Relationship between depression and medication adherence in cardiovascular disease: the perfect challenge for the
Carly M Goldstein1, Emily C Gathright2, Sarah Garcia3
1Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI.
Insights
Depression in cardiovascular disease (CVD) patients often leads to poor adherence to medications. An integrated care team approach can effectively manage depressive symptoms and improve medication adherence for better health outcomes.
Area of Science:
- Cardiology
- Psychiatry
- Health Services Research
Background:
- Depression is common in cardiovascular disease (CVD) patients and linked to adverse health outcomes.
- Medication nonadherence is a significant factor contributing to poor outcomes in depressed CVD patients.
- Various factors influence medication adherence, impacting the depression-adherence relationship in CVD.
Purpose of the Study:
- To review literature on depression and medication adherence in CVD patients.
- To examine challenges in measuring medication adherence.
- To highlight the role of integrated care teams in improving outcomes for depressed CVD patients.
Main Methods:
- Comprehensive literature review on depression and medication adherence in CVD.
- Analysis of methods and challenges in measuring medication adherence.
- Exploration of integrated care team strategies for managing depressive symptoms and medication-taking behavior.
Main Results:
- Integrated care teams are well-positioned to enhance outcomes for depressed CVD patients.
- Collaborative strategies can target both depressive symptoms and medication adherence.
- Existing literature highlights the complex interplay between depression, adherence, and CVD outcomes.
Conclusions:
- Integrated care models offer a promising approach to managing depressed CVD patients.
- Further research is needed to refine integrated care strategies and address limitations.
- Improved management of depression and medication adherence can significantly benefit CVD patients and their families.
Abstract:
Many individuals with cardiovascular disease (CVD) experience depression that is associated with poor health outcomes, which may be because of medication nonadherence. Several factors influence medication adherence and likely influence the relationship between depression and medication adherence in CVD patients. This comprehensive study reviews the existing literature on depression and medication adherence in CVD patients, addresses the methods of and problems with measuring medication adherence, and explains why the integrated care team is uniquely situated to improve the outcomes in depressed CVD patients. This paper also explores how the team can collaboratively target depressive symptoms and medication-taking behavior in routine clinical care. Finally, it suggests the limitations to the integrated care approach, identifies targets for future research, and discusses the implications for CVD patients and their families.
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