Negative emotion and coronary heart disease. A review

Brian C Sirois1, Matthew M Burg

  • 1VA Connecticut Healthcare System, USA.

Behavior Modification
|February 18, 2003
PubMed

Insights

Negative emotions like depression and anxiety significantly harm coronary heart disease (CHD) patients. Interventions targeting these emotions show promise for improving cardiovascular health outcomes.

Area of Science:

  • Cardiology
  • Psychology
  • Psychosomatic Medicine

Background:

  • Negative emotions, including depression, anger, hostility, and anxiety, are increasingly recognized as significant factors impacting cardiovascular health.
  • Coronary heart disease (CHD) patients are particularly vulnerable to the adverse effects of these psychological states.

Purpose of the Study:

  • To review the existing literature on the influence of specific negative emotions on coronary heart disease (CHD).
  • To elucidate the pathophysiological pathways linking negative emotional states to cardiac risk.
  • To summarize the efficacy of interventions aimed at mitigating the impact of negative emotions on cardiovascular health.

Main Methods:

  • Systematic literature review of studies investigating the relationship between depression, anger/hostility, anxiety, and CHD.
  • Analysis of evidence demonstrating the detrimental effects of negative affect on CHD patient outcomes.
  • Examination of the mechanisms by which emotional factors translate into cardiac risk factors.

Main Results:

  • Consistent evidence indicates that depression, anger/hostility, and anxiety negatively impact health outcomes in patients with CHD.
  • Pathophysiological mechanisms linking negative emotions to increased cardiac risk have been identified.
  • Multicomponent interventions designed to address negative emotions show potential benefits for cardiovascular health.

Conclusions:

  • Negative emotional states pose a significant threat to individuals with coronary heart disease.
  • Understanding the transduction of emotional factors into cardiac risk is crucial for effective prevention and treatment.
  • Targeted interventions can ameliorate the adverse effects of negative emotions on cardiovascular health in CHD populations.

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