Improving psychologic adjustment to chronic illness in cardiac patients

Abstract

BACKGROUND: Poor mood adjustment to chronic medical illness is often accompanied by decrements in function.

Depression screening in patients with coronary heart disease: A critical evaluation of the AHA guidelines

“…Emerging evidence supports these interventions in depressed individuals with CHD [52,53]. Among other interventions, telephonic counseling after ACS [54][55][56] and home-based case management after MI have been found to reduce emotional distress but not consistently [57,58].…”

The Impact of Stabilizing Forces on Postsurgical Recovery in Ostomy Patients

“…1,2 Normalization often requires the patient to expend considerable energy reestablishing a sense of self that does not vary significantly from others around them. To accomplish this task, the patient must overcome anxiety and apprehension and regain and maintain emotional stability so that new coping mechanisms can be learned and integrated into daily living.…”

Mental disorders and general well-being in cardiology outpatients—6-year survival

“…Severity of mental disorder was assessed with HAMD on patients with major depression (mean, 21.1; range, [18][19][20][21][22][23][24][25][26][27] and minor depression (mean, 18.5; range, [11][12][13][14][15][16][17][18][19][20][21][22][23][24], with HARS in anxiety disorders (mean, 20.8; range, [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33], and with MMSE in dementia (mean, 18.2; range, [12][13][14][15][16][17][18][19]…”

“…On the other hand, WHO-5 correlated significantly with depression and anxiety, while not with severity of cardiac disease. The WHO-5 index has successfully been used in screening for depression in primary care [37,38] but has also been used in cardiac settings [24], as well as in medical and rheumatology outpatients clinics [25,26]. It includes questions on symptoms of depression (tiredness, loss of energy), symptoms that are common in patients with medical disorders too.…”

“…Prime-MD was developed for use in primary practice but has also been used in cardiology [24], as well as in medical and rheumatology outpatients clinics [25,26]. After informed consent, all patients included were screened with the Prime-MD questionnaire.…”