BEHAVIOR & ARTERIOSCLEROSIS 19 - J. Alan Herd

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Résumé :
During the past decade, cardiovascular medicine has made significant strides in the diagnosis and treatment of coronary heart disease and related disorders as well as developing a better understanding of potential preventive, risk-reduc? ing measures. Highly sophisticated diagnostic instrumentation, surgical pro? cedures, and emergency medical care have undoubtedly contributed greatly to the trend of declining mortality from cardiovascular events. In the course of the extensive research efforts associated with this area, it has become increas? ingly apparent that the identified coronary risk factors share the common ele? ment of lifestyle as a major determiner of health behaviors associated with these factors. Further, it is suspected that behavioral and environmental factors may playa significant contributory role toward the etiology and progression of arteriosclerosis through their effects on the central and peripheral nervous sys? tems and associated neurohormonal response. Considerable research effort has been devoted to identifying the risks asso? ciated with smoking, elevated blood pressure, and serum cholesterol. Research development and modification is being vigorously pursued. Behavioral research exploring the role of psychological stress factors, social support networks, stressful life events, and the Type AlB behavior patterns has uncovered poten? tially meaningful associations between behavioral factors and arteriosclerosis, as discussed in the succeeding chapters of this book.

Sommaire:
Introduction: Emergence of Behavioral Medicine.- Introduction: Emergence of Behavioral Medicine.- I. Biobehavioral Research Relating to Arteriosclerosis.- 1. Biobehavioral Research Relating to Arteriosclerosis.- II. Etiology and Pathogenesis of Arteriosclerosis.- Overview: Biobehavioral Mechanisms in the Etiology and Pathogenesis of Coronary Heart Disease.- 2. Physiologic and Neurobiologic Mechanisms in Arteriosclerosis.- 3. Psychosocial Influences and the Pathogenesis of Arteriosclerosis.- 4. Sociocultural Risk Factors in Coronary Heart Disease.- 5. Coronary Heart Disease and Sudden Death.- III. Diagnosis, Treatment, and Rehabilitation.- Overview: Biobehavioral Factors in the Clinical Management of Arteriosclerotic Cardiovascular Disease.- 6. Behavior Analysis and Cardiovascular Risk Factors.- 7. Behavioral Processes and Treatment Outcomes in Coronary Heart Disease.- 8. Post Myocardial Infarction.- IV. Prevention of Arteriosclerosis.- Overview: Biobehavioral Factors in the Prevention of Arteriosclerotic Cardiovascular Disease.- 9. Social Developmental Approaches to Deterrence of Risk Factors in Cardiovascular Disease.- 10. Community-Based Intervention on Cardiovascular Risk Factors: Experiences from the North Karelia Project.- 11. Community Approaches to Risk Factor Reduction: The Stanford Project.- V. Resources, Manpower, and Training Programs.- 12. Biobehavioral Resources, Manpower, and Training Programs.- VI. Summary: Biobehavioral Perspectives in Coronary Arteriosclerosis.- 13. Summary: Biobehavioral Perspectives in Coronary Arteriosclerosis.- Index of nomertean genera and species.- General index.