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Changing Lifestyle Behaviors to Improve the Prevention and Management of Cardiovascular Disease

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Handbook of Psychocardiology

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Abstract

Up to 80 % of the risk for cardiovascular disease (CVD) in the general population is attributable to lifestyle factors. Hence, the modification of lifestyle behaviors is important for reducing cardiovascular risk in the context of primary and secondary CVD prevention. However, initiating and sustaining changes in lifestyle behaviors remains challenging, particularly for patients who have experienced a potentially life-threatening CVD event. This chapter reviews the evidence base for changing lifestyle behaviors that contribute most to the etiology, progression, and outcomes of CVD, that is, nutrition and dietary behaviors, physical activity, and smoking. Furthermore, the evidence in relation to the effectiveness of behavioral interventions and key factors to consider in the implementation of effective behavior and lifestyle change programs in clinical and non-clinical settings are discussed. Finally, the implications of these findings for future research and practice in the field are considered.

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References

  • Alwan, A., & MacLean, D. R. (2009). A review of non-communicable disease in low-and middle-income countries. International Health, 1(1), 3–9.

    Article  PubMed  Google Scholar 

  • Alwan, A. (2011). Global status report on noncommunicable diseases 2010. World Health Organization.

    Google Scholar 

  • Anderson, L., Quinn, T., Glanz, K., Ramirez, G., Kahwati, L., Johnson, D., … & Task Force on Community Preventive Services. (2009a). The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity. American Journal of Preventive Medicine, 37, 340–357.

    Google Scholar 

  • Anderson, P., De Bruijn, A., Angus, K., Gordon, R., & Hastings, G. (2009b). Impact of alcohol advertising and media exposure on adolescent alcohol use: A systematic review of longitudinal studies. Alcohol and Alcoholism, 44, 229–243.

    Article  PubMed  Google Scholar 

  • Angermayr, L. D. K. (2010). Multifactorial lifestyle interventions in the primary and secondary prevention of cardiovascular disease and type 2 diabetes mellitus—a systematic review of randomized controlled trials. Annals of Behavioral Medicine, 40, 49–64.

    Article  PubMed  Google Scholar 

  • Ashbury, F. D., Cameron, C., Mercer, S. L., Fitch, M., & Nielsen, E. (1998). One-on-one peer support and quality of life for breast cancer patients. Patient Education and Counselling, 35, 89–100.

    Article  Google Scholar 

  • Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1.

    Article  PubMed  Google Scholar 

  • Barth, J., Critchley, J. A., & Bengel, J. (2008). Psychosocial interventions for smoking cessation in patients with coronary heart disease. The Cochrane Library.

    Google Scholar 

  • Becker, M. H. (1974). The health belief model and personal health behavior. Thorofare: Slack.

    Google Scholar 

  • Begg, S., Vos, T., Barker, B., Stevenson, C., Stanley, L., & Lopez, A. (2007). Burden of disease and injury in Australia 2003. Canberra: Australian Institute of Health and Welfare (AIHW).

    Google Scholar 

  • Beaglehole, R., & Bonita, R. (2008). Global public health: A scorecard. The Lancet, 372(9654), 1988–1996.

    Article  Google Scholar 

  • Brofenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32, 513–531.

    Article  Google Scholar 

  • Burke, L., Dunbar-Jacob, J., & Hill, M. (1997). Compliance with cardiovascular disease prevention strategies: A review of the research. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 19, 239–263.

    Article  Google Scholar 

  • Campbell, H. S., Phaneuf, M. R., & Deane, K. (2004). Cancer peer support programs—do they work? Patient Education and Counseling, 55, 3–15.

    Article  PubMed  Google Scholar 

  • Chou, W. S., Prestin, A., Lyons, C., & Wen, K. (2013). Web 2.0 for health promotion: Reviewing the current evidence. American Journal of Public Health, 103, 9–18.

    Article  Google Scholar 

  • Cole, J. A., Smith, S. M., Hart, N., & Cupples, M. E. (2010). Systematic review of the effect of diet and exercise lifestyle interventions in the secondary prevention of coronary heart disease. Cardiology Research & Practice, 2011, 1–25.

    Article  Google Scholar 

  • Coley, H. L., Sadasivam, R. S., Williams, J. H., Volkman, J. E., Schoenberger, Y.-M., Kohler, C. L., … & Ford, D. E. (2013). Crowdsourced peer-versus expert-written smoking-cessation messages. American Journal of Preventive Medicine, 45, 543–550.

