Psychosoziale Faktoren bei koronarer Herzkrankheit - wissenschaftliche Evidenz und Empfehlungen für die klinische Praxis
| Autor: | Christian Albus, Susana Sans, De Backer G, Christoph Herrmann-Lingen, Brian Oldenburg, Neil Schneiderman, Hans-Christian Deter, Redford B. Williams, Kristina Orth-Gomér, Nuri Bagés |
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| Rok vydání: | 2005 |
| Předmět: |
Job strain
business.industry Public Health Environmental and Occupational Health Psychological intervention Hostility Type A and Type B personality theory 030204 cardiovascular system & hematology 03 medical and health sciences Social support 0302 clinical medicine Medicine 030212 general & internal medicine medicine.symptom Social isolation business Socioeconomic status Psychosocial Clinical psychology |
| Zdroj: | Das Gesundheitswesen. 67:1-8 |
| ISSN: | 1439-4421 0941-3790 |
| Popis: | Psychosocial risk factors like low socio-economic status, lack of social support and social isolation, chronic work or family stress, as well as negative emotions, e. g. depression and hostility, contribute significantly to the development and adverse outcome of coronary heart disease (CHD). Negative effects of psychosocial risk factors are conveyed via behavioural pathways including unhealthy lifestyle, e. g. food choice, smoking, sedentary life, inadequate utilisation of medical resources, and psychobiological mechanisms like disturbed autonomic and hormonal regulation: all these factors contribute to metabolic dysfunction and inflammatory and haemostatic processes, which are directly involved in the pathogenesis of CHD. Interventions to improve pychosocial factors are available and have demonstrated positive effects on risk factors and - at least in part - on CHD morbidity and mortality. The prevention of CHD should therefore include screening for psychosocial risk factors and adequate interventions. Recommedations for the screening of risk factors, behavioural change and further management of psychosocial risk factors in clinical practice are pointed out. |
| Databáze: | OpenAIRE |
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