Evidence for Psychosocial Risk Factors and Behavioral Interventions in Cardiovascular Disease

被引：2
作者：
Nathan D. Wong
机构：
[1] Heart Disease Prevention Program, University of California, Irvine, CA, 92697-4101
来源：
Current Cardiovascular Risk Reports | 2012年 / 6卷 / 6期
关键词：
Behavioral; Cardiovascular disease; Depression; Psychosocial; Risk factors;
D O I：
10.1007/s12170-012-0270-0
中图分类号：
学科分类号：
摘要：
Over nearly a half century, epidemiologic studies have shown a strong relationship between several psychosocial variables and the risk of coronary heart disease. Key factors include negative thought patterns and emotions, specifically depressive syndromes, anxiety syndromes, hostility and anger, worry and pessimism. Chronic stress factors include work stress, social isolation, and low socioeconomic status. Positive psychological factors include optimism, social support and sense of purpose. Clinical trials involving behavioral interventions such as those focusing on type A behavior or depression, have had mixed results. Simple psychosocial evaluation recommended includes an inventory for assessing depression given its predominance as a psychosocial factor consistently associated with cardiovascular disease risk. Screening for other factors of psychosocial stress as well as carefully planned multidisciplinary management is also recommended to maximize the likelihood of adherence. © 2012 Springer Science+Business Media, LLC.
引用
收藏
页码：528 / 533
页数：5
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