Download or read book The Role of Psychological Factors in Chest Pain with Normal Coronary Arteries written by Aileen Sara Thomson and published by . This book was released on 2000 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Biological and Psychological Factors in Cardiovascular Disease written by Thomas H. Schmidt and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 714 pages. Available in PDF, EPUB and Kindle. Book excerpt: An opening address should ask the right questions, which we expect to answer during the coming years. A good opening address should formu late hypotheses for falsification during the conference or in the near fu ture. Mter Dr. Groen's excellent lecture yesterday, I feel better about my task, because I feel I am not alone in asking the ten questions in my ab stract. It is an honor for me to give this short paper largely based on my expe riences during 15 years as medical director of a rehabilitation center in Ba varia, as a teacher at two medical schools in Munich and Innsbruck, and as an old-fashioned holistic cardiologist. However, it also is a difficult task for me because the subject of this conference concerning biobehavioral factors in coronary heart disease is controversial, not only in the medical society, but in my own mind as well. When I organized one of the first conferences on stress and coronary heart disease in West Germany in 1976, followed by conferences in 1979 and 1980, the semantic problems between physicians and psychologists were very significant. However, communication has improved in this area during the last decade. The most encouraging event in this field was a sym posium in May 1984 in Rotenburg/Fulda on the topic "Return to Work af ter Bypass Surgery", organized by a cardiac surgeon, Dr. Walter.
Download or read book Psychological Resources and Risk Factors in Coronary Heart Disease written by Oskar Lundgren and published by Linköping University Electronic Press. This book was released on 2018-07-27 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is strong evidence for the observation that psychological risk factors, such as depressive symptoms, hopelessness, and anxiety are associated with higher risk of developing coronary heart disease (CHD), and also contribute to a worse prognosis among CHD patients. Much less is known about psychological resources, such as Mastery, and their role in cardiovascular medicine. Although the current state of science about the importance of psychological factors has advanced during the last decades, the mental health status of patients is often neglected in clinical practice. The reason behind this gap is multifaceted, including unawareness of the current state of science among professionals and a lack of clear guideline, which in turn, results from a lack of evidence-based ways to address the issues. Furthermore, the measurement of psychological resources is complex and a debated topic in psychology. The aim of this thesis was to investigate: 1) If the use of inverted items in three questionnaires that measure psychological resources and risk factors represent a validity risk in the context of CHD. 2) If psychological resources and risk factors are independently associated with incidence in CHD. 3) If an eight-week course in Mindfulness-Based Stress Reduction (MBSR) is a feasible psychological intervention, as an addition to cardiac rehabilitation. 4) How CHD patients experience the practices of mindfulness and yoga in MBSR. In Study I and II, data from 1007 participants randomly selected from a Swedish community sample, aged 45-69 at baseline (50 % women), were analysed. To study the validity of the self-report instruments Mastery, Self-esteem and Centre for Epidemiological Studies Depression scale (CESD), subscales with only positive and negative items were created. The new subscales were evaluated against three criterion measures; cross-sectional against each other and the circulatory marker of inflammation interleukine-6 (IL-6) (concurrent construct validity); prospectively against 8-year incidence in CHD (predictive validity), and in addition, a factor analysis was used to investigate construct dimensionality. The instruments seemed to be valid measures of psychological resources and risk factors in the context of CHD risk. The new subscales showed the same associations as the original scales, except for the positive items in CES-D. However, this did not have a major influence on the full scale. In Study II a prospective analysis of the impact of psychological factors on 8-year incidence in CHD was performed. The psychological resources Mastery and Self-esteem were negatively associated with CHD, also after adjustment for nine traditional cardiovascular risk factors in Cox proportional hazard models. The protective effect of the two resources, and the increased risk of Hopelessness, remained after adjustment for depressive symptoms. In Study III and IV, a group of CHD patients with depressive symptoms (n=79) was invited to participate in MBSR as a complement to cardiac rehabilitation. Twenty-four patients started MBSR and 16 completed it. The results were compared with a reference group (n=108) of patients from the same clinic, which showed stability in psychological variables over 12 months. MBSR was appreciated by the patients and improvements in psychological risk factors (e.g., depressive symptoms), and an increase in Mastery were observed. Study IV made use of a qualitative content analysis of diary entries written by patients immediately after practice sessions throughout MBSR. Participants described difficulties, both physical and psychological, during the whole course, but as the weeks passed they more frequently described an enhanced ability to concentrate, relax and deal with distractions. From the combined findings in Study III and IV, we conclude that MBSR could be a promising complement to cardiac rehabilitation for a selection of patients. The overall picture, emerging from this thesis, strengthens the argument that psychological factors should be recognized and addressed in clinical practice. It also encourages further studies of how psychological resources could be built, which could inform the development of effective prevention and treatment strategies for CHD patients with psychological distress and also contribute to improved public health interventions.
