The Crucial Role of Psychosocial Factors in Cardiovascular Health and Illness- a Position paper

Role of psychosocial factors in cardiovascular health

Authors

  • Farzad Goli Head of Behi Academy,Vancouver, BC, Canada AND Department of Education, Bioethics and Philosophy of Medicine, Iranian Academy of Medical Sciences, Tehran, Iran, Iran, Islamic Republic of
  • Hamidreza Roohafza
    roohafza@crc.mui.ac.ir
    Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran, Iran, Islamic Republic of
  • Carl Eduard Scheidt Professor, Department of Psychosomatic, Albert Ludwigs University, Freiburg, Germany, Germany
  • Seyed Hadi Seyed Alitabar Iran-Mehr Center for Social Studies, Department of Psychology and Counseling, Tehran, Iran, Iran, Islamic Republic of
  • Ali Sadeghi Danesh Tandorosti Institute, Isfahan, Iran, Iran, Islamic Republic of
  • Danesh Heidari Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran, Iran, Islamic Republic of
  • Niloofar Sattari Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran, Iran, Islamic Republic of
  • Kasra Shokri Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran, Iran, Islamic Republic of
  • Mahboubeh Farzanegan Assistant Professor, Behi Academy,Vancouver, BC, Canada, Canada
  • Christoph Herrmann Lingen Professor, Gottingen University Medical Center, Department of Psychosomatic Medicine and Psychotherapy, Gottingen, Germany, Germany
Vol 10, No(Special Issue)
Quantitative Study(ies)
July 7, 2024
July 30, 2024

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Background: Integrating psychosocial factors into cardiological care, known as psychocardiology, is gaining recognition for its significant impact on cardiovascular health. This comprehensive framework addresses these aspects and aims to enhance the quality of care for patients with cardiovascular diseases (CVDs), acknowledging the complex interplay between psychological and physical health. The guideline development involved a comprehensive literature review on psychocardiology, including studies on psychosocial factors, communication strategies, and cultural competence in cardiovascular care.

Methods: Data were synthesized from peer-reviewed journals, clinical trials, and meta-analyses to create an evidence-based framework. Expert panels, including cardiologists, psychologists, and communication specialists, provided insights and validated the recommendations. The methodology also included qualitative feedback from patient interviews and focus groups to ensure the guidelines address real-world challenges and patient perspectives. This guideline outlines the importance of effective physician-patient communication, emphasizing the role of psychological factors in managing and treating CVDs.

Results: Psychosocial factors such as psychological flexibility, existential anxiety, attachment styles, coping mechanisms, and obsessive beliefs are intricately linked to cardiovascular health, influencing both the incidence and progression of CVDs.

Conclusion: Practical communication skills, including reflecting, summarizing, patient education, reassurance, and breaking bad news, are critical in optimizing patient outcomes. Additionally, the guideline highlights the necessity of cultural sensitivity in clinical settings to improve diagnostic accuracy, treatment adherence, and overall patient satisfaction.

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