TY - CHAP M1 - Book, Section TI - Psychological Factors in Cardiovascular Health and Disease 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 PY - 2022 T2 - Fuster and Hurst's The Heart, 15e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/14 UR - accesscardiology.mhmedical.com/content.aspx?aid=1202443053 ER -