Download or read book Psychosocial Stress and Cardiovascular Disease in Women written by Kristina Orth-Gomér and published by Springer. This book was released on 2014-11-20 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Not long ago, it was assumed that coronary heart disease mainly--or only--affected men. Now that CHD is recognized as a leading killer of women as well as men, numerous research studies have been made of its diverse presentations in women, causal factors, and possibilities for prevention and treatment. The expert contributions to Psychosocial Stress and Cardiovascular Disease in Women span the results of this cross-disciplinary awareness. This progressive resource takes a three-dimensional approach to its subject, focusing on epidemiology and risk factors for heart disease in women, the psycho- and neurobiology of stress and coronary disease, and promising clinical interventions. Chapters identify and analyze multiple intersections of social, biological, and psychological factors in affecting women's heart health, from the social dimensions of depression to genetic/environmental interactions to the demands of balancing work and family. These wide-ranging findings will assist and motivate professionals in choosing and creating interventions, developing appropriate prevention strategies, and reducing gender-based disparities in health care. Among the topics covered: Enhancing women's heart health: a global perspective. Coronary heart disease in women: evolution of our knowledge. Gender observations on basic physiological stress mechanisms in men and women. Sleep as a means of recovery and restitution in women. LifeSkills training: benefiting both genders, for different reasons. Gender considerations in psychosocial-behavioral interventions for coronary heart disease. In particular this book will be helpful for cardiologists and other clinicians who may ask themselves why patients do not seem to make rational choices. "Why do patients not follow the advice they are offered?" is a common complaint. The role of psychosocial stress for patient compliance and adherence can be traced throughout the volume. It is emphasized in the chapters on psychosocial interventions along with other tangible and conceptual suggestions and experiences with psychosocial stress and life style change. Psychosocial Stress and Cardiovascular Disease in Women offers a deep practical level of understanding of this epidemic to help expand the work of health and clinical psychologists, sociologists, cardiologists, primary care physicians, and epidemiologists.
Download or read book Heart to Heart written by Herbert N. Budnick and published by Health Press. This book was released on 1997-12 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: A highly original study, [addressed] to those who must grapple with uncertainties and fears created by life threatening disorders. [This] very practical book is recommended.
Download or read book The Role of Psychological Factors in Cardiac and Non cardiac Chest Pain written by A. S. Thomson and published by . This book was released on 2000 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Role of Psychological Factors in Cardiac and Non cardiac Chest Pain written by Aileen Sara Thomson and published by . This book was released on 1995 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cardiovascular Disability written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) uses a screening tool called the Listing of Impairments to identify claimants who are so severely impaired that they cannot work at all and thus immediately qualify for benefits. In this report, the IOM makes several recommendations for improving SSA's capacity to determine disability benefits more quickly and efficiently using the Listings.
Download or read book Contributions Toward Evidence based Psychocardiology written by Jochen Jordan and published by American Psychological Association (APA). This book was released on 2007 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: The chapters in this volume are based on a systematic meta-analysis of the international literature by 40 German scientists who convened to evaluate the research and discarded all but the highest quality data on psychological aspects of coronary heart disease. The result is a collection that synthesizes the most significant findings and indicate productive avenues for intervention and further research.
Download or read book Coronary Microvascular Dysfunction written by Filippo Crea and published by Springer Science & Business Media. This book was released on 2013-08-15 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past two decades a number of studies have shown that abnormalities in the function and structure of coronary microcirculation can be detected in several cardiovascular diseases. On the basis of the clinical setting in which it occurs, coronary microvascular dysfunction (CMD) can be classified into four types: CMD in the absence of any other cardiac disease; CMD in myocardial diseases; CMD in obstructive epicardial coronary artery disease; and iatrogenic CMD. In some instances CMD represents an epiphenomenon, whereas in others it represents an important marker of risk or may contribute to the pathogenesis of myocardial ischemia, thus becoming a possible therapeutic target. This book provides an update on coronary physiology and a systematic assessment of microvascular abnormalities in cardiovascular diseases, in the hope that it will assist clinicians in prevention, detection and management of CMD in their everyday activity.
Download or read book Heart and Mind written by Robert Allan and published by American Psychological Association (APA). This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edition provides an in-depth analysis of the psychosocial factors surrounding coronary heart disease.
Download or read book Heart Disease written by Judith A Skala and published by Hogrefe Publishing GmbH. This book was released on 2005-01-01 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the stunning progress in medical research that has been achieved over the past few decades, heart disease remains the leading cause of death and disability among adults in many industrialized countries. Behavioral and psychosocial factors play important roles in the development and progression of heart disease, as well as in how patients adapt to the challenges of living with this illness. This volume in the series "Advances in Psychotherapy" provides readers with a succinct introduction to behavioral and psychosocial treatment of the two most prevalent cardiac conditions, coronary heart disease and congestive heart failure. It summarizes the latest research on the intricate relationships between these conditions and psychosocial factors such as stress, depression, and anger, as well as behavioral factors such as physical inactivity and non-adherence to cardiac medication regimens. It draws upon lessons learned from a wide range of studies, including the landmark ENRICHD and SADHART clinical trials. It then goes on to provide practical, evidence-based recommendations and clinical tools for assessing and treating these problems. "Heart Disease" is an indispensable treatment manual for professionals who work with cardiac patients.
Download or read book Stress and the Heart written by Robert S. Eliot and published by Wiley-Blackwell. This book was released on 1974 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Handbook of Psychocardiology written by Marlies Alvarenga and published by Springer. This book was released on 2017-11-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook brings together the full weight of contemporary evidence bearing on what is now commonly termed “psycho-cardiology”. It focuses on the role of psycho-social factors in the genesis and clinical management of cardiovascular disease (CVD). The book constitutes a critically reviewed compendium of current knowledge in the area, coupled with guides to evidence-based best practice in the field of psycho-cardiology. The following categories are covered: Social/demographic risk for CVD, Personality and CVD risk, Stress and CVD risk, Psychopathology (particularly affective disorders) and CVD risk, The psychological management of those with clinical CVD, Psychology in the prevention of CVD. The book integrates the evidence into a compelling argument that clinicians, researchers and those in public health will discount the role of psychological factors in regard to CVD at their own peril. And importantly for clinicians charged with the care of patients with CVD, the book poses the argument that failure to recognize the links between psychological factors and CVD may well be at the considerable peril of those patients under their care.
Download or read book Stress and Cardiovascular Disease written by Paul Hjemdahl and published by Springer Science & Business Media. This book was released on 2011-10-01 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: The main aim of this book is to evaluate the concept of stress and provide tools for physicians to identify patients who might benefit from stress management. This will incorporate a detailed description of the physiological and pathophysiological consequences of acute and chronic stress that might lead to cardiovascular disease. The book will aim to critically evaluate interventional research (behavioural and other therapies) and provide evidence based recommendations on how to manage stress in the cardiovascular patient. Our intentions are to define and highlight stress as an etiological factor for cardiovascular disease, and to describe an evidence based "tool box" that physicians may use to identify and manage patients in whom stress may be an important contributing factor for their disease and their risk of suffering cardiovascular complications.
Download or read book Psychological Distress in Non cardiac Chest Pain Patients written by R. Webster and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis applied the Common Sense Model of Illness Representations to patients' experiences of acute non-cardiac chest pain (NCCP). A systematic review indicated high levels of distress and poor quality of life (QoL) in acute NCCP patients, although there were few studies on psychological outcomes in these patients, with very few considering the possible predictors of negative psychological outcomes. Study 1 was a longitudinal questionnaire-based study, assessing illness representations, psychological outcomes and continued chest pain in a sample of acute NCCP patients in an emergency department (N=200) and at one (N=138) and three month (N=110) follow-up. Levels of psychological distress were high, mental QoL was poor, and almost half the participants experienced continued chest pain. An increased belief in psychological causes, perception of a more chronic timeline and weaker perceptions of personal control were associated with poorer psychological outcomes. Continued chest pain was related to increased baseline psychological distress and cardiac worries, a stronger baseline perception of identity and a more chronic timeline, highlighting the role that anxiety and stress may play in causing and maintaining NCCP. The role of psychological factors and the lack of coherence (understanding) in NCCP, was demonstrated in Study 2, a qualitative study (N=7) of patients who experienced continued pain and distress at follow-up. Using the findings from Studies 1 and 2, and previous findings with NCCP patients, a self-help anxiety reduction intervention was developed. This was designed to improve patients' understanding of NCCP and to provide methods to reduce stress, anxiety and pain. During further qualitative work, the intervention was found to be acceptable, relevant and understandable to both NCCP patients (N=11) and the specialist nurses (N=4). Further research is needed to test the efficacy of the intervention in a randomised controlled trial.
Download or read book CBT for Managing Non cardiac Chest Pain written by Elizabeth Marks and published by Taylor & Francis. This book was released on 2017-02-17 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: CBT for Managing Non-cardiac Chest Pain is an evidence-based guide and workbook for clinicians working with people with non-cardiac chest pain (NCCP). NCCP affects around 25–30% of people in the UK, USA, and Europe and is associated with high levels of health care use and compromised quality of life. This is the first book to describe a treatment programme to fill the gap in care for patients. The authors have developed and researched a novel approach that demonstrates how physiological, cognitive, behavioural and social factors all contribute to the negative experience of chest pain. With the help of exercises and downloadable handouts for the patient, the book aims to provide the necessary information and clinical skills and approaches for clinicians to use in health care settings. CBT for Managing Non-cardiac Chest Pain will appeal to anyone involved in the care of patients with NCCP, including nurses; general practitioners; cardiologists; acute medical physicians and psychologists.
