title: Psychosocial Factors in Diabetes and Cardiovascular Risk.
abstract: Type 2 diabetes is a chronic disease that is increasing in prevalence globally. Cardiovascular disease is a major cause of mortality and morbidity in diabetes, and lifestyle and clinical risk factors do not fully account for the link between the conditions. This article provides an overview of the evidence concerning the role of psychosocial stress factors in diabetes risk, as well as in cardiovascular complications in people with existing diabetes. Several types of psychosocial factors are discussed including depression, other types of emotional distress, exposure to stressful conditions, and personality traits. The potential behavioral and biological pathways linking psychosocial factors to diabetes are presented and implications for patient care are highlighted.
authors: Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK.
authors: Ruth A
authors: RA
authors: Hackett
authors: Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK. a.steptoe@ucl.ac.uk.
authors: Andrew
authors: A
authors: Steptoe
mesh_terms: D000223:Adaptation, Psychological; D015897:Comorbidity; D003863:Depression / Q000150:complications / Q000503:physiopathology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000503:physiopathology / Q000523:psychology*; D003925:Diabetic Angiopathies / Q000209:etiology / Q000503:physiopathology / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010551:Personality; D012307:Risk Factors; D013315:Stress, Psychological / Q000150:complications / Q000503:physiopathology*
keywords: Cardiovascular disease; Depression; Psychosocial factors; Stress; Type 2 diabetes