Title

Heart disease occurs in a biological, psychological, and social matrix: cardiac risk factors, symptom presentation, and recovery as illustrative examples

Document Type

Article

Peer Reviewed

1

Publication Date

4-1-2011

Journal/Book/Conference Title

Annals of Behavioral Medicine

Volume

41

NLM Title Abbreviation

Ann Behav Med

DOI

DOI: 10.1007/s12160-010-9244-y

PubMed ID

21108031

Abstract

Despite the basic premise of behavioral medicine that understanding and treatment of physical well-being require a full appreciation of the confluence of micro-, molar-, and macro-variables, the field tends to focus on linear, causal relationships. In this paper, we argue that more attention be given to a dynamic matrix approach, which assumes that biological, psychological, and social elements are interconnected and continually influence each other (consistent with the biopsychosocial model). To illustrate, the authors draw from their independent and collaborative research programs on overlapping cardiac risk factors, symptom interpretation, and treatment delay for cardiac care and recovery from heart disease. "Cabling" across biological, psychological, and social variables is considered as a transformative strategy for medicine and the other health-related disciplines.



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URL

http://ir.uiowa.edu/nursing_pubs/906