    Google Scholar 

  • Cotter, A. P., Durant, N., Agne, A. A., & Cherrington, A. L. (2014). Internet interventions to support lifestyle modification for diabetes management: A systematic review of the evidence. Journal of Diabetes and its Complications, 28, 243–251.

    Article  PubMed  Google Scholar 

  • Coups, E. J., Gaba, A., & Orleans, C. T. (2004). Physician screening for multiple behavioral health risk factors. American Journal of Preventive Medicine, 27, 34–41.

    Article  PubMed  Google Scholar 

  • Dale, J., Caramlau, I. O., Lindenmeyer, A., & Williams, S. M. (2008). Peer support telephone calls for improving health. The Cochrane Library.

    Google Scholar 

  • D’Agostino, R. B., Vasan, R. S., Pencina, M. J., Wolf, P. A., Cobain, M., Massaro, J. M., & Kannel, W. B. (2008). General cardiovascular risk profile for use in primary care the Framingham Heart Study. Circulation, 117, 743–753.

    Article  PubMed  Google Scholar 

  • de Waure, C., Lauret, G. J., Ricciardi, W., Ferket, B., Teijink, J., Spronk, S., & Myriam Hunink, M. G. (2013). Lifestyle interventions in patients with coronary heart disease: A systematic review. American Journal of Preventive Medicine, 45, 207–216.

    Article  PubMed  Google Scholar 

  • DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59(2), 295.

    Article  PubMed  Google Scholar 

  • Dennis, C. L., Hodnett, E., Gallop, R., & Chalmers, B. (2002). The effect of peer support on breast-feeding duration among primiparous women: A randomized controlled trial. Canadian Medical Association Journal, 166, 21–28.

    PubMed Central  PubMed  Google Scholar 

  • Eakin, E. G., Lawler, S. P., Vandelanotte, C., & Owen, N. (2007). Telephone interventions for physical activity and dietary behavior change: A systematic review. American Journal of Preventive Medicine, 32, 419–434.

    Article  PubMed  Google Scholar 

  • Ebrahim, S., Beswick, A., Burke, M., & Davey, S. G. (2006). Multiplerisk factor interventions for primary prevention of coronaryheart disease. Cochrane Database of Systematic Reviews, 4, CD001561.

    PubMed  Google Scholar 

  • Ebrahim, S., Taylor, F., Ward, K., Beswick, A., Burke, M., & Davey Smith, G. (2011). Multiple risk factor interventions for primary prevention of coronary heart disease. The Cochrane Library, 1.

    Google Scholar 

  • Ekblom-Bak, E., Ekblom, B., Vikström, M., de Faire, U., & Hellénius, M.-L. (2014). The importance of non-exercise physical activity for cardiovascular health and longevity. British Journal of Sports Medicine, 48, 233–238.

    Article  PubMed  Google Scholar 

  • eMarketer Inc. (2013). Social networking reaches nearly one in four around the world. Social Media. Available via e Marketer. http://www.emarketer.com/Article/Social-Networking-Reaches-Nearly-One-Four-Around-World/1009976. Accessed 19 Feb 2015.

  • Fisher, E. B., Strunk, R. C., Highstein, G. R., Kelley-Sykes, R., Tarr, K. L., Trinkaus, K., & Musick, J. (2009). A randomized controlled evaluation of the effect of community health workers on hospitalization for asthma: The asthma coach. Archives of Pediatrics & Adolescent Medicine, 163(3), 225–232.

    Article  Google Scholar 

  • Fisher, E. B., Fitzgibbon, M. L., Glasgow, R. E., Haire-Joshu, D., Hayman, L. L., Kaplan, R. M., … & Ockene, J. K. (2011). Review and special article: Behavior matters. American Journal of Preventive Medicine, 40, 15–30.

    Google Scholar 

  • Fisher, E. B., Ayala, G. X., Ibarra, L., Cherrington, A. L., Elder, J. P., Tang, T. S., … & Simmons, D. (2015). Contributions of peer support to health, health care, and prevention: papers from peers for progress. The Annals of Family Medicine, 13(Suppl. 1), S2–S8.

    Google Scholar 

  • Ford, E. S., & Caspersen, C. J. (2012). Sedentary behaviour and cardiovascular disease: A review of prospective studies. International Journal of Epidemiology, 41, 1338–1353.

    Article  PubMed Central  PubMed  Google Scholar 

  • Foster, G., Taylor, S. J., Eldridge, S. E., Ramsay, J., & Griffiths, C. J. (2007). Self-management education programmes by lay leaders for people with chronic conditions. Cochrane Database of Systematic Reviews, 4(4).

    Google Scholar 

  • Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: Theory, research, and practice (4th ed.). San Francisco: Wiley.

