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Social Support and Cardiovascular Disease

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Handbook of Cardiovascular Behavioral Medicine

Abstract

A growing body of research has demonstrated a strong and consistent association between lack of social support and cardiovascular disease (CVD) risk, progression, and outcomes. Low social support – variously defined as having few social ties, not having access to practical assistance, or lacking a confidant or other source of emotional support – has been linked to cardiovascular events and death in a number of large-scale, prospective studies of initially healthy persons and in studies of individuals with existing heart disease. Recently, research has identified a number of plausible psychophysiologic and behavioral mechanisms that may contribute to this relationship, and several intervention studies designed to improve cardiovascular-related health outcomes by increasing social support have been conducted. Here, we review evidence that social support influences the occurrence, course and outcomes of CVD; identify the mechanisms through which this may occur; review the results of intervention studies designed to increase social support and improve medical outcomes in CVD patients; and provide recommendations to researchers to guide future work in this area.

This chapter has been adapted from Czajkowski, Arteaga, and Burg (2011). The views expressed are those of the authors and do not reflect the views of the National Heart, Lung, and Blood Institute, National Institutes of Health, or the US Department of Health and Human Services.

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Authors and Affiliations

  1. Health Behaviors Research Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA

    Susan M. Czajkowski

  2. Division of Cardiovascular Sciences, Clinical Applications and Prevention Branch National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA

    S. Sonia Arteaga

  3. Section of Cardiovascular Medicine, Departments of Internal Medicine and Anesthesiology, Yale School of Medicine, West Haven, CT, USA

    Matthew M. Burg

  4. Department of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, NY, USA

    Matthew M. Burg

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  1. Susan M. Czajkowski
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  2. S. Sonia Arteaga
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  3. Matthew M. Burg
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Correspondence to Susan M. Czajkowski .

Editor information

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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Czajkowski, S.M., Arteaga, S.S., Burg, M.M. (2022). Social Support and 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_25

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