RT Book, Section
A1 Labarthe, Darwin R.
A1 Hernandez, Rosalba
A2 Fuster, Valentin
A2 Narula, Jagat
A2 Vaishnava, Prashant
A2 Leon, Martin B.
A2 Callans, David J.
A2 Rumsfeld, John S.
A2 Poppas, Athena
SR Print(0)
ID 1202443053
T1 Psychological Factors in Cardiovascular Health and Disease
T2 Fuster and Hurst's The Heart, 15e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264257560
LK accessmedicine.mhmedical.com/content.aspx?aid=1202443053
RD 2024/04/25
AB Chapter  SummaryThis  chapter  discusses  the  impact  that  psychology  can  have  on  cardiovascular  health  (CVH)  and  cardiovascular  disease  (CVD);  the  individual,  community,  and  societal  determinants  of  various  psychological  factors  that  impact  CVH  and  CVD  risk;  and  interventions  that  could  be  used  to  reduce/enhance  the  influence  of  negative/positive  psychological  factors.  Negative  psychological  factors  such  as  depression,  chronic  stress,  anxiety,  anger/hostility,  and  pessimism  have  been  shown  to  affect  multiple  behaviors  and  biological  factors  to  result  in  reduced  CVH  and  increased  risk  of  CVD  (see  Fuster  and  Hurst’s  Central  Illustration).  Conversely,  positive  psychological  factors  such  as  positive  psychological  well-being  (including  optimism),  mindfulness,  resilience,  and  hope  are  associated  with  several  favorable  health  behaviors  and  biological  factors  to  result  in  improved  CVH  and  reduced  risk  of  CVD.  Individual-level  interventions  that  can  improve  psychological  health  include  stress  management,  mindfulness,  meditation,  and  other  mind-body  techniques,  as  well  as  other  positive  psychology  approaches.  The  clinical  team,  community  leaders,  and  policymakers  can  also  all  impact  the  psychological  factors  that  influence  CVH  and  CVD.  While  the  evidence  base  on  psychological  factors  in  CVH  and  CVD  is  still  expected  to  grow,  sufficient  evidence  currently  exists  to  guide  the  care  of  patients  to  promote  CVH  and  prevent  CVD.