    Google Scholar 

  • Gray, R., Fitch, M., Davis, C., & Phillips, C. (1997). A qualitative study of breast cancer self-help groups. Psycho-Oncology, 6, 279–289.

    Article  PubMed  Google Scholar 

  • Greaves, C. J., Sheppard, K. E., Abraham, C., Hardeman, W., Roden, M., Evans, P. H., & Schwarz, P. (2011). Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health, 11, 119–130.

    Article  PubMed Central  PubMed  Google Scholar 

  • Grundy, S. M., Pasternak, R., Greenland, P., Smith, S., & Fuster, V. (1999). Assessment of cardiovascular risk by use of multiple-risk-factor assessment equations: A statement for healthcare professionals from the American Heart Association and the American College of Cardiology. Journal of the American College of Cardiology, 34, 1348–1359.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., & Cohen, S. (1996). Social support and adjustment to cancer: Reconciling descriptive, correlational, and intervention research. Health Psychology, 15, 135.

    Article  PubMed  Google Scholar 

  • Hibbard, M. R., Cantor, J., Charatz, H., Rosenthal, R., Ashman, T., Gundersen, N., … & Gartner, A.(2002). Peer support in the community: Initial findings of a mentoring program for individuals with traumatic brain injury and their families. The Journal of head trauma rehabilitation, 17, 112–131.

    Google Scholar 

  • Hooper, L., Summerbell, C. D., Thompson, R., Sills, D., Roberts, F. G., Moore, H. J., & Davey, S. G. (2012). Reduced or modified dietary fat for preventing cardiovascular disease. The Cochrane Database of Systematic Reviews, 5, CD002137.

    PubMed  Google Scholar 

  • Hutchinson, A. D., & Wilson, C. (2012). Improving nutrition and physical activity in the workplace: A meta-analysis of intervention studies. Health Promotion International, 27, 238–249.

    Article  PubMed  Google Scholar 

  • Janz, N., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 1–47.

    Article  PubMed  Google Scholar 

  • Kelders, S. M., Van Gemert-Pijnen, J. E., Werkman, A., Nijland, N., & Seydel, E. R. (2011). Effectiveness of a Web-based intervention aimed at healthy dietary and physical activity behavior: A randomized controlled trial about users and usage. Journal of Medical Internet Research, 13.

    Google Scholar 

  • King, K., Meader, N., Wright, K., Graham, H., Power, C., Petticrew, M., … & Sowden, A. J. (2015). Characteristics of interventions targeting multiple lifestyle risk behaviours in adult populations: A systematic scoping review. PLoS ONE, 10, 1–13.

    Google Scholar 

  • Kong, G., Singh, N., & Krishnan-Sarin, S. (2012). A review of culturally targeted/tailored tobacco prevention and cessation interventions for minority adolescents. Nicotine & Tobacco Research, 14, 1394–1406.

    Article  Google Scholar 

  • Latimer, A. E., Brawley, L. R., & Bassett, R. L. (2010). A systematic review of three approaches for constructing physical activity messages: What messages work and what improvements are needed? International Journal of Behavioral Nutrition and Physical Activity, 7, 36.

    Article  PubMed Central  PubMed  Google Scholar 

  • León-Latre, M., Moreno-Franco, B., Andrés-Esteban, E. M., Ledesma, M., Laclaustra, M., Alcalde, V., … & Casasnovas, J. A. (2014). Sedentary lifestyle and its relation to cardiovascular risk factors, insulin resistance and inflammatory profile. Revista Española de Cardiología (English Edition), 67, 449–455.

    Google Scholar 

  • Lin, J. S., O’Connor, E., Evans, C. V., Senger, C. A., Rowland, M. G., & Groom, H. C. (2014). Behavioral counseling to promote a healthy lifestyle in persons with cardiovascular risk factors: A systematic review for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 161, 568–578.

    Article  PubMed  Google Scholar 

  • Lippke, S., & Ziegelmann, J. P. (2008). Theory-based health behavior change: Developing, testing, and applying theories for evidence-based interventions. Applied Psychology, 57, 698–716.

    Article  Google Scholar 

  • Lovato, C., Linn, G., Stead, L. F., & Best, A. (2003). Impact of tobacco advertising and promotion on increasing adolescent smoking behaviours. The Cochrane Database of Systematic Reviews, CD003439.

