Susanne S. Pedersen|Roland von Känel|Phillip J. Tully|Johan Denollet
Psychosocial perspectives in cardiovascular disease
University of Southern Denmark|Odense University Hospital|University Hospital of Bern|University of Bern|Klinik Barmelweid|North-West University|Freemasons Foundation Centre for Men's Health|Bordeaux Population Health|University of Bordeaux|University of Adelaide|Tilburg University|Antwerp University Hospital
adaptation living cardiovascular disease may differ patient patient influenced disease severity limitations incurred disease also socioeconomic factors eg health literacy patients psychological makeup susceptibility distress comorbid depression andor anxiety prevalent 20 patients cardiovascular disease may either transient chronic distress depression reduces adherence serves barrier behaviour change adoption healthy lifestyle increases risk patients drop cardiac rehabilitation impacting patients quality life risk hospitalisation mortality hence paramount identify subset highrisk patients clinical practice review provides general overview prevalence selected psychosocial risk factors impact patientreported clinical outcomes biological behavioural mechanisms may explain association psychosocial factors health outcomes review also provides recommendations selfreport screening measures use identify patients high risk due psychosocial profile effectiveness available trials target risk factors despite challenges barriers associated screening patients combined appropriate treatment paramount treat heart also mind order improve quality care patient clinical outcomes