Effects of interventions on depression in heart failure: A systematic review

Woltz, Patricia; Chapa, Deborah W.; Friedmann, Erika; Son, Heesook; Akintade, Bimbola; Thomas, Sue

doi:10.1016/j.hrtlng.2012.06.002

Cited by 57 publications

(44 citation statements)

References 67 publications

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“…A recent systematic review 96 of studies from 1996 to 2011 provided an evaluation of the effects of intervention on depression in patients with heart failure. Evidence was strong for the use of selective serotonin reuptake inhibitors, and moderate evidence supported use of exercise to reduce depression in patients with heart failure.…”

Section: Effects Of Selective Serotonin Reuptake Inhibitors and Exercisementioning

confidence: 99%

“…The strength of the evidence is high that paroxetine and sertraline are effective in treating depression in patients with heart failure. 96 The effects of an exercise program on depression in patients with heart failure were examined in 7 studies. [101][102][103][104][105][106][107] The exercise programs varied by type, intensity, frequency, duration, and patients' adherence.…”

Section: Effects Of Selective Serotonin Reuptake Inhibitors and Exercisementioning

confidence: 99%

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Pathophysiological Relationships Between Heart Failure and Depression and Anxiety

Chapa

Akintade

Son

et al. 2014

Critical Care Nurse

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H eart failure is an epidemic with national and global implications. Compared with the situation in other cardiac diseases, the incidence and prevalence of heart failure continue to increase despite recent advancements in understanding and treatment. Increased survival after myocardial infarction, aging of the population, and increased incidence of diabetes are contributing factors. This article has been designated for CNE credit. A closed-book, multiple-choice examination follows this article, which tests your knowledge of the following objectives:1. Describe the biopsychosocial holistic model for cardiovascular health 2. Identify 2 neurohormonal pathways and their impact in heart failure 3. Identify nursing implications for heart failure, depression, and anxiety CNE Continuing Nursing EducationCover Depression and anxiety are common comorbid conditions in patients with heart failure. Patients with heart failure and depression have increased mortality. The association of anxiety with increased mortality in patients with heart failure is not established. The purpose of this article is to illustrate the similarities of the underlying pathophysiology of heart failure, depression, and anxiety by using the Biopsychosocial Holistic Model of Cardiovascular Health. Depression and anxiety affect biological processes of cardiovascular function in patients with heart failure by altering neurohormonal function via activation of the hypothalamic-pituitary-adrenal axis, autonomic dysregulation, and activation of cytokine cascades and platelets. Patients with heart failure and depression or anxiety may exhibit a continued cycle of heart failure progression, increased depression, and increased anxiety. Understanding the underlying pathophysiological relationships in patients with heart failure who experience comorbid depression and/or anxiety is critical in order to implement appropriate treatments, educate patients and caregivers, and educate other health professionals. (Critical Care Nurse. 2014;34[2]:14-25)

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Section: Effects Of Selective Serotonin Reuptake Inhibitors and Exercisementioning

confidence: 99%

Section: Effects Of Selective Serotonin Reuptake Inhibitors and Exercisementioning

confidence: 99%

Pathophysiological Relationships Between Heart Failure and Depression and Anxiety

Chapa

Akintade

Son

et al. 2014

Critical Care Nurse

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“…From the literature and from clinical experience it emerges that interventions to optimize the CHF treatment, reduce hospitalizations and mortality, and improve quality of life and management of the disease, carried out during the stay in hospital or at home with telemedicine methods or face-to-face interventions, are linked to two key aspects: i) self-management and adherence [142][143][144][145][146][147]; ii) depression and anxiety [148][149][150].…”

