This comprehensive yet practical handbook consolidates information needed by health psychologists working alongside other healthcare professionals. It facilitates the progression of the learner from the classroom to the clinical setting by focusing on the translation of science to practice using practical examples. The Handbook is divided into four major parts. Part I highlights practical issues faced by health psychologists in a medical setting (how to motivate patients, consultation-liaison, assessment and screening, brief psychotherapies, ethical issues, etc.) Part II concentrates on treating unhealthy behaviors (alcohol and nicotine use, noncompliance, overeating/obesity, physical inactivity, stress). Part III considers behavioral aspects of medical problems (pain management, hypertension, diabetes, cancer, sexual dysfunction, HIV/AIDS, irritable bowel syndrome, insomnia). And Part IV takes up special issues relevant to practice and research in the field (minority issues, women’s issues, working with geriatric populations, public health approaches to health psychology and behavioral medicine). The Handbook will prove to be an invaluable resource for those already working in the field of health psychology as well as for those in training.
Chapter 15: Coronary Heart Disease Behavioral Cardiology in Clinical Practice
Coronary Heart Disease Behavioral Cardiology in Clinical Practice
Heart disease continues to be the number one killer of men and women in the United States, where myocardial infarctions (MIs) occur at a rate of about 1.5 million per year. For about 30% of these patients, death is sudden and the first “symptom” they experience. Ischemic heart disease or coronary heart disease (CHD) is predicted to remain the leading cause of death worldwide through 2020. Despite these compelling statistics, the survival rate from acute coronary events continues to improve, and more than 1 million people survive acute coronary events annually in the United States. Thus, issues pertaining to psychological functioning, behavioral risk, and quality of life are increasingly relevant ...