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Published on: September 26, 2018
Behavioral Medicine Can Tackle Cardiovascular Disease Risk and Burden: A Call for New Priorities
Matthew M Burg1,2,3, Jesse C Stewart4, Allison E Gaffey1,2
1Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Insights
Cardiovascular disease (CVD) is the leading cause of death in the US, with significant costs. Integrating behavioral and psychosocial health into cardiovascular care is crucial for prevention and treatment.
Area of Science:
- Cardiovascular medicine
- Behavioral medicine
- Public Health
Background:
- Cardiovascular disease (CVD) is the leading cause of death in the US, incurring substantial economic costs.
- Over 50% of CVD risk, prognosis, and quality of life are influenced by modifiable behavioral and psychosocial factors.
- Despite recommendations from cardiology groups, behavioral and psychosocial health are not yet fully integrated into cardiovascular care.
Purpose of the Study:
- To highlight the critical role of behavioral and psychosocial factors in cardiovascular disease (CVD).
- To address the gap between evidence and implementation in integrating behavioral health into cardiovascular care.
- To discuss policy implications for research, training, and healthcare to advance cardiovascular behavioral medicine.
Main Methods:
- This study is a review and synthesis of current evidence and expert opinion.
- It analyzes the impact of behavioral and psychosocial factors on CVD.
- It discusses the potential of cardiovascular behavioral medicine to bridge the implementation gap.
Main Results:
- Behavioral and psychosocial factors significantly impact CVD risk, outcomes, and quality of life.
- There is a recognized need to incorporate these factors into clinical practice.
- Cardiovascular behavioral medicine offers a framework to address this need.
Conclusions:
- Integrating behavioral and psychosocial health is essential for comprehensive CVD prevention and treatment.
- Policy changes in research, training, and healthcare are necessary to advance cardiovascular behavioral medicine.
- Addressing these factors can improve patient outcomes and reduce the burden of CVD.
Abstract:
Cardiovascular disease (CVD) remains the number one cause of death in the US. Annual costs of CVD are estimated at $600 billion annually, and projected to top $1.1 trillion by 2035. Modifiable behavior and psychosocial factors contribute more than 50% to CVD risk, prognosis, and health-related quality of life. Leading cardiology professional groups have called for attention to these factors as part of prevention and treatment of CVD, yet the integration of behavioral and psychosocial health as part of overall CV care remains to be realized. The field of cardiovascular behavioral medicine could address this evidence-to- implementation gap; policy implications for changes in research, training and healthcare will be required.
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