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Updated: May 16, 2025

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Psychological screening in cardiovascular care.
Chantal F Ski1,2, David R Thompson1,2, Alun C Jackson2,3
1School of Nursing and Midwifery, Queen's University Belfast, Belfast BT9 7BL, UK.
Cardiovascular patients often face psychological distress, impacting outcomes. This study proposes a practical screening protocol for clinicians to improve early detection and intervention for better heart and mental health.
Area of Science:
- Cardiology
- Psychiatry
- Clinical Psychology
Background:
- Cardiovascular disease (CVD) patients have high rates of psychological distress, linked to poorer prognoses.
- Existing clinical practice lacks standardized guidance for psychological screening in cardiovascular care.
- Early identification and management of psychological distress can enhance patient outcomes.
Purpose of the Study:
- To present a pragmatic, actionable protocol for psychological screening in routine cardiovascular clinical settings.
- To guide clinicians on the implementation of psychological screening, including timing, methods, and follow-up procedures.
- To facilitate timely intervention or referral for patients identified with psychological distress.
Main Methods:
- Description of a pragmatic approach for integrating psychological screening into standard cardiovascular care workflows.
- Outline of specific screening procedures, including when and how to administer assessments.
- Guidance on managing positive screening results, encompassing intervention and referral pathways.
Main Results:
- A proposed psychological screening protocol designed for practical clinical application.
- The protocol enables clinicians to systematically assess psychological distress in CVD patients.
- It provides a framework for appropriate clinical response to positive screening results.
Conclusions:
- Implementing a structured psychological screening protocol can address the unmet needs of CVD patients.
- This approach empowers clinicians to proactively manage psychological distress, improving patient care.
- The proposed protocol supports better integration of mental health support within cardiovascular services.
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