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[Anxiety and depressive disorders in cardiovascular diseases]
F Pochard1, F Bellivier, A I Faessel
1Groupe ERIC EPS Charcot, Plaisir.
Insights
Anxiety and depression frequently co-occur with cardiovascular diseases, impacting patient outcomes. Understanding this comorbidity is crucial for improving cardiac patient care and prognosis.
Area of Science:
- Cardiology
- Psychiatry
- Psychosomatic Medicine
Context:
- Cardiovascular diseases (CVD) are frequently comorbid with anxiety and depression.
- The relationship between CVD, anxiety, and depression is complex and interpreted differently in existing literature.
- Psychopathological factors are increasingly recognized for their role in CVD risk, comorbidity, and prognosis.
Purpose:
- To review the incidence and prevalence of anxiety and depression in patients with coronary heart disease (CHD).
- To examine the occurrence of anxiety and depression in individuals awaiting cardiac surgery.
- To explore the prognostic significance of these psychological factors in cardiovascular conditions.
Summary:
- This review details the prevalence of anxiety and depression in coronary heart disease patients and those undergoing cardiac surgery.
- It examines the role of psychopathological factors as risk factors, comorbid conditions, and prognostic influencers in cardiovascular disease.
- Physiopathological hypotheses and clinical applications for managing psychological comorbidities in cardiac care are discussed.
Impact:
- Highlights the importance of addressing anxiety and depression in cardiovascular patient management.
- Provides insights into the prognostic implications of psychological distress in cardiac conditions.
- Suggests practical applications for integrating mental health assessments and interventions into cardiac clinical practice.
Abstract:
Cardiovascular diseases are often associated with anxiety and depression. The literature gives different interpretations of this comorbidity. Psychopathological factors have been successively studied as risk factors, comorbid disorders and factors influencing the prognostic. The authors describe the incidence and the prevalence of anxiety and depression, first in coronary heart disease and secondly before cardiac surgery. The prognostic significance of these psychological factors is also reviewed. Physiopathological hypothesis and practical application in clinical practice are proposed.