The bidirectional relation between psychiatric disorders with selected cardiovascular and endocrinal diseases: an

Tarek Okasha1, Ash-Shayma Radwan

  • 1Institute of Psychiatry, Ain Shams University, Cairo, Egypt, tokasha@internetegypt.com.

Current Psychiatry Reports
|November 22, 2014
PubMed

Insights

Cardiovascular and endocrine diseases can lead to psychiatric conditions, impacting patient prognosis. Regular psychiatric evaluations are crucial for managing these interconnected health issues in all patients.

Area of Science:

  • Internal Medicine
  • Cardiology
  • Endocrinology
  • Psychiatry

Background:

  • Cardiovascular and endocrine diseases are significant health burdens.
  • These conditions can lead to psychological distress and psychiatric morbidities.
  • Psychiatric morbidities can negatively impact the prognosis of cardiovascular and endocrine diseases.

Purpose of the Study:

  • To explore the psychological distress experienced by Egyptian patients with cardiovascular and endocrine diseases.
  • To highlight the bidirectional relationship between physical and mental health in these patient populations.
  • To emphasize the need for integrated care and regular psychiatric assessment.

Main Methods:

  • The study focuses on patients with ischemic heart diseases (ISHD), heart failure (HF), diabetes mellitus (DM), or thyroid diseases (TD).
  • It compares the psychological distress levels in Egyptian patients to their Western counterparts.
  • The methodology emphasizes the importance of regular psychiatric evaluation and follow-up.

Main Results:

  • Egyptian patients with ISHD, HF, DM, or TD experience psychological distress similar to Western patients.
  • The study underscores the transcultural universality of psychological distress in chronic physical illnesses.
  • A strong link exists between cardiovascular, endocrine, and psychiatric conditions.

Conclusions:

  • Psychiatric assessment is essential for patients with cardiovascular and endocrine diseases.
  • Patients at risk require close monitoring for psychiatric comorbidities.
  • Integrated management of physical and mental health is crucial for improved patient outcomes.

Related Concept Videos

Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
Theoretical Approaches to Psychological Disorder01:29

Theoretical Approaches to Psychological Disorder

The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Bipolar Disorder01:30

Bipolar Disorder

Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
Depressive Disorders: Etiology01:27

Depressive Disorders: Etiology

Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...