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J Am Coll Cardiol. 2018 Sep 18;72(12):1382-1396. doi: 10.1016/j.jacc.2018.07.042.

Positive Psychological Well-Being and Cardiovascular Disease: JACC Health Promotion Series.

Author information

1
Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
2
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
3
Department of Psychology, Chapman University, Orange, California.
4
School of Social Work, University of Illinois at Urbana-Champaign, Champaign, Illinois.
5
Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
6
Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania.
7
Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Electronic address: darwin.labarthe@northwestern.edu.

Abstract

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.

KEYWORDS:

cardiovascular disease; cardiovascular health; health behaviors; optimism; positive psychological well-being

PMID:
30213332
DOI:
10.1016/j.jacc.2018.07.042

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