Abstract

Coronary artery disease (CAD), a consequence of coronary atherosclerosis, is the most common form of cardiovascular disease. Recent research suggests that compared to individuals with normal sleep duration, those with insufficient sleep, defined as short sleep duration (i.e., less than 6 hours per 24-hour period) have a 79% higher risk of developing coronary artery disease. In this review, selected physiological factors (including vascular inflammation, sympathetic overactivity, and increases in blood pressure), behavioral factors (including sedentary behavior and dietary choices), psychological factors (including hostility, fatigue, and major depressive disorder/depressive affect), and sociocultural factors (including race/ethnicity, socioeconomic status, and health literacy) were examined as they result from insufficient sleep and, downstream, to the onset of CAD. Based on the empirical literature published to date, a comprehensive model of CAD risk factors and the role of insufficient sleep is offered to highlight potential areas for new research. This review also proposes clinical implications including the development of more targeted assessment factors related to insufficient sleep and CAD onset, as well as the development of multifactorial treatment recommendations for those patients demonstrating risk factors (including insufficient sleep) to prevent CAD onset.

LLU Discipline

Psychology

Department

Psychology

School

School of Behavioral Health

First Advisor

Janet L. Sonne

Second Advisor

Tori R. Van Dyk

Degree Name

Doctor of Psychology (PsyD)

Degree Level

Psych.D.

Year Degree Awarded

2022

Date (Title Page)

9-2022

Language

English

Library of Congress/MESH Subject Headings

Cardiovascular Diseases--psychology.; Risk Factors; Sleep Deprivation

Type

Doctoral Project

Page Count

xi; 70 p.

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

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Psychology Commons

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