    Google Scholar 

  • Marrero, D. G., Ard, J., Delamater, A. M., Peragallo-Dittko, V., Mayer-Davis, E. J., Nwankwo, R., & Fisher, E. B. (2013). Twenty-first century behavioral medicine: A context for empowering clinicians and patients with diabetes: a consensus report. Diabetes Care, 36, 463–470.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mendis, S., Abegunde, D., Yusuf, S., Ebrahim, S., Shaper, G., Ghannem, H., & Shengelia, B. (2005). WHO study on Prevention of REcurrences of Myocardial Infarction and StrokE (WHO-PREMISE). Bulletin of the World Health Organization, 83, 820–829.

    PubMed Central  PubMed  Google Scholar 

  • Morrow, A. L., Guerrero, M. L., Shults, J., Calva, J. J., Lutter, C., Bravo, J., … & Butterfoss, F. D. (1999). Efficacy of home-based peer counselling to promote exclusive breastfeeding: A randomised controlled trial. The Lancet, 353, 1226–1231.

    Google Scholar 

  • Murray, S. (2006). Doubling the burden: Chronic disease. Canadian Medical Association Journal, 174, 771–772.

    Article  PubMed Central  PubMed  Google Scholar 

  • National Heart Foundation of Australia, & Cardiac Society of Australia and New Zealand. (2012). Reducing risk in heart disease: An expert guide to clinical practice for secondary prevention of coronary heart disease. Melbourne: National Heart Foundation of Australia.

    Google Scholar 

  • O’Neil, A., et al. (2015). Pro-inflammatory dietary intake as a risk factor for CVD in men: A 5-year longitudinal study. British Journal of Nutrition, 114(12), 2074–2082.

    Article  PubMed  Google Scholar 

  • Oldenburg, B., & Glanz, K. (2008). Diffusion of innovations. In C. T. Orleans (Ed.), Health behavior and health education theory, research and practice (Vol. 14, pp. 313–333). San Fransciso: Wiley.

    Google Scholar 

  • Oldenburg, B., Absetz, P., & Chan, C. K. Y. (2010). Behavioral interventions for prevention and management of chronic disease. In A. Steptoe (Ed.), Handbook of behavioral medicine (pp. 969–988). New York: Springer.

    Chapter  Google Scholar 

  • Oldridge, N. (2012). Exercise-based cardiac rehabilitation in patients with coronary heart disease: Meta-analysis outcomes revisited. Future Cardiology, 8, 729–751.

    Article  PubMed  Google Scholar 

  • Oldenburg, B., Taylor, C. B., O’Neil, A., Cocker, F., & Cameron, L. D. (2015). Using new technologies to improve the prevention and management of chronic conditions in populations. Annual Review of Public Health, 36, 483–505.

    Article  PubMed  Google Scholar 

  • Parry, M., & Watt-Watson, J. (2010). Peer support intervention trials for individuals with heart disease: A systematic review. European Journal of Cardiovascular Nursing, 9, 57–67.

    Article  PubMed  Google Scholar 

  • Pearson, T. A., Osorio, D., & Brown, K. (2000). Nutritional interventions in cardiovascular disease: New challenges and opportunities. Current Atherosclerosis Reports, 2, 515–521.

    Article  PubMed  Google Scholar 

  • Peiris, D., Praveen, D., Johnson, C., & Mogulluru, K. (2014). Use of mhealth systems and tools for non-communicable diseases in low-and middle-income countries: A systematic review. Journal of Cardiovascular Translational Research, 7, 677–692.

    Article  PubMed  Google Scholar 

  • Perk, J., De Backer, G., Gohlke, H., Graham, I., Reiner, Ž., Verschuren, M., … & Cifkova, R. (2012). European guidelines on cardiovascular disease prevention in clinical practice (version 2012). European Heart Journal, 19, 403–488.

    Google Scholar 

  • Poortinga, W. (2007). The prevalence and clustering of four major lifestyle risk factors in an English adult population. Preventive Medicine, 44, 124–128.

    Article  PubMed  Google Scholar 

  • Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38–48.

    Article  PubMed  Google Scholar 

  • Repper, J., & Carter, T. (2011). A review of the literature on peer support in mental health services. Journal of Mental Health, 20, 392–411.

    Article  PubMed  Google Scholar 

  • Riley, W. T., Rivera, D. E., Atienza, A. A., Nilsen, W., Allison, S. M., & Mermelstein, R. (2011). Health behavior models in the age of mobile interventions: Are our theories up to the task? Translational Behavioral Medicine, 1, 53–71.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rosamond, W., Flegal, K., Furie, K., Go, A., Greenlund, K., Haase, N., … & Stroke Statistics Subcommittee. (2008). Heart disease and stroke statistics—2008 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 117, 25–146.

