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 accesscardiology.mhmedical.com/content.aspx?aid=1202443053 RD 2024/10/14 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.