Mental illness and ischemic heart disease: Analysis of psychiatric morbidity

The influence of sociocultural factors on the interaction between physical and mental disturbances in a rural community

“…In this survey, as in others, (Shepherd et al 1960;Brown and Harris 1978;Vazquez-Barquero et al 1981, 1985, 1987cLipowsky 1975) the psychiatric syndrome most frequently associated with physical illness is depression; anxiety and phobic conditions follow in order of importance. In females, phobic and anxiety states accounted for nearly twice as many cases as depressions, irrespective of their physical status (see also Mavreas et al 1986).…”

Associations between Major Depression, Bipolar Disorders, Dysthymia and Cardiovascular Diseases in the General Adult Population

“…Other cross-sectional [41,42,43] and prospective studies [44] consistently showed a significant relation between depression and CHD as well as stroke. In our study, participants with stroke were significantly more likely to have unipolar depression, bipolar I disorder and any depression than those without stroke, suggesting a considerable proportion of post-stroke depression.…”

Psychological Factors and Vulnerability to Psychiatric Morbidity after Myocardial Infarction

“…Type A scores were similar to those found in other American [26] and Spanish studies on coronary patients [27,28] using the BQ and, as would be expected, type A prevalence was noticeably higher than that obtained in the general popu lation (25.8 versus 14.4%). Ml patients showed a much higher preva lence of psychopathology than found in other Spanish studies of the general population (19%) [29] and of patients suffering from bronchial asthma (18%) [30], systemic lupus (34%) [31 ], neoplastic diseases (35%) [32] and coronary heart disease (44%) [5] using the same instrument (CIS). Depression and anxi ety were the most frequent disorders (59.4% of the total), as in other previous studies [2,3], but the rate in the two diagnoses was quite dif ferent (depression appeared to be twice as fre quent as anxiety).…”

“…Rehabilita tion programs have demonstrated the importance of psychological factors in compliance and recovery [1] and there are retrospective and prospective epidemiological studies which underline the significant relations among initial emotional responses and car diological and psychological outcome [2][3][4]. On the other hand, several authors have re ported a psychiatric morbidity in the acute Prof phase of MI ranging from 39 to 66% [2,5] and there is evidence that this prevalence of psy chopathology remains unchanged 1 year after leaving the coronary unit [2,4], Lloyd and Cawley [6] identified two groups of patients with psychiatric symptoms after MI: one with previous psychopathological disorders and high scores in neuroticism, in whom psychiat ric disorders were persistent, and the other without previous psychopathology, who re cover from their psychiatric symptoms within 1 year. In consequence, in the last decade, the role of psychological factors in determining the long-term adjustment of coronary patients has been a matter of considerable interest [7], Among personality factors, neuroticism has been related to a poor emotional adjustment [8] and a higher risk of psychiatric disorders after MI [4], while psychoticism seemed to be a reliable indicator of good psychological ad justment [9].…”