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[Chronic heart failure and depression]

C Herrmann-Lingen1,2

  • 1Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Göttingen, Georg-August-Universität, von-Siebold-Str. 5, 37099, Göttingen, Deutschland. cherrma@gwdg.de.

Der Internist
|March 21, 2018
PubMed

Insights

Depression frequently co-occurs with heart failure, impacting quality of life. While psychotherapy shows promise, current evidence doesn't support specific antidepressant treatments for heart failure patients beyond standard care.

Area of Science:

  • Cardiology
  • Psychiatry
  • Psychocardiology

Background:

  • Depression is a common comorbidity in chronic heart failure (CHF).
  • It can be both a consequence of CHF and a contributing factor to its progression and poor prognosis.

Purpose of the Study:

  • Investigate the links between heart failure and depression.
  • Examine psychophysiological and behavioral mechanisms involved.
  • Assess depression's impact on quality of life in CHF patients and review therapies.

Main Methods:

  • A narrative literature review was conducted.

Main Results:

  • Psychophysiological and behavioral factors mediate the association between depression and CHF.
  • Comorbid depression significantly reduces health-related quality of life.
  • Exercise and cognitive behavioral therapy offer partial improvement; antidepressant efficacy is unproven in CHF.

Conclusions:

  • Current guidelines suggest identifying and treating depression in CHF patients.
  • No specific treatments beyond standard CHF care, lifestyle changes, and patient-centered care are strongly supported.
  • Psychotherapy, particularly cognitive behavioral therapy, is recommended. Specialized psychocardiological inpatient programs are available in Germany.
Abstract

Keywords:
Adaptation, psychologicalAntidepressive agentsCognitive behavioral therapyComorbidityQuality of life

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