiovascular risk than subcutaneous fat (SAT). Prior research has shown an association between depression and central adiposity. Mechanisms underlying the association between depression and increased cardiovascular risk remain poorly understood. Central adiposity is one potent…
Hostility Is Associated With Visceral, But Not Subcutaneous, Fat in Middle-Aged African American and White Women
Objective: To examine the cross-sectional association between hostility and measures of abdominal fat (visceral, subcutaneous) in middle-aged African American and white women. Because fat-patterning characteristics are known to differ by race, we were particularly interested in examining whether these associations were similar for women of both racial/ethnic groups. Methods: Participants were 418 (45% African American, 55% white) middle-aged wome…
Racial Differences in Women Who have a Hysterectomy for Benign Conditions
Spirituality, Religion, and Clinical Outcomes in Patients Recovering From an Acute Myocardial Infarction
OBJECTIVE: To assess the prospective relationship between spiritual experiences and health in a sample of patients surviving an acute myocardial infarction (AMI) with depression or low social support. METHODS: A subset of 503 patients participating in the enhancing recovery in coronary heart disease (ENRICHD) trial completed a Daily Spiritual Experiences (DSE) questionnaire within 28 days from the time of their AMI. The questionnaire assessed thr…
Racial/Ethnic Differences in Religious Involvement in a Multi-Ethnic Cohort of Midlife Women
We examined racial/ethnic differences in five measures of religious involvement (worship attendance, religious social support, importance of faith, comfort from religion, and frequency of prayer or meditation) among 2,690 women, age 42-52 years, participating in the Study of Women's Health Across the Nation (SWAN). The women reported five racial/ethnic identifications: white, African American, Hispanic, Japanese, and Chinese. A large proportion o…
Longitudinal Analysis of the Association Between Vasomotor Symptoms and Race/Ethnicity Across the Menopausal Transition
Objectives. We investigated whether vasomotor symptom reporting or patterns of change in symptom reporting over the perimenopausal transition among women enrolled in a national study differed according to race/ethnicity. We also sought to determine whether racial/ethnic differences were explained by sociodemographic, health, or lifestyle factors. Methods. We followed 3198 women enrolled in the Study of Women’s Health Across the Nation during 1996…
Chronic Exposure to Everyday Discrimination and Coronary Artery Calcification in African-American Women
Chronic exposure to discrimination may be an important risk factor for early coronary calcification in African-American women. This association appears to be driven by exposure to discrimination from multiple sources, rather than exposure to racial/ethnic discrimination alone
Ethnic differences in past hysterectomy for benign conditions
Limited English Proficiency and Breast and Cervical Cancer Screening in a Multiethnic Population
Objectives. We examined the relationship between ability to speak English and receipt of Papanicolaou tests, clinical breast examinations, and mammography in a multiethnic group of women in the United States. Methods. We used longitudinal data from the Study of Women Across the Nation to examine receipt of breast and cervical cancer screening among Chinese, Japanese, Hispanic, and White women who reported reading and speaking (1) only a language …
Psychosocial Treatment Within Sex by Ethnicity Subgroups in the Enhancing Recovery in Coronary Heart Disease Clinical Trial
OBJECTIVE: Intervening in depression and/or low perceived social support within 28 days after myocardial infarction (MI) in the Enhancing Recovery in Coronary Heart Disease (ENRICHD) clinical trial did not increase event-free survival. The purpose of the present investigation was to conduct post hoc analyses on sex and ethnic minority subgroups to assess whether any treatment subgroup is at reduced or increased risk of greater morbidity/mortality…
Lifetime Depression History and Sexual Function in Women at Midlife
Chronic Exposure to Everyday Discrimination and Coronary Artery Calcification in African-American Women
Chronic exposure to discrimination may be an important risk factor for early coronary calcification in African-American women. This association appears to be driven by exposure to discrimination from multiple sources, rather than exposure to racial/ethnic discrimination alone
From ideas to efficacy
Given the critical role of behavior in preventing and treating chronic diseases, it is important to accelerate the development of behavioral treatments that can improve chronic disease prevention and outcomes. Findings from basic behavioral and social sciences research hold great promise for addressing behaviorally based clinical health problems, yet there is currently no established pathway for translating fundamental behavioral science discover…
Limited English Proficiency and Breast and Cervical Cancer Screening in a Multiethnic Population
Objectives. We examined the relationship between ability to speak English and receipt of Papanicolaou tests, clinical breast examinations, and mammography in a multiethnic group of women in the United States. Methods. We used longitudinal data from the Study of Women Across the Nation to examine receipt of breast and cervical cancer screening among Chinese, Japanese, Hispanic, and White women who reported reading and speaking (1) only a language …
Longitudinal Analysis of the Association Between Vasomotor Symptoms and Race/Ethnicity Across the Menopausal Transition
