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European Heart Journal Advance Access published online on November 19, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm522
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Does every cardiologist need a psychologist?

Fabienne Dobbels*

Post-doctoral Researcher, Scientific Research Foundation (FWO-Vlaanderen), Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Kapucijnenvoer 35/4, 3000 Leuven, Belgium

* Corresponding author. Tel: +32 16 33 69 81; fax: +32 16 33 69 70. E-mail address: fabienne.dobbels@med.kuleuven.be

This editorial refers to ‘Psychological treatment of cardiac patients: a meta-analysis.’ by W. Linden et al., doi:10.1093/eurheartj/ehm504

The first 10% of the full text of this article appears below.

It is well known that emotional factors and chronic stressors increase the risk for and outcome of cardiovascular disease. Emotional factors refer to affective problems such as depression, anxiety, anger, and hostility. Chronic stressors encompass low social support, low socio-economic status, work-related stress, and marital stress.1 Adverse outcomes may occur through interactions of these factors with physiological factors such as the central nervous system and the hypothalamus–pituitary–adrenal axis, metabolic abnormalities, inflammation, insulin resistance, or endothelial dysfunction. Another, perhaps equally important pathway may be through the interaction with other behavioural factors such as non-compliance with prescribed medication, physical inactivity, or smoking. The exact role and importance of these mechanisms, however, need further investigation.1

Following the increasing understanding of the importance of stressors and emotional factors, and primary or secondary prevention of cardiovascular events, research has begun to examine the impact of psychopharmacological and psychotherapeutic interventions. It was hoped that . . . [Full Text of this Article]


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Related articles in EHJ:

Psychological treatment of cardiac patients: a meta-analysis
Wolfgang Linden, Melanie Jayne Phillips, and Jocelyne Leclerc
EHJ 2007 28: 2972-2984. [Abstract] [FREE Full Text]  



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