    Google Scholar 

  • Rosengren, A., Hawken, S., Ôunpuu, S., Sliwa, K., Zubaid, M., Almahmeed, W. A. … & Yusuf, S. (2004). Association of psychosocial risk factors with risk of acute myocardial infarction in 11 119 cases and 13 648 controls from 52 countries (the INTERHEART study): Case-control study. The Lancet, 364, 953–962.

    Google Scholar 

  • Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. The American Psychologist, 55, 68–79.

    Article  PubMed  Google Scholar 

  • Schubart, J. R., Stuckey, H. L., Ganeshamoorthy, A., & Sciamanna, C. N. (2011). Chronic health conditions and internet behavioral interventions: A review of factors to enhance user engagement. Computers, Informatics, Nursing, 29, 81–92.

    Article  PubMed  Google Scholar 

  • Smith, M. A., Rainie, L., Shneiderman, B., & Himelboim, I. (2014). Mapping Twitter topic networks: From polarized crowds to community clusters Pew Research Internet Project. Washington, DC: Pew Research Center.

    Google Scholar 

  • Stokols, D., Grzywacz, J. G., McMahan, S., & Phillips, K. (2003). Increasing the health promotive capacity of human environments. American Journal of Health Promotion, 18, 4–13.

    Article  PubMed  Google Scholar 

  • van Gemert-Pijnen, J. E., Nijland, N., van Limburg, M., Ossebaard, H. C., Kelders, S. M., Eysenbach, G., & Seydel, E. R. (2011). A holistic framework to improve the uptake and impact of eHealth technologies. Journal of Medical Internet Research, 13(4), e111.

    Article  PubMed Central  PubMed  Google Scholar 

  • Verheijden, M. W., Bakx, J. C., van Weel, C., Koelen, M. A., & van Staveren, W. A. (2002). Role of social support in lifestyle-focused weight management interventions. European Journal of Clinical Nutrition, 59, 179–186.

    Article  Google Scholar 

  • Walther, J. B., DeAndrea, D., Kim, J., & Anthony, J. C. (2010). The influence of online comments on perceptions of antimarijuana public service announcements on YouTube. Human Communication Research, 36, 469–492.

    Article  Google Scholar 

  • Wantland, D. J., Portillo, C. J., Holzemer, W. L., Slaughter, R., & McGhee, E. M. (2004). The effectiveness of web-based vs. non-web-based interventions: A meta-analysis of behavioral change outcomes. Journal of Medical Internet Research. Available via e Marketer. Accessed 10 Nov.

    Google Scholar 

  • Wei, J., Hollin, I., & Kachnowski, S. (2011). A review of the use of mobile phone text messaging in clinical and healthy behaviour interventions. Journal of Telemedicine and Telecare, 17, 41–48.

    Article  PubMed  Google Scholar 

  • Whalley, B., Thompson, D., & Taylor, R. (2014). Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis. International Journal of Behavioral Medicine, 21, 109–121.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2002). The world health report 2002. Reducing risks, promoting health life. Geneva: The World Health Organization.

    Google Scholar 

  • World Health Organization. (2003). The world health report 2003: Shaping the future. Switzerland: World Health Organization.

    Book  Google Scholar 

  • Yach, D., McKee, M., Lopez, A. D., & Novotny, T. (2005). Improving diet and physical activity: 12 lessons from controlling tobacco smoking. BMJ [British Medical Journal], 330(7496), 898.

    Article  Google Scholar 

  • Yusuf, S., Hawken, S., Ôunpuu, S., Dans, T., Avezum, A., Lanas, F., … & Varigos, J. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study. The Lancet, 364, 937–952.

    Google Scholar 

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Authors and Affiliations

  1. Melbourne School of Population & Global Health, The University of Melbourne, Melbourne, VIC, 3010, Australia

    Brian Oldenburg, Shaira Baptista, Fiona Cocker & Adrienne O’Neil

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  1. Brian Oldenburg
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  2. Shaira Baptista
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  3. Fiona Cocker
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  4. Adrienne O’Neil
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Correspondence to Brian Oldenburg .

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Editors and Affiliations

  1. Monash University, Victoria, Australia

    Marlies Alvarenga

  2. Australia National University, Canberra, Aust Capital Terr, Australia

    Don Byrne

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Oldenburg, B., Baptista, S., Cocker, F., O’Neil, A. (2015). Changing Lifestyle Behaviors to Improve the Prevention and Management of Cardiovascular Disease. In: Alvarenga, M., Byrne, D. (eds) Handbook of Psychocardiology. Springer, Singapore. https://doi.org/10.1007/978-981-4560-53-5_54-1

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