Behavioral Cardiology - Has its time finally arrived?

Thomas G. Pickering, D. Phil, Lynn Clemow, Karina Davidson, William Gerin

Research output: Contribution to journalReview article

29 Citations (Scopus)

Abstract

Traditional cardiology has taken a mechanistic approach to heart disease. But the new discipline of behavioral cardiology takes a broader view, concluding that heart disease is not inevitable, but develops largely from unhealthy lifestyles, such as smoking, overeating and physical inactivity, and from psychosocial stress. Physical inactivity and excessive caloric intake are also responsible for the epidemic of obesity, which is associated with a dramatic increase in the prevalence of diabetes. This increase in the incidence of diabetes may, in turn, reverse the recent decline of cardiovascular deaths in the US. A variety of psychosocial stressors have been implicated in the development of cardiovascular disease. These include occupational stress, anxiety, social isolation, hostility, anger, and type A behavior. There is clearly some overlap between these stressors, all of which may affect the heart adversely. Both the lifestyle and psychosocial factors can be altered by behavioral treatment, in which the patient and the practitioner work together. Unfortunately, various barriers can impair the successful implementation of behavioral treatment. These barriers include poor compliance by the patient, lack of skill in providing effective interventions by the health care provider, and lack of incentives within the health care system, particularly reimbursement.

Original languageEnglish (US)
Pages (from-to)101-112
Number of pages12
JournalMount Sinai Journal of Medicine
Volume70
Issue number2
StatePublished - Mar 1 2003

Fingerprint

Cardiology
Life Style
Heart Diseases
Hyperphagia
Social Isolation
Hostility
Anger
Patient Compliance
Energy Intake
Health Personnel
Motivation
Cardiovascular Diseases
Anxiety
Obesity
Smoking
Psychology
Delivery of Health Care
Incidence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Pickering, T. G., Phil, D., Clemow, L., Davidson, K., & Gerin, W. (2003). Behavioral Cardiology - Has its time finally arrived? Mount Sinai Journal of Medicine, 70(2), 101-112.
Pickering, Thomas G. ; Phil, D. ; Clemow, Lynn ; Davidson, Karina ; Gerin, William. / Behavioral Cardiology - Has its time finally arrived?. In: Mount Sinai Journal of Medicine. 2003 ; Vol. 70, No. 2. pp. 101-112.
@article{5ba057866a964b3f998723df86ecac61,
title = "Behavioral Cardiology - Has its time finally arrived?",
abstract = "Traditional cardiology has taken a mechanistic approach to heart disease. But the new discipline of behavioral cardiology takes a broader view, concluding that heart disease is not inevitable, but develops largely from unhealthy lifestyles, such as smoking, overeating and physical inactivity, and from psychosocial stress. Physical inactivity and excessive caloric intake are also responsible for the epidemic of obesity, which is associated with a dramatic increase in the prevalence of diabetes. This increase in the incidence of diabetes may, in turn, reverse the recent decline of cardiovascular deaths in the US. A variety of psychosocial stressors have been implicated in the development of cardiovascular disease. These include occupational stress, anxiety, social isolation, hostility, anger, and type A behavior. There is clearly some overlap between these stressors, all of which may affect the heart adversely. Both the lifestyle and psychosocial factors can be altered by behavioral treatment, in which the patient and the practitioner work together. Unfortunately, various barriers can impair the successful implementation of behavioral treatment. These barriers include poor compliance by the patient, lack of skill in providing effective interventions by the health care provider, and lack of incentives within the health care system, particularly reimbursement.",
author = "Pickering, {Thomas G.} and D. Phil and Lynn Clemow and Karina Davidson and William Gerin",
year = "2003",
month = "3",
day = "1",
language = "English (US)",
volume = "70",
pages = "101--112",
journal = "Annals of Global Health",
issn = "2214-9996",
publisher = "Elsevier Inc.",
number = "2",

}

Pickering, TG, Phil, D, Clemow, L, Davidson, K & Gerin, W 2003, 'Behavioral Cardiology - Has its time finally arrived?', Mount Sinai Journal of Medicine, vol. 70, no. 2, pp. 101-112.

Behavioral Cardiology - Has its time finally arrived? / Pickering, Thomas G.; Phil, D.; Clemow, Lynn; Davidson, Karina; Gerin, William.

In: Mount Sinai Journal of Medicine, Vol. 70, No. 2, 01.03.2003, p. 101-112.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Behavioral Cardiology - Has its time finally arrived?

AU - Pickering, Thomas G.

AU - Phil, D.

AU - Clemow, Lynn

AU - Davidson, Karina

AU - Gerin, William

PY - 2003/3/1

Y1 - 2003/3/1

N2 - Traditional cardiology has taken a mechanistic approach to heart disease. But the new discipline of behavioral cardiology takes a broader view, concluding that heart disease is not inevitable, but develops largely from unhealthy lifestyles, such as smoking, overeating and physical inactivity, and from psychosocial stress. Physical inactivity and excessive caloric intake are also responsible for the epidemic of obesity, which is associated with a dramatic increase in the prevalence of diabetes. This increase in the incidence of diabetes may, in turn, reverse the recent decline of cardiovascular deaths in the US. A variety of psychosocial stressors have been implicated in the development of cardiovascular disease. These include occupational stress, anxiety, social isolation, hostility, anger, and type A behavior. There is clearly some overlap between these stressors, all of which may affect the heart adversely. Both the lifestyle and psychosocial factors can be altered by behavioral treatment, in which the patient and the practitioner work together. Unfortunately, various barriers can impair the successful implementation of behavioral treatment. These barriers include poor compliance by the patient, lack of skill in providing effective interventions by the health care provider, and lack of incentives within the health care system, particularly reimbursement.

AB - Traditional cardiology has taken a mechanistic approach to heart disease. But the new discipline of behavioral cardiology takes a broader view, concluding that heart disease is not inevitable, but develops largely from unhealthy lifestyles, such as smoking, overeating and physical inactivity, and from psychosocial stress. Physical inactivity and excessive caloric intake are also responsible for the epidemic of obesity, which is associated with a dramatic increase in the prevalence of diabetes. This increase in the incidence of diabetes may, in turn, reverse the recent decline of cardiovascular deaths in the US. A variety of psychosocial stressors have been implicated in the development of cardiovascular disease. These include occupational stress, anxiety, social isolation, hostility, anger, and type A behavior. There is clearly some overlap between these stressors, all of which may affect the heart adversely. Both the lifestyle and psychosocial factors can be altered by behavioral treatment, in which the patient and the practitioner work together. Unfortunately, various barriers can impair the successful implementation of behavioral treatment. These barriers include poor compliance by the patient, lack of skill in providing effective interventions by the health care provider, and lack of incentives within the health care system, particularly reimbursement.

UR - http://www.scopus.com/inward/record.url?scp=0037339121&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037339121&partnerID=8YFLogxK

M3 - Review article

VL - 70

SP - 101

EP - 112

JO - Annals of Global Health

JF - Annals of Global Health

SN - 2214-9996

IS - 2

ER -

Pickering TG, Phil D, Clemow L, Davidson K, Gerin W. Behavioral Cardiology - Has its time finally arrived? Mount Sinai Journal of Medicine. 2003 Mar 1;70(2):101-112.