An opening address should ask the right questions, which we expect to answer during the coming years. A good opening address should formu late hypotheses for falsification during the conference or in the near fu ture. Mter Dr. Groen's excellent lecture yesterday, I feel better about my task, because I feel I am not alone in asking the ten questions in my ab stract. It is an honor for me to give this short paper largely based on my expe riences during 15 years as medical director of a rehabilitation center in Ba varia, as a teacher at two medical schools in Munich and Innsbruck, and as an old-fashioned holistic cardiologist. However, it also is a difficult task for me because the subject of this conference concerning biobehavioral factors in coronary heart disease is controversial, not only in the medical society, but in my own mind as well. When I organized one of the first conferences on stress and coronary heart disease in West Germany in 1976, followed by conferences in 1979 and 1980, the semantic problems between physicians and psychologists were very significant. However, communication has improved in this area during the last decade. The most encouraging event in this field was a sym posium in May 1984 in Rotenburg/Fulda on the topic "Return to Work af ter Bypass Surgery", organized by a cardiac surgeon, Dr. Walter.

Not long ago, it was assumed that coronary heart disease mainly--or only--affected men. Now that CHD is recognized as a leading killer of women as well as men, numerous research studies have been made of its diverse presentations in women, causal factors, and possibilities for prevention and treatment. The expert contributions to Psychosocial Stress and Cardiovascular Disease in Women span the results of this cross-disciplinary awareness. This progressive resource takes a three-dimensional approach to its subject, focusing on epidemiology and risk factors for heart disease in women, the psycho- and neurobiology of stress and coronary disease, and promising clinical interventions. Chapters identify and analyze multiple intersections of social, biological, and psychological factors in affecting women's heart health, from the social dimensions of depression to genetic/environmental interactions to the demands of balancing work and family. These wide-ranging findings will assist and motivate professionals in choosing and creating interventions, developing appropriate prevention strategies, and reducing gender-based disparities in health care. Among the topics covered: Enhancing women's heart health: a global perspective. Coronary heart disease in women: evolution of our knowledge. Gender observations on basic physiological stress mechanisms in men and women. Sleep as a means of recovery and restitution in women. LifeSkills training: benefiting both genders, for different reasons. Gender considerations in psychosocial-behavioral interventions for coronary heart disease. In particular this book will be helpful for cardiologists and other clinicians who may ask themselves why patients do not seem to make rational choices. "Why do patients not follow the advice they are offered?" is a common complaint. The role of psychosocial stress for patient compliance and adherence can be traced throughout the volume. It is emphasized in the chapters on psychosocial interventions along with other tangible and conceptual suggestions and experiences with psychosocial stress and life style change. Psychosocial Stress and Cardiovascular Disease in Women offers a deep practical level of understanding of this epidemic to help expand the work of health and clinical psychologists, sociologists, cardiologists, primary care physicians, and epidemiologists.

Psychological factors significantly affect the cardiovascular system and play an important role in the etiopathogenesis of cardiovascular disorders. For the past several decades attention to the psychosocial and behavioural factors in cardiovascular disease has increased significantly. Multiple lines of evidence suggest that psychosocial factors contribute significantly to coronary heart disease as evidenced by data relating risk to depression, anxiety, personality factors and character traits, social isolation, and chronic life stress. When psychosocial stresses tend to cluster together, risk for cardiac events is often substantially elevated, equalling or exceeding that associated with standard biomedical risk factors for coronary disease such as hypertension and hypercholesterolemia. Understanding the integration of the interactions among multiple psychological and biological factors in the regulation of the cardiovascular system and the development of cardiovascular disorders is an important challenge for future research. This book will contribute to this goal. The contributors to this book are the leading international experts in the field of the relation between psychological processes and cardiovascular disorders. This book will be of interest to physicians, psychologists, mental health counsellors, other clinicians, medical and psychology students, medical residents, and the general public.

Cardiovascular disease (CVD) is the number one killer of men and women in industrialized countries. In older age groups, CVD is also the most important cause for hospitalization, and, in many countries, it is the basis of early retirement from work. Thus, CVD is associated with enormous costs for care and loss of productivity, as well as for disabilities, pensions, etc. All this has motivated clinicians and scientists to develop and implement new methodologies and technologies to better care for patients who are hospitalized for heart disease. Efforts to improve care in the acute phases of coronary heart disease (CHD) have been successful. During the last decade, the immediate mortality risk of a patient admitted to coronary care for a suspected myocardial infarction or other acute coronary syndrome has decreased to less than 10%. Despite these achievements, CVD continues to represent a major threat to the health of middle-aged and elderly men and women. This volume addresses myriad aspects of CHD prevention, including biobehavioral and psychosocial factors, behavioral epidemiology, behavioral intervention models, and policy. The first section of the text provides an introduction to CVD prevention and behavioral medicine. The second section introduces two theoretically different approaches to preventive action, high-risk and population-based strategies. The third section describes and discusses the important questions of how behavioral sciences can be conceptually integrated into traditional, medically based, preventive efforts. The fourth section presents both population and high-risk behavioral intervention approaches. In summary, this volume examines the social environment and its potentials for preventive actions, reviews the psychosocial and biobehavioral mechanisms involved in these effects, and describes concrete and practical implementations of behavioral medicine knowledge as they have been applied to CHD prevention.

First multi-year cumulation covers six years: 1965-70.

This new and engaging text provides students with the latest research, theories, and skills to examine their health-related behaviors and attitudes. Emphasizing the biopsychosocial model, Health Psychology examines how biological, psychological, and social-cultural perspectives influence an individual’s overall health, and guides students through common health psychology topics, such as the rehabilitation of the sick and injured, how emotions cause change in the body’s biological system, the effects of stress on health, and much more. With its accessible writing style and numerous real-world examples, the text motivates students to make positive changes that are based on current health research.

Following the structure and format of the ESC core syllabus, this text introduces key concepts in the field of cardiovascular medicine.

The rapid introduction of sophisticated computers, services, telecommunications systems, and manufacturing systems has caused a major shift in the way people use and work with technology. It is not surprising that computer-aided modeling has emerged as a promising method for ensuring products meet the requirements of the consumer. The Handbook of Digital Human Modeling provides comprehensive coverage of the theory, tools, and methods to effectively achieve this objective. The 56 chapters in this book, written by 113 contributing authorities from Canada, China, France, Germany, the Netherlands, Poland, Sweden, Taiwan, UK, and the US, provide a wealth of international knowledge and guidelines. They cover applications in advanced manufacturing, aerospace, automotive, data visualization and simulation, defense and military systems, design for impaired mobility, healthcare and medicine, information systems, and product design. The text elucidates tools to help evaluate product and work design while reducing the need for physical prototyping. Additional software and demonstration materials on the CRC Press web site include a never-before-released 220-page step-by-step UGS-Siemens JackTM help manual developed at Purdue University. The current gap between capability to correctly predict outcomes and set expectation for new and existing products and processes affects human-system performance, market acceptance, product safety, and satisfaction at work. The handbook provides the fundamental concepts and tools for digital human modeling and simulation with a focus on its foundations in human factors and ergonomics. The tools identified and made available in this handbook help reduce the need for physical prototyping. They enable engineers to quantify acceptability and risk in design in terms of the human factors and ergonomics.

A key future direction in health psychology research involves a concerted focus on diversity, equity, and inclusion (DEI). Existing research has often generalized findings, neglecting the nuanced health experiences of various demographic groups. Future studies should prioritize underrepresented populations to ensure that health psychology interventions account for cultural, socioeconomic, and contextual factors that influence health behaviors.