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

Role of psychosocial factors in cardiovascular health

Psychocardiology Cardiovascular diseases Psychosocial factors Patient education

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 11, No(Special Issue) 2024
Qualitative Study(ies)
July 7, 2024
July 30, 2024

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Background: Psychocardiology explores the impact of symbolic, emotional, behavioral, and social factors on cardiovascular functions and vice versa. This holistic approach focuses on managing psychosocial predisposing factors, comorbidities, and interventions within cardiology. The guideline development involved a thorough literature review on psychocardiology, encompassing studies on psychosocial influences, communication strategies, and cultural competence in cardiovascular care.

Methods: Data were collected from peer-reviewed journals, clinical trials, and meta-analyses to create an evidence-based framework. Expert panels comprising cardiologists, psychologists, and communication specialists provided insights and validated the recommendations. The methodology also incorporated qualitative feedback from patient interviews and focus groups to ensure the guidelines address real-world challenges and patient perspectives.

Results: The guidelines highlight the importance of effective physician-patient communication, emphasizing the role of psychological factors in managing and treating cardiovascular diseases (CVDs). Psychosocial elements such as psychological flexibility, attachment styles, coping mechanisms, existential anxiety, and obsessive beliefs are closely linked to cardiovascular health, influencing both the incidence and progression of CVDs.

Conclusion: Addressing personality traits, emotion regulation, health and illness behaviors, and the communicative context, as well as fostering communication and cultural sensitivity in clinical settings, can improve diagnostic accuracy, treatment adherence, and overall patient satisfaction.

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