Section: Psychological Interventionsmentioning

confidence: 99%

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Angelino

Porta

Abatello

et al. 2018

Monaldi Arch Chest Dis

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Recent guidelines on cardiovascular disease prevention suggest multimodal behavioral interventions for psychosocial risk factors and referral for psychotherapy in the case of clinically significant symptoms of depression and anxiety overall. Accordingly, psychologists of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) have reviewed the key components of psychological activities in cardiovascular prevention and rehabilitation (CPR). The aim of this study was to elaborate a position paper on the best practice in routine psychological activities in CPR based on efficacy, effectiveness and sustainability. The steps followed were: i) a review of the latest international guidelines and position papers; ii) analysis of the evidence-based literature; iii) a qualitative analysis of the psychological services operating in some reference Italian cardiac rehabilitation facilities; iv) classification of the psychological activities in CPR as low or high intensity based on the NICE Guidelines on psychological interventions on anxiety and depression. We confirm the existence of an association between depression, anxiety, social factors, stress, personality and illness onset/outcome and coronary heart disease. Evidence for an association between depression, social factors and disease outcome emerges particularly for chronic heart failure. Some positive psychological variables (e.g., optimism) are associated to illness outcome. Evidence is reported on the impact of psychological activities on 'new' conditions which are now indicated for cardiac rehabilitation: pulmonary hypertension, grown-up congenital heart, end-stage heart failure, implantable cardioverter-defribrillator and mechanical ventricular assist devices, frail and oldest-old patients, and end-of-life care. We also report evidence related to caregivers. The Panel divided evidence-based psychological interventions into: i) low intensity (counseling, psycho-education, self-care, self-management, telemedicine, self-help); or ii) high intensity (individual, couples and/or family and group psychotherapy, such as stress management). The results show that psychotherapy is mainly consisting of cognitive-behavior therapy, interpersonal therapy, and short-term psycho-dynamic therapy. The current data further refine the working tools available for psychological activities in CPR, giving clear directions about the choice of interventions, which should be evidence-based and have at least a minimum standard. This document provides a comprehensive update on new knowledge and new paths for psychologists working in the CPR settings.

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“…The significance of maintaining sinus rhythm should not be understated [17,87]. Depression has been previously well covered, is vital but often overlooked and affects outcomes [19,88].…”

Section: Beta Blockersmentioning

confidence: 99%

“…They occur with increasing NYHA grade, age, non-ischemic and diastolic etiology [6,17]; Neuropsychological factors, such as stroke, mood and behavior (10-20%), cognitive function (35-50%), depression (13-77%) and sexual dysfunction [6][7][8]18,19] are often given less importance; Finally other non-cardiac factors, chronic anemia, arthritis/ osteoporosis (20%) substance abuse (alcohol, smoking), and specific to NT environmental factors e.g. weather and race.…”

Section: Introductionmentioning

confidence: 99%

Do We Need A Wider Therapeutic Paradigm For Heart Failure With Comorbidities?: A Remote Australian Perspective

Iyngkaran¹,

Thomas²

2016

Health Care: Current Reviews

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Forty percent of CHF clients can suffer with up to five or more comorbidity, a rate that is likely higher in the NT. Large CHF trials AbstractCongestive Heart Failure a leading cause of morbidity and mortality is often associated with comorbidities and with it polypharmacy. Improved pathophysiological understanding, the available therapeutics, clinical guidelines and structured programs for comprehensive care have not benefited all clients in the Northern Territory of Australia. The Northern Territory has both a unique geography and demography including a sizeable Indigenous population. Additional factors that can affect heart failure management are prevalent in remote areas and are not well addressed within randomized controlled trials. This review is focused on building a case for widening the therapeutic paradigm for heart failure with comorbidities. We focus on a brief overview of heart failure and its associated comorbidities, the common overlapping physiological processes, the interpretation of the external validity of trial evidence, and finally exploring the available evidence for the important therapies within the guidelines. A need to consider a wider therapeutic paradigm may also have relevance for clients in other health systems.

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Effects of interventions on depression in heart failure: A systematic review

Cited by 57 publications

References 67 publications

Pathophysiological Relationships Between Heart Failure and Depression and Anxiety

Pathophysiological Relationships Between Heart Failure and Depression and Anxiety

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Do We Need A Wider Therapeutic Paradigm For Heart Failure With Comorbidities?: A Remote Australian Perspective

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