Psychische Kosymptomatik von hausärztlichen Patienten mit Herzinsuffizienz

Scherer, Martin; Stanske, Beate; Wetzel, Daniela; Koschack, Janka; Kochen, Michael M.; Herrmann‐Lingen, Christoph

doi:10.1007/s00059-006-2742-9

Cited by 22 publications

(18 citation statements)

References 25 publications

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“…37 severity, such as left ventricular dysfunction, in postmyocardial infarction patients, 23,24 nor by NYHA functional class in patients with heart failure. 25 …”

Section: Personalitymentioning

confidence: 99%

Psychological Indices as Predictors for Phantom Shocks in Implantable Cardioverter Defibrillator Recipients

Starrenburg

Kraaier

Pedersen

et al. 2014

Pacing Clinical Electrophis

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“…37 severity, such as left ventricular dysfunction, in postmyocardial infarction patients, 23,24 nor by NYHA functional class in patients with heart failure. 25 …”

Section: Personalitymentioning

confidence: 99%

Psychological Indices as Predictors for Phantom Shocks in Implantable Cardioverter Defibrillator Recipients

Starrenburg

Kraaier

Pedersen

et al. 2014

Pacing Clinical Electrophis

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“…Diese lag bei Patienten im NYHA-Stadium I bei 11 %, aber bei Patienten im NYHAStadium IV bei 42 % [ 11 ] . Etwa 30 % dieser Patienten wiesen eine sogenannte Typ D Persönlichkeit auf, die durch negative Aff ektivität und soziale Inhibition geprägt ist [ 7 ] . Insbesondere die Depressivität wurde als ein unabhängiger Prädiktor für die Mortalität und Hospitalisierung von Patienten mit chronischer Herzinsuffi zienz identifi ziert [ 12 -17 ] .…”

Section: Einfl Uss Interventioneller Und Apparativer Behandlungen Aufunclassified

Können psychische Symptome bei stationären Patienten mit symptomatischer Herzinsuffizienz durch eine Optimierung der kardiologischen Therapie beeinflusst werden?

Schöner

Horstkotte

Piper

2013

Psychother Psych Med

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Psychological symptoms are common in patients with heart disease. Objective of this study was to analyse the effects of somatic factors on anxiety and depression in hospitalised patients with heart failure. We examined 150 patients by short-term interview and standardized questionaire (HADS-D) and performed a written survey 3 months later. In 47% of the patients signs of anxiety and in 30% signs of depression were present. Increased heart failures severity was associated with increased rates of anxiety and depression. 3 months after hospital discharge the percentage of patients who reported symptoms of anxiety had decreased, the percentage of depressive female patients had increased. The course of anxiety and depression was not affected by cardiologic treatment. Patients with severe signs of anxiety and/or depression should receive specific diagnostics and therapy.

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“…B. Angstbereitschaft, Leugnungsneigung, Depression) oder Aspekte der Beziehungsgestaltung einfließen. So kön- Insbesondere depressive Symptome treten bei herzinsuffizienten Patienten deutlich häufiger auf als bei Gesunden [5], wobei eine klare Beziehung zwischen klinischem Schweregrad der Herzinsuffizienz und Depression besteht [6]. Obwohl die mit der Herzinsuffizienz einhergehenden Symptome und Beeinträch-tigungen von Selbstbild und Alltagsaktivitäten häufig Auslöser depressiver Anpassungsstörungen sein können, wäre es zu kurz gegriffen, die depressive Komorbidität lediglich als Epiphänomen der kardialen Krankheitsschwere anzusehen.…”

Section: Symptomatik Der Herzinsuffizienz -Alles Nur Pumpfunktion?unclassified

Psychosomatik der Herzinsuffizienz

Herrmann‐Lingen

2011

Herz

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Psychosocial factors are bi-directionally associated with the pathophysiology, symptoms, and prognosis observed in heart failure. Cardiac symptom severity is both dependent on psychological appraisal processes and causally related to feelings of exhaustion and distress. Distress and depression have been shown to affect physiological processes involved in the pathogenesis and course of chronic heart failure as well as illness behaviors. Conversely, physiological consequences of heart failure such as inflammatory activation may lead to sickness behavior and depression. However, there are some indications that the secretion of natriuretic peptides observed in response to cardiac overload may also have beneficial psychological effects (e.g., anxiolysis). Quality of life is typically reduced in heart failure but functional impairment and psychological maladjustment seem to be more important for quality of life than cardiac severity markers such as systolic or diastolic function per se. Current guidelines therefore recommend complementing optimal medical care with good communication, the creation of a trustful physician-patient relationship, patient education and partnership building, as well as specialized mental health care in cases of severe or enduring mental disorders or inappropriate illness behavior. While the evidence for antidepressant drug treatment in heart failure appears inconclusive, behavioral treatments such as exercise and psychotherapy may be more promising in treating comorbid anxiety and depression.

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Psychische Kosymptomatik von hausärztlichen Patienten mit Herzinsuffizienz

Abstract: In primary care patients with HF, psychosocial co-symptoms are frequent and interfere with perceived severity of disease. Psychological distress should be considered important in diagnostics and treatment, especially in patients living alone.

Cited by 22 publications

References 25 publications

Psychological Indices as Predictors for Phantom Shocks in Implantable Cardioverter Defibrillator Recipients

Psychological Indices as Predictors for Phantom Shocks in Implantable Cardioverter Defibrillator Recipients

Können psychische Symptome bei stationären Patienten mit symptomatischer Herzinsuffizienz durch eine Optimierung der kardiologischen Therapie beeinflusst werden?

Psychosomatik der Herzinsuffizienz

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