Positive Psychological Well-Being and Cardiovascular Disease: JACC Health Promotion Series

Laura D. Kubzansky, Jeff C. Huffman, Julia K. Boehm, Rosalba Hernandez, Eric S. Kim, Hayami K. Koga, Emily H. Feig, Donald M. Lloyd-Jones, Martin E.P. Seligman, Darwin R. Labarthe

Research output: Contribution to journalReview article

Abstract

Facets of positive psychological well-being, such as optimism, have been identified as positive health assets because they are prospectively associated with the 7 metrics of cardiovascular health (CVH) and improved outcomes related to cardiovascular disease. Connections between psychological well-being and cardiovascular conditions may be mediated through biological, behavioral, and psychosocial pathways. Individual-level interventions, such as mindfulness-based programs and positive psychological interventions, have shown promise for modifying psychological well-being. Further, workplaces are using well-being–focused interventions to promote employee CVH, and these interventions represent a potential model for expanding psychological well-being programs to communities and societies. Given the relevance of psychological well-being to promoting CVH, this review outlines clinical recommendations to assess and promote well-being in encounters with patients. Finally, a research agenda is proposed. Additional prospective observational studies are needed to understand mechanisms underlying the connection between psychological well-being and cardiovascular outcomes. Moreover, rigorous intervention trials are needed to assess whether psychological well-being–promoting programs can improve cardiovascular outcomes.

Original languageEnglish (US)
Pages (from-to)1382-1396
Number of pages15
JournalJournal of the American College of Cardiology
Volume72
Issue number12
DOIs
StatePublished - Sep 18 2018

Keywords

  • cardiovascular disease
  • cardiovascular health
  • health behaviors
  • optimism
  • positive psychological well-being

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Kubzansky, L. D., Huffman, J. C., Boehm, J. K., Hernandez, R., Kim, E. S., Koga, H. K., Feig, E. H., Lloyd-Jones, D. M., Seligman, M. E. P., & Labarthe, D. R. (2018). Positive Psychological Well-Being and Cardiovascular Disease: JACC Health Promotion Series. Journal of the American College of Cardiology, 72(12), 1382-1396. https://doi.org/10.1016/j.jacc.2018.07.042