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心血管疾病:心理、社会和行为影响:特刊导言。

Cardiovascular disease: Psychological, social, and behavioral influences: Introduction to the special issue.

机构信息

Clinical Applications and Prevention Branch, National Heart, Lung, and Blood Institute, National Institutes of Health.

Health Behaviors Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health.

出版信息

Am Psychol. 2018 Nov;73(8):949-954. doi: 10.1037/amp0000359.

Abstract

Although deaths due to cardiovascular diseases have declined significantly since the 1970s, they remain the most common cause of morbidity and mortality in the United States. A large number of cardiovascular risk factors, such as smoking, obesity, and sedentary lifestyle, are modifiable. Psychologists and other behavioral scientists and practitioners are engaged in not only understanding the mechanistic links between behaviors and cardiovascular health but also developing effective interventions for improving health. The purpose of this special issue is to highlight some of the more innovative psychological research in cardiovascular health promotion, disease prevention, and management. Articles included in this issue focus on 2 primary areas. First, cutting-edge research on the current state of knowledge of modifiable health behaviors and their impact on cardiovascular health include articles on e-cigarette use as a putative risk factor, psychological factors involved in adherence to medications, the role of sleep in cardiovascular health, and innovative approaches to enhancing the treatment and recovery of patients with cardiovascular diseases. Second, outstanding research identifying the mechanisms by which psychological factors such as stress, depression, and anxiety impact cardiovascular disease include an overview of the current state of science examining psychological comorbidities that can accompany cardiovascular disease and influence outcomes, discussion of the neurocognitive processes that connect stress appraisal with biological functioning and diseases processes, and the role of genetics on behavioral interventions and clinical decision-making in the context of behavioral weight loss treatments. Our goal with these innovative articles is to stimulate additional advances in cardiovascular behavioral medicine. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

摘要

尽管自 20 世纪 70 年代以来,心血管疾病导致的死亡人数显著下降,但它们仍是美国发病率和死亡率的最主要原因。大量心血管危险因素,如吸烟、肥胖和久坐的生活方式,是可以改变的。心理学家和其他行为科学家及从业者不仅致力于理解行为与心血管健康之间的机制联系,也致力于开发改善健康的有效干预措施。本期特刊的目的是强调心血管健康促进、疾病预防和管理方面一些更具创新性的心理学研究。本期特刊中的文章主要集中在两个主要领域。第一,关于可改变的健康行为及其对心血管健康的影响的当前知识状态的前沿研究,包括关于电子烟使用作为潜在风险因素的文章、与药物依从性相关的心理因素、睡眠在心血管健康中的作用,以及增强心血管疾病患者治疗和康复的创新方法。第二,确定心理因素(如压力、抑郁和焦虑)如何影响心血管疾病的机制的杰出研究,包括对当前检查可伴随心血管疾病并影响预后的心理合并症的科学状态的概述、讨论将压力评估与生物功能和疾病过程联系起来的神经认知过程,以及遗传因素在行为减肥治疗背景下对行为干预和临床决策的作用。我们希望这些创新性文章能激发心血管行为医学的进一步发展。(APA 版权所有 2018)

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