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This concise primer introduces mental health practitioners to the fundamentals of chronic heart disease. It reviews basic etiology and specific methods for assessing and treating comorbid psychological disorders.
Provides a comprehensive overview of epidemiologic, experimental, and clinical data evidencing the emergence of cardiac psychology as a specialty. It offers a thorough and up-to-date review of the scientific research supporting the relationship between cardiac disease and psychological condition, practical suggestions for developing a clinical practice and directions for future research in this new field of "cardiac psychology". The first part provides an overview of the psychological risk factors for cardiac disease. Emphasis is placed on physiological basis of mind-heart link, depression and anxiety, personality and relational aspects, and on advanced statistical tools for the study of personalities at risk. The second part offers a systematic overview of literature on psychological treatments in cardiac rehabilitation.
"Heart disease is the leading cause of death in the United States, and those who experience cardiac events suffer a wide range of psychological sequelae. Yet, few books show psychotherapy practitioners how they can modify their techniques to accommodate the unique needs of this population. The author, an experienced hospital-based psychologist, provides an orientation to this specialization and, drawing on a variety of therapy models, describes empirically supported intervention strategies. After providing an overview of the cardiovascular system, she discusses lifestyle and psychological risk factors for heart disease. Subsequent chapters cover practical techniques for helping patients overcome depression, anxiety, and hostility--all factors that complicate recovery. A final group of chapters addresses factors that affect treatment effectiveness, such as substance abuse problems, obesity, and sex differences. Case illustrations are provided throughout"--Cover. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
Clinical trials have demonstrated that psychosocial intervention with patients who have coronary heart disease (CHD) may reduce morbidity and help patients achieve better quality of life. "Heart and Mind: The Practice of Cardiac Psychology" explores these findings and how they can be applied to improve the prognosis for patients with CHD. This [is a] sourcebook for a career in cardiac psychology [intended for] psychologists, psychiatrists, cardiologists, internists, exercise physiologists, cardiac nurses, and other specialists as well as by social workers and primary care physicians.
This book presents a framework for development, optimization, and evaluation of behavioral, biobehavioral, and biomedical interventions. Behavioral, biobehavioral, and biomedical interventions are programs with the objective of improving and maintaining human health and well-being, broadly defined, in individuals, families, schools, organizations, or communities. These interventions may be aimed at, for example, preventing or treating disease, promoting physical and mental health, preventing violence, or improving academic achievement. This volume introduces the multiphase optimization strategy (MOST), pioneered at The Methodology Center at the Pennsylvania State University, as an alternative to the classical approach of relying solely on the randomized controlled trial (RCT). MOST borrows heavily from perspectives taken and approaches used in engineering, and also integrates concepts from statistics and behavioral science, including the RCT. As described in detail in this book, MOST consists of three phases: preparation, in which the conceptual model underlying the intervention is articulated; optimization, in which experimentation is used to gather the information necessary to identify the optimized intervention; and evaluation, in which the optimized intervention is evaluated in a standard RCT. Through numerous examples, the book demonstrates that MOST can be used to develop interventions that are more effective, efficient, economical, and scalable. Optimization of Behavioral, Biobehavioral, and Biomedical Interventions: The Multiphase Optimization Strategy is the first book to present a comprehensive introduction to MOST. It will be an essential resource for behavioral, biobehavioral, and biomedical scientists; statisticians, biostatisticians, and analysts working in epidemiology and public health; and graduate-level courses in development and evaluation of interventions.
This handbook brings together the full weight of contemporary evidence bearing on what is now commonly termed “psycho-cardiology”. It focuses on the role of psycho-social factors in the genesis and clinical management of cardiovascular disease (CVD). The book constitutes a critically reviewed compendium of current knowledge in the area, coupled with guides to evidence-based best practice in the field of psycho-cardiology. The following categories are covered: Social/demographic risk for CVD, Personality and CVD risk, Stress and CVD risk, Psychopathology (particularly affective disorders) and CVD risk, The psychological management of those with clinical CVD, Psychology in the prevention of CVD. The book integrates the evidence into a compelling argument that clinicians, researchers and those in public health will discount the role of psychological factors in regard to CVD at their own peril. And importantly for clinicians charged with the care of patients with CVD, the book poses the argument that failure to recognize the links between psychological factors and CVD may well be at the considerable peril of those patients under their care.
