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Published on: December 2, 2015
[Psychosomatic aspects of coronary heart disease]
C Herrmann-Lingen1, T Meinertz
1Abteilung für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Göttingen, Georg August Universität, Von-Siebold-Strasse 5, Göttingen, Germany. cherrma@gwdg.de
Insights
Psychosocial factors significantly impact coronary heart disease development and outcomes. A holistic treatment approach integrating behavioral interventions, psychotherapy, and antidepressants alongside somatic care is crucial for managing heart disease and its psychological effects.
Area of Science:
- Cardiology
- Psychosomatic Medicine
- Public Health
Context:
- Coronary heart disease (CHD) is a leading cause of mortality in Germany.
- Psychosocial factors are recognized as significant cofactors in CHD development.
- Acute coronary events like myocardial infarction are influenced by these psychosocial elements.
Purpose:
- To elucidate the psychosomatic dimensions of coronary heart disease.
- To outline a comprehensive, holistic treatment strategy for CHD patients.
- To emphasize the interplay between psychological well-being and cardiovascular health.
Summary:
- Psychosocial factors contribute to CHD onset and progression.
- CHD can precipitate psychological distress, including anxiety, denial, and depression.
- Depressive disorders notably impair CHD prognosis and disease course.
Impact:
- Highlights the necessity of addressing psychological aspects in CHD management.
- Advocates for integrated care combining somatic treatments with psychotherapy and behavioral interventions.
- Emphasizes a holistic approach to improve patient outcomes and prognosis in coronary heart disease.
Abstract:
Coronary heart disease is one of the most frequent causes of death in Germany. Psychosocial factors can be considered cofactors in the development of coronary heart disease. These factors also play a particularly important role in triggering acute coronary syndrome or acute myocardial infarction. Heart disease itself can result in manifest anxiety, tendencies toward denial, and depressive disorders. Especially the latter worsen the disease course and prognosis. In addition to somatic treatment, behavioral interventions to control risk factors are available as well as psychotherapy and antidepressants. The aim of this contribution is to describe the psychosomatic aspects of coronary heart disease and to delineate the principles of a holistic approach to treatment.
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