Objectives. We investigated whether vasomotor symptom reporting or patterns of change in symptom reporting over the perimenopausal transition among women enrolled in a national study differed according to race/ethnicity. We also sought to determine whether racial/ethnic differences were explained by sociodemographic, health, or lifestyle factors. Methods. We followed 3198 women enrolled in the Study of Women’s Health Across the Nation during 1996…
Calling for a Bold New Vision of Health Disparities Intervention Research
Lifetime Depression History and Sexual Function in Women at Midlife
Psychologic Distress and Natural Menopause
Objectives. This study examined the association between psychologic distress and natural menopause in a community sample of African American, White, Chinese, Hispanic, and Japanese women participating in a national women's health study. Methods. A cohort of 16 065 women aged 40 to 55 years provided information on menstrual regularity in the previous year, psychosocial factors, health, and somatic–psychologic symptoms. Psychologic distress was def…
Racial/Ethnic Differences in Religious Involvement in a Multi-Ethnic Cohort of Midlife Women
We examined racial/ethnic differences in five measures of religious involvement (worship attendance, religious social support, importance of faith, comfort from religion, and frequency of prayer or meditation) among 2,690 women, age 42-52 years, participating in the Study of Women's Health Across the Nation (SWAN). The women reported five racial/ethnic identifications: white, African American, Hispanic, Japanese, and Chinese. A large proportion o…
Can the Type A Behavior Pattern be Altered after Myocardial Infarction? A Second Year Report from the Recurrent Coronary Prevention Project
The feasibility of altering a Type A style of life was investigated in 1012 nonsmoking predominantly male postinfarction volunteers in the San Francisco Bay area. A total of 862 were randomly allocated into an experimental section receiving a combination of Type A and cardiac counseling, or a control section receiving cardiac counseling alone. The remaining 150 formed a nonrandom but statistically equivalent comparison section. Assessments of cha…
Unanswered questions in the Ischemic Heart Disease Life Stress Monitoring Program
The hypothesis under investigation was that the provision of emotional support at a time of high vulnerability to stress can produce a reduction in the rate of reinfarction and coronary death in male postcoronary patients
Change in coronary-prone behaviors in the recurrent coronary prevention project
The Recurrent Coronary Preventive Project (RCPP) demonstrated that the addition of Type A counseling to standard cardiac counseling resulted in significant reductions in Type A behavior and in a 44% reduction in reinfarction in post-myocardial infarction patients. The purpose of the present study was to describe the specific behavioural and psychosocial changes that occurred during this Type A treatment. Patients undergoing Type A counseling show…
Psychosocial predictors of mortality in 83 women with premature acute myocardial infarction
This was an exploratory investigation of psychosocial risk factors for mortality in women with premature acute myocardial infarction (AMI). Subjects were 83 female participants in the Recurrent Coronary Prevention Project, who were between the ages of 30 and 63 in 1978, nonsmoking, nondiabetic, and at least 6 months beyond their index AMI. Follow-up ranged from 8 to 10 years, with an average of 8.5 years. Six deaths occurred in the 83 women over …
Socioeconomic Differential in Health and Disease
Psychologic Distress and Natural Menopause
Objectives. This study examined the association between psychologic distress and natural menopause in a community sample of African American, White, Chinese, Hispanic, and Japanese women participating in a national women's health study. Methods. A cohort of 16 065 women aged 40 to 55 years provided information on menstrual regularity in the previous year, psychosocial factors, health, and somatic–psychologic symptoms. Psychologic distress was def…
Physiologic Markers of Chronic Stress in Premenopausal, Middle-Aged Women
OBJECTIVE: The purpose of this study was to identify physiological markers of chronic stress in middle-aged women that can be assessed simply and are thus feasible for introduction into large-scale, epidemiologic studies of aging. METHODS: Subjects were 40 nonsmoking, premenopausal women between the ages of 42 and 52 years, 20 of whom were chronically stressed because of undergoing a divorce or separation and 20 of whom were nonstressed because o…
Religion and spirituality
Measuring Multiple Dimensions of Religion and Spirituality for Health Research
Progress in studying the relationship between religion and health has been hampered by the absence of an adequate measure of religiousness and spirituality. This article reports on the conceptual and empirical development of an instrument to measure religiousness and spirituality, intended explicitly for studies of health. It is multidimensional to allow investigation of multiple possible mechanisms of effect, brief enough to be included in clini…
A Short Social Support Measure for Patients Recovering From Myocardial Infarction
Mitchell, Pamela H. RN, PhD; Powell, Lynda PhD; Blumenthal, James PhD; Norten, Jennifer PhD; Ironson, Gail MD, PhD; Pitula, Carol Rogers RN, PhD; Froelicher, Erika Sivarajan RN, MPH, PhD; Czajkowski, Susan PhD; Youngblood, Marston MA, MPH; Huber, Marc; Berkman, Lisa F. PhD Author Information
Psychosocial Treatment Within Sex by Ethnicity Subgroups in the Enhancing Recovery in Coronary Heart Disease Clinical Trial
OBJECTIVE: Intervening in depression and/or low perceived social support within 28 days after myocardial infarction (MI) in the Enhancing Recovery in Coronary Heart Disease (ENRICHD) clinical trial did not increase event-free survival. The purpose of the present investigation was to conduct post hoc analyses on sex and ethnic minority subgroups to assess whether any treatment subgroup is at reduced or increased risk of greater morbidity/mortality…
