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Published on: August 9, 2024
Post-traumatic stress disorder in patients with coronary artery disease: screening and management implications
Leonard A Doerfler1, John A Paraskos
1Department of Psychology, University of Massachusetts Medical School, Worcester, USA. doerfler@assumption.edu
Objectives:
To review the literature on anxiety, post-traumatic stress disorder (PTSD) and depression in patients with coronary artery disease (CAD), and to present an approach to diagnosis and treatment.
Methods:
MEDLINE and PsychInfo searches of English-language articles were performed. Search terms included 'anxiety', 'post-traumatic stress disorder' and 'depression', with various cardiac-related subject headings.
Results:
Research indicates that anxiety, PTSD and depression occur frequently in patients with CAD, but these psychological problems are rarely identified or treated in the cardiology or primary care setting.
Conclusions:
The present review offers practical recommendations on how to detect and assess anxiety, PTSD and depression in the cardiology or primary care setting. Treatment recommendations are provided, with a focus on pharmacotherapy for anxiety and depressive disorders in patients with CAD.
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