Lecture 35: Psychological considerations

Question 1

How do emotional processes relate to CVD? and two examples

Answer 1

Emotional processes are risk factors for CVD

i.e Big earthquakes = increase in sudden cardiac death

Emotional distress = worsening CVD

Question 2

Whats the psychobiological response that may drive CVD?

Answer 2

Stress

• Elevated HR, Vasocon in periphery, wear and tear lesions
• Increased circualting catecholamines
• Changes in lipids
• Stress hormones i.e cortisol, adrenaline linked to inflam of coronaries

Question 3

How else does psychology come in to CVD?

Answer 3

Psychology impacts behaviour which can influence disease outcome i.e non-compliance, doctors visits, poorer health habits, less motivation, less social, poor adherance

Question 4

What should we do regarding feelings / reactions to CVD?

Answer 4

Normalise common psychological reactions following cardiac events

Screen early for psychological considerations to allow intervention and optimal recovery . adherence etc