Influence of psychosocial factors and biopsychosocial interventions on outcomes after myocardial infarction

J Cardiovasc Nurs. 1999 Apr;13(3):60-72. doi: 10.1097/00005082-199904000-00006.

Abstract

Management of the myocardial infarction patient may extend beyond the physiologic to include psychosocial factors that may adversely affect cardiac health. Psychosocial factors such as depression, coronary-prone behavior, hostility, social isolation, anxiety, anger, and stress are related to increased cardiac death and illness. Various interventions including cognitive-behavioral therapies, techniques that elicit the relaxation response, meditation, exercise, and increasing social networks, may play a role in improving health outcomes. This article explores the relationship of these psychosocial factors to cardiac health and proposes a biopsychosocial model of care.

Publication types

  • Review

MeSH terms

  • Adaptation, Psychological*
  • Biofeedback, Psychology*
  • Coronary Disease / nursing
  • Coronary Disease / psychology*
  • Humans
  • Myocardial Infarction / nursing
  • Myocardial Infarction / psychology*
  • Treatment Outcome