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Sleep as a Bio-behavioral Risk Factor for Cardiovascular Disease

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Handbook of Cardiovascular Behavioral Medicine

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Abstract

Until recently, cardiovascular behavioral medicine research, including its conceptual models, measures, and clinical applications, had focused almost exclusively on psychological, social, behavioral, and environmental factors that occur or are measured during waking. Yet, humans spend 1/3 to 1/4 of their lives asleep, and there is strong evidence that sleep is essential to cardiovascular health and functioning. The premise of this chapter is that behavioral medicine models that incorporate sleep, whether as a major variable of interest, a confounder, an effect modifier, or therapeutic target, offer a more complete understanding of the processes through which psychological, social, behavioral, and environmental factors affect and are affected by cardiovascular health and functioning. The goal of this chapter is to identify dimensions of sleep that may be most relevant to cardiovascular behavioral medicine, describe how each dimension may be assessed, and briefly summarize relevant evidence linking sleep to cardiovascular health and functioning. The chapter concludes by identifying important future directions related to the role of sleep in cardiovascular behavioral medicine research. In the concluding section, we highlight mindfulness training as a promising clinical intervention that may target shared bio-behavioral processes implicated in both stress-related sleep disturbance and cardiovascular disease (CVD) pathogenesis.

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Acknowledgments

This chapter was supported in part by grants from the National Institutes of Health (AG019362; AG020677; AT004945; HL07560; HL076379; HL076852; MH024652; RR024153). We thank Bonnee Wettlaufer and Linda Willrich for their administrative support on this chapter.

This chapter was adapted, in part, from: Hall MH (2010) Behavioral medicine and sleep: concepts, measures, and methods. In A. Steptoe (Ed.) Handbook of Behavioral Medicine (pp. 749-765) New York: Springer.

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Authors and Affiliations

  1. Departments of Psychiatry, Psychology, and Clinical and Translational Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Martica H. Hall

  2. Department of Psychology, Rowan University, Glassboro, NJ, USA

    Jeffrey M. Greeson

  3. Department of Psychological and Brain Sciences, Villanova University, Villanova, PA, USA

    Elizabeth J. Pantesco

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  1. Martica H. Hall
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  2. Jeffrey M. Greeson
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  3. Elizabeth J. Pantesco
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Correspondence to Jeffrey M. Greeson .

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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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Hall, M.H., Greeson, J.M., Pantesco, E.J. (2022). Sleep as a Bio-behavioral Risk Factor for Cardiovascular Disease. 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_17

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