Red flags for persistent or worsening anxiety and depression after an acute cardiac event: a 6-month longitudinal study in regional and rural Australia

Murphy, Barbara; Ludeman, Deborah; Elliott, Peter; Judd, Fiona; Humphreys, John Stirling; Edington, John; Jackson, Anthony; Worcester, Marian U.C.

doi:10.1177/2047487313493058

Cited by 34 publications

(39 citation statements)

References 50 publications

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“…104 Hence patients with these PSRFs and female patients might constitute high-risk CHD patients who might particularly benefit from CR. 102,105 Concern is increasing about the adverse effects of chronic work stress, particularly on CHD risk.…”

Section: 102mentioning

confidence: 99%

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Pogosova

Saner²,

Pedersen

et al. 2014

Eur J Prev Cardiolog

262

107

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A large body of empirical research shows that psychosocial risk factors (PSRFs) such as low socio-economic status, social isolation, stress, Type-D personality, depression and anxiety increase the risk of incident coronary heart disease (CHD) and also contribute to poorer health-related quality of life (HRQL) and prognosis in patients with established CHD.PSRFs may also act as barriers to lifestyle changes and treatment adherence and may moderate the effects of cardiac rehabilitation (CR). Furthermore, there appears to be a bidirectional interaction between PSRFs and the cardiovascular system. Stress, anxiety and depression affect the cardiovascular system through immune, neuroendocrine and behavioural pathways. In turn, CHD and its associated treatments may lead to distress in patients, including anxiety and depression. In clinical practice, PSRFs can be assessed with single-item screening questions, standardised questionnaires, or structured clinical interviews.Psychotherapy and medication can be considered to alleviate any PSRF-related symptoms and to enhance HRQOL, but the evidence for a definite beneficial effect on cardiac endpoints is inconclusive. A multimodal behavioural intervention, integrating counseling for PSRFs and coping with illness should be included within comprehensive CR. Patients with clinically significant symptoms of distress should be referred for psychological counseling or psychologically focused interventions and/or psychopharmacological treatment. To conclude, the success of CR may critically depend on the interdependence of the body and mind and this interaction needs to be reflected through the assessment and management of PSRFs in line with robust scientific evidence, by trained staff, integrated within the core CR team. Word count of abstract: 246

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Section: 102mentioning

confidence: 99%

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Pogosova

Saner²,

Pedersen

et al. 2014

Eur J Prev Cardiolog

262

107

View full text Add to dashboard Cite

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“…The fact that worsening symptoms (Murphy et al., ), and incident depression (Pirraglia, Peterson, Williams‐Russo, Gorkin, & Charlson, ) has been identified reiterates the purpose of serial depression assessments. We emphasise that patients with a history of depression episode appear to be particularly susceptible to worsening symptoms after a major cardiac event (Murphy et al., ). Although there is no evidence to suggest that new onset depression is more cardiotoxic than pre‐existing depression (Leung et al., ), treatment‐resistant or refractory depression poses a high mortality risk after CHD event and especially myocardial infarction (Glassman, Bigger, & Gaffney, ).…”

Section: Psychologist Assessment Of Depression In Chdmentioning

confidence: 99%

Depression Screening, Assessment, and Treatment for Patients with Coronary Heart Disease: A Review for Psychologists

Tully

Higgins

2014

Australian Psychologist

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Cabrini HealthDepression prevalence is between 15% and 20% in coronary heart disease patients, such as those with angina, or after a myocardial infarction or coronary artery bypass graft surgery. The presence of depression places a coronary heart disease patient at twofold higher risk for further major cardiac events and death, as well as poor quality of life and early exit from the labour force. As a consequence, several learned societies, including the National Heart Foundation of Australia, have published guidelines that recommend questionnaire screening to improve identification and management strategies for depression in coronary heart disease patients. Psychologists in hospitals, community settings, and private practice can have a key role in the realisation of the National Heart Foundation of Australia's aims. We review the recent guidelines and outline implications for psychologists to identify and manage depression in coronary heart disease patients. The evidence reviewed suggests that cognitive-behavioural therapy and problem-solving therapy are frontline non-pharmacological interventions for depression in CHD patients.

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“…Episodes of acute cardiovascular (CV) disease requiring emergency room access and admission to an acute cardiac care unit are usually followed by a significant humoral and psychological impact . Anxiety and depression following an episode of acute CV disease may further negatively influence the prognosis in patients with CV disease .…”

Section: Introductionmentioning

confidence: 99%

Scared for the scar: fearsome impact of acute cardiovascular disease on perceived kinesiophobia (fear of movement)

Brunetti

Guerra

Ieva

et al. 2017

Clinical Cardiology

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Background To assess levels of kinesiophobia (fear of movement) in patients hospitalized for acute cardiovascular disease. Hypothesis Increased levels of kinesiophobia can be found in subjects hospitalized for acute cardiovascular disease. Methods Seventy‐four consecutive patients admitted for acute coronary syndrome and 58 for acute heart failure were enrolled in the study and assessed by the Tampa Scale for the evaluation of kinesiophobia. Subjects were compared with a reference population with stable coronary artery disease and healthy controls. Results No significant differences were found between acute coronary syndrome and acute heart failure in terms of kinesiophobia, even considering the rates of high kinesiophobia (Tampa score >37) and the 4 groups of questionnaire items (danger, fear, avoidance, dysfunction). Differences, however, were significant comparing our population with an historical population of subjects with stable coronary artery disease and controls (43 ± 5 vs 35 ± 7 vs 33 ± 6, P < 0.0001 in both cases). A significant correlation was found between the grade of kinesiophobia in the Tampa Scale and the age of subjects (r = 0.27, P = 0.001) and inversely with level of education (r = −0.33, P < 0.0001). Conclusions Increased levels of kinesiophobia can be found in subjects hospitalized for acute cardiovascular disease. Kinesiophobia is related to age and education. Kinesiophobia should be carefully considered in subjects hospitalized in acute cardiac care units.

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Red flags for persistent or worsening anxiety and depression after an acute cardiac event: a 6-month longitudinal study in regional and rural Australia

Cited by 34 publications

References 50 publications

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Depression Screening, Assessment, and Treatment for Patients with Coronary Heart Disease: A Review for Psychologists

Scared for the scar: fearsome impact of acute cardiovascular disease on perceived kinesiophobia (fear of movement)

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