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      Behavioral cardiology: current advances and future directions.

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      Journal of the American College of Cardiology

      behavioral cardiology, coronary disease, psychology, stress

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          Abstract

          Growing epidemiological evidence identifies key domains relevant to behavioral cardiology, including health behaviors, emotions, mental mindsets, stress management, social connectedness, and a sense of purpose. Each of these domains exists along a continuum, ranging from positive factors that promote health, to negative factors, which are pathophysiological. To date, there has been relatively little translation of this growing knowledge base into cardiology practice. Four initiatives are proposed to meet this challenge: 1) promulgating greater awareness of the potency of psychosocial risks factors; 2) overcoming a current "artificial divide" between conventional and psychosocial risk factors; 3) developing novel cost-effective interventions using Internet and mobile health applications, group-based counseling, and development of tiered-care behavioral management; and 4) in recognition that "one size does not fit all" with respect to behavioral interventions, developing specialists who can counsel patients in multidisciplinary fashion and use evidence-based approaches for promoting patient motivation and execution of health goals.

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          Author and article information

          Journal
          J. Am. Coll. Cardiol.
          Journal of the American College of Cardiology
          1558-3597
          0735-1097
          Jul 8 2014
          : 64
          : 1
          Affiliations
          [1 ] Division of Cardiology and Department of Medicine, Mount Sinai St. Lukes and Roosevelt Hospital Center, New York, New York. Electronic address: arozanski@chpnet.org.
          Article
          S0735-1097(14)02340-7
          10.1016/j.jacc.2014.03.047
          24998134
          Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

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