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Cardiovascular Behavioral Medicine: Past, Present, and Future

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Handbook of Cardiovascular Behavioral Medicine

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Abstract

Associations between psychosocial factors and disease have been noted for more than two millennia. By the middle of the twentieth century, scientists identified multiple risk factors for cardiovascular disease (CVD). A handful of modifiable risk factors, including psychosocial variables, seem responsible for nearly all CVD morbidity and mortality although the effects of genes on those risk factors are considerable. The interactive role of an atherogenic diet and psychosocial stress on the progression of atherogenesis in nonhuman animals has been demonstrated experimentally as has the decrease in atherosclerosis progression due to psychosocial factors. At present large-scale, longitudinal, population-based observational studies are examining the biobehavioral, psychosocial, and sociocultural factors that influence CVD risk and health outcomes. Increasingly such studies are using sophisticated genomic, biomarker, vascular, and neuroimaging techniques to examine disease processes. Lifestyle and psychosocial interventions decrease CVD vulnerability in high-risk populations and prevent recurrence of myocardial infarction and death. These results need replication in rigorous randomized controlled trials. Cardiovascular behavioral medicine research has undergone substantial growth during the past three decades and has a bright future.

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Authors and Affiliations

  1. Departments of Psychology, Medicine, Public Health Sciences, Psychiatry and Behavioral Sciences, and Biomedical Engineering, and Behavioral Medicine Research Center, University of Miami, Coral Gables, FL, USA

    Neil Schneiderman

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  1. Neil Schneiderman
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Correspondence to Neil Schneiderman .

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Editors and Affiliations

  1. Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, USA

    Shari R. Waldstein

  2. Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands

    Willem J. Kop

  3. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA

    Edward C. Suarez

  4. Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    William R. Lovallo

  5. Division of Gerontology Geriatrics and Palliative Medicine Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA

    Leslie I. Katzel

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Schneiderman, N. (2022). Cardiovascular Behavioral Medicine: Past, Present, and Future. In: Waldstein, S.R., Kop, W.J., Suarez, E.C., Lovallo, W.R., Katzel, L.I. (eds) Handbook of Cardiovascular Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-85960-6_1

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