Lifetime Depression History and Sexual Function in Women at Midlife
Ethnic differences in past hysterectomy for benign conditions
Limited English Proficiency and Breast and Cervical Cancer Screening in a Multiethnic Population
Objectives. We examined the relationship between ability to speak English and receipt of Papanicolaou tests, clinical breast examinations, and mammography in a multiethnic group of women in the United States. Methods. We used longitudinal data from the Study of Women Across the Nation to examine receipt of breast and cervical cancer screening among Chinese, Japanese, Hispanic, and White women who reported reading and speaking (1) only a language …
Longitudinal Analysis of the Association Between Vasomotor Symptoms and Race/Ethnicity Across the Menopausal Transition
Objectives. We investigated whether vasomotor symptom reporting or patterns of change in symptom reporting over the perimenopausal transition among women enrolled in a national study differed according to race/ethnicity. We also sought to determine whether racial/ethnic differences were explained by sociodemographic, health, or lifestyle factors. Methods. We followed 3198 women enrolled in the Study of Women’s Health Across the Nation during 1996…
Chronic Exposure to Everyday Discrimination and Coronary Artery Calcification in African-American Women
Chronic exposure to discrimination may be an important risk factor for early coronary calcification in African-American women. This association appears to be driven by exposure to discrimination from multiple sources, rather than exposure to racial/ethnic discrimination alone
Spirituality, Religion, and Clinical Outcomes in Patients Recovering From an Acute Myocardial Infarction
OBJECTIVE: To assess the prospective relationship between spiritual experiences and health in a sample of patients surviving an acute myocardial infarction (AMI) with depression or low social support. METHODS: A subset of 503 patients participating in the enhancing recovery in coronary heart disease (ENRICHD) trial completed a Daily Spiritual Experiences (DSE) questionnaire within 28 days from the time of their AMI. The questionnaire assessed thr…
Racial/Ethnic Differences in Religious Involvement in a Multi-Ethnic Cohort of Midlife Women
We examined racial/ethnic differences in five measures of religious involvement (worship attendance, religious social support, importance of faith, comfort from religion, and frequency of prayer or meditation) among 2,690 women, age 42-52 years, participating in the Study of Women's Health Across the Nation (SWAN). The women reported five racial/ethnic identifications: white, African American, Hispanic, Japanese, and Chinese. A large proportion o…
Religiosity/Spirituality and Mortality
Background: The relationship between religiosity/spirituality and physical health has been the subject of growing interest in epidemiological research. We systematically reviewed prospective observational cohort studies of the association between this potentially protective psychological factor and mortality using meta-analytic methods. Methods: We searched general bibliographic databases: Medline, PsycINFO, Web of Science and PubMed (up to 20 Ma…
Depressive Symptoms and Increased Visceral Fat in Middle-Aged Women
Objective: To examine whether depressive symptoms are differentially associated with visceral adipose tissue (VAT), which is more metabolically active and confers greater cardiovascular risk than subcutaneous fat (SAT). Prior research has shown an association between depression and central adiposity. Mechanisms underlying the association between depression and increased cardiovascular risk remain poorly understood. Central adiposity is one potent…
Hostility Is Associated With Visceral, But Not Subcutaneous, Fat in Middle-Aged African American and White Women
Objective: To examine the cross-sectional association between hostility and measures of abdominal fat (visceral, subcutaneous) in middle-aged African American and white women. Because fat-patterning characteristics are known to differ by race, we were particularly interested in examining whether these associations were similar for women of both racial/ethnic groups. Methods: Participants were 418 (45% African American, 55% white) middle-aged wome…
Racial Differences in Women Who have a Hysterectomy for Benign Conditions
Cortisol and Depressive Symptoms in a Population-Based Cohort of Midlife Women
OBJECTIVE: To determine whether there is a relationship between depressive symptoms and cortisol assessed at first morning awakening, 6 PM, and 9 PM in a population-based sample of midlife women. If this relationship is not linear, we aim to test whether this relationship is nonlinear, only present in those with more severe depressive symptoms, better accounted for by diurnal slope, or only apparent under uncontaminated conditions. METHODS: We in…
How well does the body adiposity index capture adiposity change in midlife women
Objectives: The body adiposity index (BAI) is a proposed alternative to the body mass index (BMI) that has shown good cross‐sectional agreement with percent body fat (%BF) in validation studies. The objective of this study was to examine the ability of BAI to track adiposity change over time in a biracial sample of midlife women. Methods: African‐American ( n = 159) and Caucasian ( n = 206) women, aged 42–60 years, at the Chicago site of the Stud…
Does self-management counseling in patients with heart failure improve quality of life? Findings from the Heart Failure Adherence and Retention Trial (Hart)
Medicine (31 works) · Internal Medicine (25 works) · Psychology (19 works) · Internal Medicine (18 works) · Demography (14 works) · Psychiatry (13 works) · Gerontology (12 works) · Cardiac Health and Mental Health (10 works) · Clinical Psychology (9 works) · Gerontology (9 works)