Doctors & Hope: The Power of Positive Prescription
Hopefulness Linked to Improved Heart Health in Cardiovascular Patients
Updated June 07, 2025
Can a doctor prescribe hope? Researchers are exploring the intricate relationship between mind and body, particularly
how thoughts influence physiology. Alexander Montasem, a psychology lecturer at the University of Liverpool, is
investigating this question, focusing on cardiovascular disease and the impact of hope.
Montasem’s team reviewed existing research on hope and heart health outcomes in individuals with cardiovascular
disease. The studies used questionnaires to quantify hope, defining it as a positive motivational state driven by
agency and goal-oriented planning.
The analysis, encompassing over 5,000 participants across 12 studies, revealed that higher levels of hopefulness
correlated with improved health outcomes. These benefits included reduced angina and post-stroke fatigue, enhanced
quality of life, and a decreased risk of death. The findings were presented at the British Cardiovascular Society
meeting in Manchester.
The results raise questions about the placebo effect,where sham treatments can produce important improvements.
Placebos have been shown to alleviate symptoms of pain, migraines, Parkinson’s disease, depression, and anxiety.Interestingly, their effectiveness can be influenced by factors like cost and presentation. Conversely, the nocebo
effect demonstrates that negative expectations can worsen symptoms, increasing the risk of pain and other ailments.
What’s next
Further research is needed to fully understand how hope impacts cardiovascular health and to explore potential
therapeutic applications.
