Behavioral Cardiology Current Advances and Future Directions

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:64

Review

Rozanski, Alan^1,2 

[1] Mt Sinai St Lukes & Roosevelt Hosp Ctr, Div Cardiol, New York, NY 10025 USA

[2] Mt Sinai St Lukes & Roosevelt Hosp Ctr, Dept Med, New York, NY 10025 USA

关键词: behavioral cardiology;    coronary disease;    psychology;    stress;   

DOI  :  10.1016/j.jacc.2014.03.047

来源: Elsevier

【 摘 要 】

Growing epidemiological evidence identifies key domains relevant to behavioral cardiology, including health behaviors, emotions, mental mindsets, stress management, social connectedness, and a sense of purpose. Each of these domains exists along a continuum, ranging from positive factors that promote health, to negative factors, which are pathophysiological. To date, there has been relatively little translation of this growing knowledge base into cardiology practice. Four initiatives are proposed to meet this challenge: 1) promulgating greater awareness of the potency of psychosocial risks factors; 2) overcoming a current artificial divide between conventional and psychosocial risk factors; 3) developing novel cost-effective interventions using Internet and mobile health applications, group-based counseling, and development of tiered-care behavioral management; and 4) in recognition that one size does not fit all with respect to behavioral interventions, developing specialists who can counsel patients in multidisciplinary fashion and use evidence-based approaches for promoting patient motivation and execution of health goals. (C) 2014 by the American College of Cardiology Foundation.

【 授权许可】

Free