Smolderen Kim G, Gillaspy Stephen, Evers Andrea W M, Kovacs Adrienne H, Massa-Carroll Idalia, Moons Philip, Mena-Hurtado Carlos
Section of Cardiology, Department of Internal Medicine, Vascular Medicine Outcomes Program, Yale University, New Haven, Connecticut, USA.
Department of Psychiatry, Yale University, New Haven, Connecticut, USA.
JACC Adv. 2024 Mar 14;3(4):100910. doi: 10.1016/j.jacadv.2024.100910. eCollection 2024 Apr.
Cardiovascular disease (CVD) is on the rise globally and, along with mental health conditions, will represent the largest public health burden, especially in a world impacted by climate change. Behavior, psychological mechanisms, and CVD are closely correlated. Evidence-based psychological interventions targeting behavior and psychological mechanisms exist across the CVD spectrum. This statement proposes the development of a subspecialty "cardiovascular psychology" to develop integrated pathways of behavioral care delivered to CVD populations. Scope of practice is discussed as it relates to diagnosing and treating comorbid health disorders, behavioral change interventions, pain management, lifestyle and wellbeing, neuropsychological assessment, and cognitive rehabilitation. An agenda on reforms for financials, training pathways, and diversification of the workforce is presented. Finally, normalizing the integration of behavioral health as part of CVD treatment is a shared responsibility across professional organizations and the community to realize value-based CVD care.
心血管疾病(CVD)在全球范围内呈上升趋势,并且与心理健康状况一起,将成为最大的公共卫生负担,尤其是在受气候变化影响的世界中。行为、心理机制与心血管疾病密切相关。在心血管疾病的各个范围内,都存在针对行为和心理机制的循证心理干预措施。本声明提议发展一个“心血管心理学”亚专业,以开发针对心血管疾病人群的综合行为护理途径。讨论了其与诊断和治疗合并健康障碍、行为改变干预、疼痛管理、生活方式与幸福感、神经心理学评估以及认知康复相关的实践范围。提出了关于财务、培训途径和劳动力多元化改革的议程。最后,将行为健康整合作为心血管疾病治疗的一部分进行常态化,是专业组织和社区共同承担的责任,以实现基于价值的心血管疾病护理。