Article

Cardiovascular events and emotional disorders share a common epidemiology, thus
suggesting fundamental pathways linking these different diseases. Growing
evidence in the literature highlights the influence of psychological determinants
in somatic diseases. A patient's socio-economic aspects, personality traits,
health behavior and even biological pathways may contribute to the course of
cardiovascular disease. Cardiac events often occur suddenly and the episode can
be traumatic for people not prepared for such an event. In this review of the
literature, the authors tackle the question of psychobiological mechanisms of
stress, in a pathophysiological approach to fundamental pathways linking the
brain to the heart. Various psychological, biological and genetic arguments are
presented in support of the hypothesis that various etiological mechanisms may be
involved. The authors finally deal with biological and psychological strategies
in a context of cardiovascular disease. Indeed, in this context, cardiac
rehabilitation, with its global approach, seems to be a good time to diagnose
emotional disorders like anxiety and depression, and to help people to cope with
stressful events. In this field, cardiac rehabilitation seems to be a crucial
step in order to improve patients' outcomes, by helping them to understand the
influence of psychobiological risk factors, and to build strategies in order to
manage daily stress.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS