Psychosoziale faktoren bei koronarer herzkrankheitwissenschaftliche evidenz und empfehlungen für die klinische praxis

Translated title of the contribution: Psychosocial factors in coronary heart disease - Scientific evidence and recommendations for clinical practice

Christian Albus, G. De Backer, M. Bages, H. Ch Deter, C. Herrmann-Lingen, B. Oldenburg, S. Sans, N. Schneiderman, R. B. Williams, K. Orth-Gomer

Research output: Contribution to journalReview article

28 Scopus citations

Abstract

Psychosocial risk factors like low socio-economic status, lack of social support and social isolation, chronic work or family stress, as well as negative emotions, e.g. depression and hostility, contribute significantly to the development and adverse outcome of coronary heart disease (CHD). Negative effects of psychosocial risk factors are conveyed via behavioural pathways including unhealthy lifestyle, e. g. food choice, smoking, sedentary life, inadequate utilisation of medical resources, and psychobiological mechanisms like disturbed autonomie and hormonal regulation: all these factors contribute to metabolic dysfunction and inflammatory and haemostatic processes, which are directly involved in the pathogenesis of CHD. Interventions to improve pychosocial factors are available and have demonstrated positive effects on risk factors and - at least in part - on CHD morbidity and mortality. The prevention of CHD should therefore include screening for psychosocial risk factors and adequate interventions. Recommedations for the screening of risk factors, behavioural change and further management of psychosocial risk factors in clinical practice are pointed out.

Translated title of the contributionPsychosocial factors in coronary heart disease - Scientific evidence and recommendations for clinical practice
Original languageGerman
Pages (from-to)1-8
Number of pages8
JournalGesundheitswesen
Volume67
Issue number1
DOIs
StatePublished - Jan 1 2005

Keywords

  • Coronary heart disease
  • Prevention
  • Psychosocial risk factors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Albus, C., De Backer, G., Bages, M., Deter, H. C., Herrmann-Lingen, C., Oldenburg, B., Sans, S., Schneiderman, N., Williams, R. B., & Orth-Gomer, K. (2005). Psychosoziale faktoren bei koronarer herzkrankheitwissenschaftliche evidenz und empfehlungen für die klinische praxis. Gesundheitswesen, 67(1), 1-8. https://doi.org/10.1055/s-2004-813907