The relationship between mental disorders and physical severities in patients with acute myocardial infarction.

Kurosawa, Hisashi; Shimizu, Yoichi; Nishimatsu, Yoshiko; Hirose, Sadao; Takano, Teruo

doi:10.1253/jcj.47.723

Cited by 38 publications

(14 citation statements)

References 2 publications

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“…Nevertheless, it is seldom diagnosed in cardiac patients, and it is even more rarely treated. It has been repeatedly shown that physicians correctly diagnose less than one out of four cases of major depression in cardiac patients and that only about half of the diagnosed patients ever receive treatment.8, 34 There is less evidence for the necessity of treating milder depressive syndromes in cardiac patients, but they are not always transient or innocuous. In fact, a case of mild depression that seems to be within normal limits for an acutely ill cardiac patient is almost as likely to be the prodrome of a major depressive episode as it is to remit without further complications.13 Thus, cardiac patients with initially mild, depressive adjustment reactions or with too few symptoms to meet criteria for major depression should either be treated prophylactically or contacted at frequent intervals to determine whether they are developing major depres~ion.~~ Initially, reevaluation of depressive symptoms may be necessary as often as once or twice per month.…”

Section: Heart Disease Recognition Of Depressive Disordersmentioning

confidence: 99%

Depression and coronary heart disease: A review for cardiologists

Carney

Freedland

Sheline

et al. 1997

Clinical Cardiology

130

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Summary:Major depression is a common comorbid condition in patients with coronary heart disease (CHD). Although mild emotional distress may be a normal reaction to myocardial infarction or other manifestations of CHD, major depression should not be considered a normal reaction, nor should it be ignored. Major depression is a debilitating comorbid disorder that can seriously complicate recovery and increase the risks of further cardiac morbidity and mortality. Fortunately, it is one that can be successfully treated in the majority of cases. The purpose of this review is to present the evidence for the negative prognostic effects of depression in cardiac patients and to discuss methods for assessing and treating depression in these patients.

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Section: Heart Disease Recognition Of Depressive Disordersmentioning

confidence: 99%

Depression and coronary heart disease: A review for cardiologists

Carney

Freedland

Sheline

et al. 1997

Clinical Cardiology

130

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“…Between 20 and 40% of patients with coronary artery disease have been found to exhibit depressive symptoms [51][52][53][54][55][56][57]. Wishnie [57] studied psychiatric symptomatology in 24 patients in the early phase of their recov ery.…”

Section: Depression and Heart Diseasementioning

confidence: 99%

Review of Psychosomatic Aspects of Cardiovascular Disease

Littman

1993

Psychother Psychosom

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This review deals with the clinically most relevant psychosomatic aspects of cardiovascular disease. Smoking cessation, the role of physical activity in the prevention and rehabilitation of cardiac disease, the relationship of cholesterol to behavior, depression and heart disease, the pharmacotherapy of depression in this specific patient population, the psychiatric risk factors for coronary artery disease, and the treatment of hostility, stress and type A behavior are discussed.

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“…Extensive research has addressed the relationship and time sequence especially between coronary heart disease (CHD) and depression. Early studies reported variations in the prevalence of depression between 18 and 60% in patients with CHD [3, 4]. These studies were limited by the use of nonvalidated psychiatric diagnostic instruments or a dimensional approach with symptom scales to determine the prevalence of depression.…”

Section: Introductionmentioning

confidence: 99%

Associations between Major Depression, Bipolar Disorders, Dysthymia and Cardiovascular Diseases in the General Adult Population

Baune¹,

Adrian²,

Arolt³

et al. 2006

Psychother Psychosom

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Background: Cardiovascular diseases (CVD) and affective disorders are both very prevalent in the general population. However, it is unclear on a population level if the prevalence of different subtypes of affective disorders like unipolar major depression or dysthymia is different in individuals with specific CVDs. Methods: In 4,181 participants of the general population, lifetime prevalences for affective disorders were assessed through the Composite International Diagnostic Interview and cardiovascular diseases by self-report and subsequent physician-verified diagnosis. Multivariable logistic regression was used in the analysis. Results: Prevalences of unipolar depression, bipolar disorder and dysthymia were significantly higher in participants with coronary heart disease or stroke compared to those without these CVDs. Dysthymia had a stronger (OR = 2.03; 95% CI = 1.21–3.39) association with coronary heart disease than unipolar depression (OR = 1.58; 95% CI = 1.09–2.30) or any depression (OR = 1.92; 95% CI = 1.37–2.70). In contrast, unipolar depression (OR = 2.27; 95% CI = 1.29–3.99) showed a significant OR for the relation with stroke compared to dysthymia that reached no statistical significance. The commonly used category ‘any depression’ revealed higher odds (OR = 2.50; 95% CI = 1.46–4.28) for the relationship with stroke than unipolar depression or dysthymia, but lower odds than bipolar I disorder (OR = 5.71, 95% CI = 1.23–26.66). Conclusions: Classification into diagnostic subgroups of affective disorders is important for an improved clinical and pathophysiological understanding of their relationship with CVDs. Dysthymia, in particular, plays an important role regarding the relation of affective disorders and CVDs. Future research on biological models may elucidate the pathophysiological link between subtypes of affective disorders and CVDs.

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The relationship between mental disorders and physical severities in patients with acute myocardial infarction.

Cited by 38 publications

References 2 publications

Depression and coronary heart disease: A review for cardiologists

Depression and coronary heart disease: A review for cardiologists

Review of Psychosomatic Aspects of Cardiovascular Disease

Associations between Major Depression, Bipolar Disorders, Dysthymia and Cardiovascular Diseases in the General Adult Population

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