TY - JOUR
T1 - Reprint of
T2 - Positive Psychological Well-Being and Cardiovascular Disease: JACC Health Promotion Series
AU - Kubzansky, Laura D.
AU - Huffman, Jeff C.
AU - Boehm, Julia K.
AU - Hernandez, Rosalba
AU - Kim, Eric S.
AU - Koga, Hayami K.
AU - Feig, Emily H.
AU - Lloyd-Jones, Donald M.
AU - Seligman, Martin E.P.
AU - Labarthe, Darwin R.
N1 - Publisher Copyright:
© 2018 American College of Cardiology Foundation
PY - 2018/12/11
Y1 - 2018/12/11
N2 - Facets of positive psychological well-being, such as optimism, have been identified as positive health assets because they are prospectively associated with the 7 metrics of cardiovascular health (CVH) and improved outcomes related to cardiovascular disease. Connections between psychological well-being and cardiovascular conditions may be mediated through biological, behavioral, and psychosocial pathways. Individual-level interventions, such as mindfulness-based programs and positive psychological interventions, have shown promise for modifying psychological well-being. Further, workplaces are using well-being–focused interventions to promote employee CVH, and these interventions represent a potential model for expanding psychological well-being programs to communities and societies. Given the relevance of psychological well-being to promoting CVH, this review outlines clinical recommendations to assess and promote well-being in encounters with patients. Finally, a research agenda is proposed. Additional prospective observational studies are needed to understand mechanisms underlying the connection between psychological well-being and cardiovascular outcomes. Moreover, rigorous intervention trials are needed to assess whether psychological well-being–promoting programs can improve cardiovascular outcomes.
AB - Facets of positive psychological well-being, such as optimism, have been identified as positive health assets because they are prospectively associated with the 7 metrics of cardiovascular health (CVH) and improved outcomes related to cardiovascular disease. Connections between psychological well-being and cardiovascular conditions may be mediated through biological, behavioral, and psychosocial pathways. Individual-level interventions, such as mindfulness-based programs and positive psychological interventions, have shown promise for modifying psychological well-being. Further, workplaces are using well-being–focused interventions to promote employee CVH, and these interventions represent a potential model for expanding psychological well-being programs to communities and societies. Given the relevance of psychological well-being to promoting CVH, this review outlines clinical recommendations to assess and promote well-being in encounters with patients. Finally, a research agenda is proposed. Additional prospective observational studies are needed to understand mechanisms underlying the connection between psychological well-being and cardiovascular outcomes. Moreover, rigorous intervention trials are needed to assess whether psychological well-being–promoting programs can improve cardiovascular outcomes.
KW - cardiovascular disease
KW - cardiovascular health
KW - health behaviors
KW - optimism
KW - positive psychological well-being
UR - http://www.scopus.com/inward/record.url?scp=85056911641&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056911641&partnerID=8YFLogxK
U2 - 10.1016/j.jacc.2018.10.023
DO - 10.1016/j.jacc.2018.10.023
M3 - Review article
C2 - 30522634
AN - SCOPUS:85056911641
SN - 0735-1097
VL - 72
SP - 3012
EP - 3026
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 23
ER -