Depression in patients with cardiac disease: a practical review.

Abstract:

:Some degree of depression affects at least 30% of hospitalized patients with coronary artery disease (CAD), and is associated with increased risks of mortality and continuing depression over at least the first year following hospital discharge. Despite its consequences for prognosis and quality of life, depression is underrecognized and undertreated in cardiac patients. The diagnosis of depression is complicated in patients with medical illness. Their symptoms can reflect physical as well as psychological complaints. Many CAD patients resist the idea of additional medications, and drug interactions can be problematic for those willing to accept antidepressant treatment. Finally, depression tends to recur. Its successful treatment requires a long-term commitment from both physician and patient. This article examines the special challenges involved in diagnosing depression in patients with CAD, outlines available psychotherapeutic and pharmacological treatments, and considers the issues involved in deciding which patients to treat, with what approach, and for how long.

journal_name

J Psychosom Res

authors

Lespérance F,Frasure-Smith N

doi

10.1016/s0022-3999(99)00102-6

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

379-91

issue

4-5

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(99)00102-6

journal_volume

48

pub_type

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