Social Support And Cardiovascular Disease

In this groundbreaking work, distinguished contributors explore the myriad relationships between networks of social support and the development, treatment, and rehabilitation of individuals with cardiovascular disease. Chapters span the range from conceptual to methodological issues, and take into account gender, environmental, and cultural differences. The book will provide a wealth of information for clinicians and students in the fields of behavioral medicine, psychophysiology, and cardiovascular disease.

This book will change the way we understand the future of our planet. It is both alarming and hopeful. James Gustave Speth, renowned as a visionary environmentalist leader, warns that in spite of all the international negotiations and agreements of the past two decades, efforts to protect Earth's environment are not succeeding. Still, he says, the challenges are not insurmountable. He offers comprehensive, viable new strategies for dealing with environmental threats around the world. The author explains why current approaches to critical global environmental problems - climate change, biodiversity loss, deterioration of marine environments, deforestation, water shortages, and others - don't work. He offers intriguing insights into why we have been able to address domestic environmental threats with some success while largely failing at the international level. Setting forth eight specific steps to a sustainable future, Speth convincingly argues that dramatically different government and citizen action are now urgent. If ever a book could be described as essential, this is it.

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

This book fulfills the need for practical guidance among all professionals involved in the management of these patients, from residents and fellows of cardiology and internal medicine, surgical teams, physiotherapy professionals, critical care physicians and family medicine practitioners. The thoroughly updated content takes into account recent developments in cardiac rehabilitation, and incorporates practical advice on how to use guidelines in clinical practice. There will be one new chapter on patients with cardiac resynchronization therapy and all the others will be updated to keep up-to-date with the guidelines and current practice. Cardiac rehabilitation is of key importance to ameliorate long-term morbidity and mortality resulting from cardiac diseases and events. However, much of the current literature is dense, unwelcoming and academic in style and format. For those physicians understanding the scope of cardiac rehabilitation there is a need to distill the guidelines and various management options available to them into a concise practical manual. Up until now, all references have looked at the general options, but there is definite need to investigate the practicalities of individual patient groups.

This important book shows those working with clinical populations how to develop an understanding of the psychology of patients with cardiovascular problems to support appropriate medical care. An understanding of the psychological underpinnings of physical illness can alter the way clinicians conceptualize their patients and the communities they serve. Based on the latest research, this book offers suggestions about how to approach cardiovascular disease holistically in multidisciplinary medical settings with competence and professionalism in mind. With the escalating prevalence of cardiovascular diseases, this book flags the importance of understanding the psychological mechanisms at play in affected patients, highlighting the multifactorial pathways that lead to the development of physical health maladies and comorbid psychopathology. It describes the bidirectional relationship of cardiovascular disease with personality pathology and offers best practices in interacting between primary care, cardiology, psychologists, and other allied professionals. It also provides specific instruction about how to navigate the relationship with medical doctors while illustrating the unique ethical challenges or limitations of the health psychologist working with patients, their families, and providers in clinical practice. Moreover, it includes coverage of treatment plans taking into consideration individual differences in age, health status, and culture. This book will be of interest to anyone interested in furthering their knowledge about the complex interplay between cardiovascular problems and mental health conditions, especially clinical health psychologists who collaborate with social workers, primary care physicians, cardiologists, and surgeons alike.

The aim of this encyclopedia is to provide a comprehensive reference work on scientific and other scholarly research on the quality of life, including health-related quality of life research or also called patient-reported outcomes research. Since the 1960s two overlapping but fairly distinct research communities and traditions have developed concerning ideas about the quality of life, individually and collectively, one with a fairly narrow focus on health-related issues and one with a quite broad focus. In many ways, the central issues of these fields have roots extending to the observations and speculations of ancient philosophers, creating a continuous exploration by diverse explorers in diverse historic and cultural circumstances over several centuries of the qualities of human existence. What we have not had so far is a single, multidimensional reference work connecting the most salient and important contributions to the relevant fields. Entries are organized alphabetically and cover basic concepts, relatively well established facts, lawlike and causal relations, theories, methods, standardized tests, biographic entries on significant figures, organizational profiles, indicators and indexes of qualities of individuals and of communities of diverse sizes, including rural areas, towns, cities, counties, provinces, states, regions, countries and groups of countries.

Not long ago, it was assumed that coronary heart disease mainly--or only--affected men. Now that CHD is recognized as a leading killer of women as well as men, numerous research studies have been made of its diverse presentations in women, causal factors, and possibilities for prevention and treatment. The expert contributions to Psychosocial Stress and Cardiovascular Disease in Women span the results of this cross-disciplinary awareness. This progressive resource takes a three-dimensional approach to its subject, focusing on epidemiology and risk factors for heart disease in women, the psycho- and neurobiology of stress and coronary disease, and promising clinical interventions. Chapters identify and analyze multiple intersections of social, biological, and psychological factors in affecting women's heart health, from the social dimensions of depression to genetic/environmental interactions to the demands of balancing work and family. These wide-ranging findings will assist and motivate professionals in choosing and creating interventions, developing appropriate prevention strategies, and reducing gender-based disparities in health care. Among the topics covered: Enhancing women's heart health: a global perspective. Coronary heart disease in women: evolution of our knowledge. Gender observations on basic physiological stress mechanisms in men and women. Sleep as a means of recovery and restitution in women. LifeSkills training: benefiting both genders, for different reasons. Gender considerations in psychosocial-behavioral interventions for coronary heart disease. In particular this book will be helpful for cardiologists and other clinicians who may ask themselves why patients do not seem to make rational choices. "Why do patients not follow the advice they are offered?" is a common complaint. The role of psychosocial stress for patient compliance and adherence can be traced throughout the volume. It is emphasized in the chapters on psychosocial interventions along with other tangible and conceptual suggestions and experiences with psychosocial stress and life style change. Psychosocial Stress and Cardiovascular Disease in Women offers a deep practical level of understanding of this epidemic to help expand the work of health and clinical psychologists, sociologists, cardiologists, primary care physicians, and epidemiologists.

Surgery and pharmaceuticals are not the only effective procedures we have to improve our health. The natural human tendency to care for fellow humans, to support them with social networks, has proven to be a powerful treatment as well. As a result, the areas of application for social support intervention have expanded dramatically during the past 20 years. As these areas have expanded, so too has the literature on the theory and measurement of social support. Yet, the literature has focussed on very particular areas. Investigators in the social sciences have mainly focused on the protection that social support confers in the context of stressful life events and transitions, whereas studies in the health sciences have concentrated on the effects of social networks and supports on population mortality and morbidity. Although no single theoretical framework has been widely accepted, there is consensus that both the psychological sense of support and actual expressions of support play critical roles in maintaining health and well being. This book is a state-of-the-art resource for the selection and development of strategies for social support assessment and intervention. Designed for use by behavioral and medical scientists conducting studies of physical illness, psychological adjustment, and psychiatric illness in human populations, this volume presents a broad conceptual framework addressing the role of social support in mental and physical health. The book is divided into four sections. The first provides some historical context as well as a conceptual overview of how social support might influence mental and physical health. The second discusses techniques for measuring social networks and support, and the third addresses the design of different types of support interventions. The final section presents some general comments on the volume and its implications for social support research and intervention. This resource is meant to aid researchers in understanding the conceptual criteria on which measurement and intervention decisions should be made when studying the relations between social support and health. Furthermore, the information provided on both measurement and intervention will be valuable to practitioners interested in designing and evaluating prevention and treatment initiatives. Sponsored by the Fetzer Institute as a follow up to their successful 1995 publication, Measuring Stress, this book will provide the most up to date research on the effects of social support interventions on physical and mental health.