作者: Charles F. Emery , Derek R. Anderson , Christina L. Goodwin
DOI: 10.1002/9781118133880.HOP209015
关键词: Social support 、 Quality of life 、 Depression (differential diagnoses) 、 Medicine 、 Internal medicine 、 Cardiology 、 Psychological intervention 、 Psychosocial 、 Cause of death 、 Incidence (epidemiology) 、 Anxiety
摘要: Coronary heart disease (CHD) is the leading cause of death in United States, and hypertension (HTN) a common chronic health condition. Studies confirm that psychological stress associated with increased incidence CHD, recurrence cardiac events, higher risk HTN. Stress appears to influence onset progression via both direct physiological pathways indirect behavioral pathways. Social support dispositional attributes such as optimism may moderate effects provide beneficial effects. psychosocial interventions reduce improve outcomes among patients CHD have produced inconsistent results. In general, studies indicate enhance functioning quality life but not lead reduced recurrent events. Symptoms depression anxiety been Poor adherence medications lifestyle changes poorer HTN. Keywords: coronary disease; hypertension; stress; adherence