Mental Health of Patients with Heart Disease

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  • 心臓病の患者のメンタルヘルス
  • シンゾウビョウ ノ カンジャ ノ メンタル ヘルス

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Abstract

<p>Depression is common in patients with heart disease. We reviewed the prevalence and possible mechanisms of depression in patients with heart disease, the impact of depression on cardiac prognosis, and potential therapeutic approaches to treat these patients. Depression and heart disease often coexist with one leading to the other. Various biological and behavioral mechanisms have been proposed to explain the association between heart disease and depression, including autonomic nervous system activity, inflammatory changes, platelet and endothelial dysfunction, and health-related behaviors. In 2008, the American Heart Association recommended routine screening for clinical depression in patients with coronary heart disease. Although no single intervention has been established as the standardized treatment, recent studies suggest that collaborative care (depression monitoring and stepped care approach) improves depressive symptoms and cardiac outcomes. These trends suggest that it is important to establish a care network between cardiology and psychosomatic medicine.</p>

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