심리적 요인이 관상동맥질환에 미치는 영향과 치료적 의의
Impact of Psychological Factors on Coronary Artery Disease and Therapeutic Implications
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Abstract
Although the importance of psychological factors in the development and expression of coronary artery disease(CAD) has been debated, an extensive recent studies provide clear and convincing evidence that psychological factors contributed significantly to the pathogenesis and course of coronary artery disease. The relationship between psychosocial factors and CAD are reviewed on the basis of epidemiology and pathophysiological mechanism with emphasis on the following factors : (1)depression, (2)anxiety, (3)personality traits, (4)social isolation and lack of social support, (5)chronic and acute life stress. Suggestions to improve the integrations of psychosocial interventions into clinical practice are also described.