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Stress and Psychological Factors

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Interdisciplinary Concepts in Cardiovascular Health

Abstract

This chapter explains how psychosocial factors like stress at work and/or home, depression, and anxiety, as well as personality characteristics contribute to the risk of developing coronary heart disease (CHD). Psychosocial factors seem to affect the heart through neuroendocrine (i.e., hypothalamic-pituitary-adrenal axis) and behavioral (i.e., sedentary lifestyle) pathways. In clinical practice, guidelines for the assessment of stress and psychological factors should be released. In case of elevated risk, multimodal, cognitive-behavioral intervention should be offered. New technologies (i.e., web applications) should be ­considered for the application of programs aimed at lifestyle change. Furthermore, the development of gender-specific approaches in cognitive-behavioral intervention guidelines should be an important aspect of future research.

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Höfer, S., Pfaffenberger, N., Kopp, M. (2013). Stress and Psychological Factors. In: Wakabayashi, I., Groschner, K. (eds) Interdisciplinary Concepts in Cardiovascular Health. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1334-9_10

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