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Lecture 11' Health Psychology and interventions to prevent or alleviate cardiovascular disease'

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Title: Lecture 11' Health Psychology and interventions to prevent or alleviate cardiovascular disease'


1
Lecture 11. Health Psychology and interventions
to prevent or alleviate cardiovascular disease.
2
Lectures 10 11 Reading Usual texts. Also
chapter by Krantz Lundeman on Cardiovascular
disorders in Johnston Johnston good on
interventions ( other parts of course). See
also Krantz McCeney Annual Rev Psychol 2002 53
341-369. There is discussion of interventions in
CHD in Schiederman, Antoni, Sabb Ironson (2001)
Health Psychology psychosocial and
biobehavioural aspects pf chronic disease
management. Annual Rev Psychology, 52 555-580.
Especially 555-560
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Prevention Primary Modification of risk factors
before disease develops Not related to stress or
reactivity Secondary Arrest or reverse risk
factors or disease processes when risk identified
but disease may not be obvious Behavioural
treatment of high blood pressure Tertiary Stop or
inhibit progress of established disease CHD Type
A modification (Friedman)
5
Patel,C,Marmot,MG,Terry,DJ,Carruthers,M,Hunt,B,Pat
el,M, (1985)Trial of relaxation in reducing
coronary risk four year follow up. British
Medical Journal,290,1103,1106 Johnston,DW,Gold,A
,Kentish,J,Smith,D,Vallance,P,Shah,D,Leach,G,Robin
son,B,(1993) Effect of stress management on blood
pressure in mild primary hypertension. British
Medical Journal, 306,963,966, Schneider,RH,Stagg
ers,F,Alexander,CN,Sheppard,W,Rainforth,M,Kondwani
,K,Smith,S,King,CG,(1995) A randomized controlled
trial of stress reduction for hypertension in
older African Americans. Hypertension,26,820,827
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Friedman,M,Thorensen,CE,Gill,JJ,Powell,LH,Ulmer,D,
Thompson,L,Price,VA,Rabin,DD,Breall,WS,Dixon,T,Lev
y,R,Bourg,E( 1984) Alteration of Type A behaviour
and reduction in cardiac recurrences in
postmyocardial infaction patients American Heart
Journal,108,237,248
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Recurrent Coronary Prevention Project (RCPP-
Friedman Thoresen, 1985) Questions Can Type A
behaviour be reduced? Does reducing Type A
reduce risk of recurrent MI Design Patients
who had experienced an MI Type A Change
cardiac care (592) Cardiac care only
(270) Outcomes Type Behaviour New MI
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Menu (cont.) Risk factors Emotion effects of
MI Recovery Period Additional investigations
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Johnston M, Foulkes J, Johnston DW, Pollard B,
Gudmundsdottir H. (1999) The impact on patients
and partners of inpatient and extended counseling
and rehabilitation a controlled trial
Psychosomatic Med 61, 225-233
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