Behavioral Medicine Approaches to Cardiovascular Disease Prevention

By Kristina Orth-Gomér; Neil Schneiderman | Go to book overview
Save to active project

Chapter 12
New Behavioral Risk Factors for Coronary Heart Disease: Implications for Intervention

Margaret A. Chesney University of California-San Francisco

Behavioral interventions to reduce coronary heart disease (CHD) morbidity and mortality target the standard risk factors, such as cigarette smoking, and the more recently recognized coronary-prone behaviors, such as hostility. There is increasing evidence that low socioeconomic status (SES), depressive symptoms, and social isolation should be added to the list of targets for interventions because these factors are associated with increased risk for adverse health outcomes, including CHD. The purpose of this chapter is to drawattention to these new behavioral or psychosocial risk factors, and to explore implications for behavioral interventions. The first three sections of this chapter briefly highlight the evidence that each of these psychosocial factors is associated with CHD risk, and sketch out the potential role that intervention could play in diminishing that risk. In the final section, a new intervention -- Coping Effectiveness Training -- is described. This intervention, based on stress and coping theory, is designed to train individuals to cope with environmental and social stressors, increase social support, and manage negative mood states. As such, Coping Effectiveness Training (CET) is an approach that may be applicable to addressing the new behavioral risk factors for heart disease.


A positive association between SES and health has existed for centuries ( 1, 2). Individuals of lower SES status experience greater morbidity and mortality from almost every disease than those of higher status. Persuasive arguments have been


Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this page

Cited page

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Behavioral Medicine Approaches to Cardiovascular Disease Prevention
Table of contents

Table of contents



Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 324

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?