Praise for Stress Management "The author is correct in saying that the stress management field is a ′soft′ one, lacking a strong theoretical foundation, and therefore lacking good studies of efficacy and long term outcome. Certainly any publication that would improve on this situation is to be welcomed. . . . Strengths are the systematic approach to the topic. The attempt to ground scientifically the issue of stress management will appeal greatly to the more discerning student of clinical psychology and applied health psychology. It will provide a sufficiently academic approach to the topic that it will find acceptance in courses on the topic." -William R. Lovallo, University of Oklahoma Health Sciences Center & Director, Behavioral Sciences Laboratory, VA Medical Centers, Oklahoma City Most of the literature on stress management describes and evaluates individual stress responses but lacks a critical view of the scientific foundation of stress. In order to truly comprehend stress management, there needs to be clear understanding on the phenomenon that is "to be managed." Stress Management: From Basic Science to Better Practice examines documented pathways between stress and health and develops the scientific foundations for sound interventions. The book begins with a broad review of the term ′stress′ and its importance for health. The text then provides a critical examination of the elements of the stress process, extracts supporting research for a rationale of stress management and describes various stress management techniques and their effectiveness. In Stress Management, author and renowned stress researcher Wolfgang Linden reviews the literature on intervention outcomes, noting weaknesses that include an overemphasis on individual rather than societal responsibility for stress and coping and disregard of the emerging field of positive psychology. The author concludes the text with a proposed distinction between psychotherapy and stress management, and he proposes the need for three distinguishable subtypes of stress management programs-a systematic-preventative approach; a broad-based stress vaccination and prevention type of protocol; and a reactive, problem-solving type of stress reduction intervention. Key Features Begins with a firm groundwork in defining stress and examining conceptual models of stress to set the stage for rational, science-based thinking on how to manage it Introduces a unique three-step process model for stress management Considers physiological and sociocultural influences on stress and health Offers an objective analysis of existing literature and includes extensive personal, clinical experiences of the author to make the science of stress come alive for the reader Includes coverage of positive psychology and how the creation of social support and positive emotional states can ease experiences with stress Stress Management is an excellent textbook for advanced undergraduate and graduate courses, such as Stress Management, Stress & Coping, Stress & Health, and Stress & Wellness, in the fields of Psychology and Health. The book is also a valuable resource for researchers and clinicians within the behavioral sciences interested in understanding and alleviating stress.
The authoritative clinical handbook promoting excellence and best practice Cardiovascular Prevention and Rehabilitation in Practice is a comprehensive, practitioner-focused clinical handbook which provides internationally applicable evidence-based standards of good practice. Edited and written by a multidisciplinary team of experts from the British Association for Cardiovascular Prevention and Rehabilitation (BACPR), this book is invaluable for practitioners helping people with heart disease return to health. The text provides an overview of research findings, examines the core components of cardiac rehabilitation, and discusses how to support healthier lifestyles and reduce the risks of recurrence. Now in its second edition, this textbook has been fully revised to incorporate recent clinical evidence and align with current national and international guidelines. Increased emphasis is placed on an integrated approach to cardiac rehabilitation programmes, whilst six specified standards and six core components are presented to promote sustainable health outcomes. Describes how cardiovascular prevention and rehabilitation programmes can be delivered to meet standards of good practice Covers a broad range of topics including: promoting health behaviour change to improve lifestyle risk factors, supporting psycho-social health, managing medical risk factors, and how to develop long-term health strategies Emphasises the importance of early programme commencement with assessment and reassessment of patient goals and outcomes, and gives examples of strategies to achieve these Discusses the role of programme audit and certification of meeting minimum standards of practice Looks to the future and how delivery of cardiovascular prevention and rehabilitation programmes internationally will need to meet common challenges Cardiovascular Prevention and Rehabilitation in Practice is an indispensable resource for all health professionals involved in cardiac rehabilitation and cardiovascular disease prevention.
The world is witnessing a burgeoning global epidemic of chronic cerebro- and cardiovascular disease and depression disorders. The reader will find this comprehensive book to be a long-needed, up-to-date knowledge base on these increasingly recognized comorbid conditions that have long-term consequences for individual function and well-being and society in general. This comprehensive book outlines the complex and bidirectional relationship between various types of depression and cerebro- and cardiovascular diseases. It is written by a range of experts in the field, including psychiatrists, cardiologists, neuroscientists, psychologists, and epidemiologists, with the aim of presenting and discussing the most recent evidence on the pathophysiology, neurobiology, and clinical presentation of these common and disabling comorbid conditions and the available pharmacological, psychological, and behavioral interventions. By elucidating the underlying clinical and neurobiological mechanisms in the brain and the rich interplay between the body and the brain biology, the book brings together the latest knowledge of this overlapping area in Psychiatry and Cardiology. The clear descriptions of evidence-based approaches to clinical treatment ensure that it will serve as both an up-to-date overview and a future guide for practicing clinicians and graduate students.
Chronic pain is the most common long-term health condition in the United States. For the nearly 100 million Americans who struggle with this burden, the substantial risks of prescription opioid treatment have left many searching for safer, more effective alternatives. While multidisciplinary pain treatment programs can help, they are few in number--and few mental health practitioners receive adequate training in pain treatment. This book provides a comprehensive overview of treating patients with chronic pain, using evidence-based therapies. Taking a multidisciplinary approach that includes cognitive-behavioral therapy, acceptance and commitment therapy, and chronic pain self-management, Darnall shows mental health professionals how to utilize mindfulness interventions, hypnosis, and biofeedback, and also address comorbid problems such as depression, anxiety, and insomnia. Included are compelling case studies, and resources for clinical and patient training.