Behavioral Medicine Approaches to Cardiovascular Disease Prevention

by Orth-Gomér, Kristina; Schneiderman, Neil; Orth-Gomer, Kristina

• ISBN13: 9780805818208
• ISBN10: 0805818200
• Format: Hardcover
• Copyright: 1995-11-01
• Publisher: Lawrence Erlbau

Summary

Cardiovascular disease (CVD) is the number one killer of men and women in industrialized countries. In older age groups, CVD is also the most important cause for hospitalization, and, in many countries, it is the basis of early retirement from work. Thus, CVD is associated with enormous costs for care and loss of productivity, as well as for disabilities, pensions, etc. All this has motivated clinicians and scientists to develop and implement new methodologies and technologies to better care for patients who are hospitalized for heart disease. Efforts to improve care in the acute phases of coronary heart disease (CHD) have been successful. During the last decade, the immediate mortality risk of a patient admitted to coronary care for a suspected myocardial infarction or other acute coronary syndrome has decreased to less than 10%. Despite these achievements, CVD continues to represent a major threat to the health of middle-aged and elderly men and women. This volume addresses myriad aspects of CHD prevention, including biobehavioral and psychosocial factors, behavioral epidemiology, behavioral intervention models, and policy. The first section of the text provides an introduction to CVD prevention and behavioral medicine. The second section introduces two theoretically different approaches to preventive action, high-risk and population-based strategies. The third section describes and discusses the important questions of how behavioral sciences can be conceptually integrated into traditional, medically based, preventive efforts. The fourth section presents both population and high-risk behavioral intervention approaches. In summary, this volume examines the social environment and its potentials for preventive actions, reviews the psychosocial and biobehavioral mechanisms involved in these effects, and describes concrete and practical implementations of behavioral medicine knowledge as they have been applied to CHD prevention.

Table of Contents

Acknowledgments	ix
PART I: INTRODUCTION TO CARDIOVASCULAR DISEASE PREVENTION AND BEHAVIORAL MEDICINE
Concepts and Theories of Prevention: Reasons for Soliciting Behavioral Medicine Knowledge	3	(8)
Kristina Orth-Gomer
Principles of Behavioral Medicine: Implications for Prevention	11	(10)
Stephen M. Weiss
PART II: BEHAVIORAL EPIDEMIOLOGY AND PUBLIC HEALTH IN CARDIOVASCULAR DISEASE PREVENTION
Socioeconomic Factors in CHD Prevention	21	(22)
Michael Marmot
Amanda Feeney
Social Class and Cardiovascular Disease	43	(8)
S. Leonard Syme
Prevention of Cardiovascular Morbidity and Mortality: Role of Social Relations	51	(18)
Lisa F. Berkman
Kristina Orth-Gomer
The Demand--Control--Support Model for Studying Health in Relation to the Work Environment: An Interactive Model	69	(18)
Tores Theorell
Stressful Work, Self-Experience, and Cardiovascular Disease Prevention	87	(18)
Johannes Siegrist
PART III: BIOBEHAVIORAL AND PSYCHOSOCIAL FACTORS IN CARDIOVASCULAR DISEASE PREVENTION
Insulin Metabolism, Sympathetic Nervous System Regulation, and Coronary Heart Disease Prevention	105	(30)
Neil Schneiderman
Jay S. Skyler
Psychophysiological Processes in the Prevention of Cardiovascular Disease	135	(14)
Andrew Steptoe
Personality Factors and Coronary Heart Disease	149	(12)
Ad Appels
Coronary-Prone Behaviors, Hostility, and Cardiovascular Health: Implications for Behavioral and Pharmacological Interventions	161	(8)
Redford B. Williams
New Behavioral Risk Factors for Coronary Heart Disease: Implications for Intervention	169	(16)
Margaret A. Chesney
PART IV: BEHAVIORAL INTERVENTION MODELS IN CARDIOVASCULAR DIEASE PREVENTION
Health Education at the Individual Level	185	(18)
Gerjo Kok
Harm J. Hospers
Dirk-Jan den Boer
Hein de Vries
Modification of Health Behavior and Lifestyle Mediated by Physicians	203	(24)
Brian Oldenburg
Peita Graham-Clarke
John Shaw
Sheila Walker
Behavioral Medicine Interventions in Secondary Prevention of Coronary Heart Disease	227	(10)
Gunilla Burell
Community Interventions in Cardiovascular Disease Prevention	237	(26)
Pekka Puska
Healthy Public Policy: Getting Governments Onside	263	(16)
Michael O'Connor
PART V: SUMMARY AND CONCLUSIONS
Blending Traditions: A Concluding Perspective on Behavioral Medicine Approaches to Coronary Heart Disease Prevention	279	(22)
Neil Schneiderman
Kristina Orth-Gomer
Author Index	301	(14)
Subject Index	315