Psychosocial perspectives in cardiovascular disease

S.S. Pedersen, R. von Kaenel, P.J. Tully, J. Denollet

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Adaptation to living with cardiovascular disease may differ from patient to patient and is influenced not only by disease severity and limitations incurred by the disease but also by socioeconomic factors (e.g. health literacy), the patients’ psychological make-up and susceptibility to distress. Co-morbid depression and/or anxiety is prevalent in 20% of patients with cardiovascular disease, which may be either transient or chronic. Distress, such as depression, reduces adherence, serves as a barrier to behaviour change and the adoption of a healthy lifestyle, and increases the risk that patients drop out of cardiac rehabilitation, impacting on patients’ quality of life, risk of hospitalisation and mortality. Hence it is paramount to identify this subset of high-risk patients in clinical practice. This review provides a general overview of the prevalence of selected psychosocial risk factors, their impact on patient-reported and clinical outcomes, and biological and behavioural mechanisms that may explain the association between psychosocial factors and health outcomes. The review also provides recommendations on which self-report screening measures to use to identify patients at high risk due to their psychosocial profile, and the effectiveness of available trials that target these risk factors. Despite challenges and barriers associated with screening of patients combined with appropriate treatment, it is paramount that we treat not only the heart but also the mind in order to improve the quality of care and patient and clinical outcomes.
Original languageEnglish
Pages (from-to)108-115
JournalEuropean Journal of Preventive Cardiology
Volume24
Issue number3
DOIs
Publication statusPublished - Jun 2017

Fingerprint

Depression
Self Report
Cardiac Rehabilitation

Cite this

Pedersen, S.S. ; von Kaenel, R. ; Tully, P.J. ; Denollet, J. / Psychosocial perspectives in cardiovascular disease. In: European Journal of Preventive Cardiology. 2017 ; Vol. 24, No. 3. pp. 108-115.
@article{a73c769350494ab08009edd37c167b99,
title = "Psychosocial perspectives in cardiovascular disease",
abstract = "Adaptation to living with cardiovascular disease may differ from patient to patient and is influenced not only by disease severity and limitations incurred by the disease but also by socioeconomic factors (e.g. health literacy), the patients’ psychological make-up and susceptibility to distress. Co-morbid depression and/or anxiety is prevalent in 20{\%} of patients with cardiovascular disease, which may be either transient or chronic. Distress, such as depression, reduces adherence, serves as a barrier to behaviour change and the adoption of a healthy lifestyle, and increases the risk that patients drop out of cardiac rehabilitation, impacting on patients’ quality of life, risk of hospitalisation and mortality. Hence it is paramount to identify this subset of high-risk patients in clinical practice. This review provides a general overview of the prevalence of selected psychosocial risk factors, their impact on patient-reported and clinical outcomes, and biological and behavioural mechanisms that may explain the association between psychosocial factors and health outcomes. The review also provides recommendations on which self-report screening measures to use to identify patients at high risk due to their psychosocial profile, and the effectiveness of available trials that target these risk factors. Despite challenges and barriers associated with screening of patients combined with appropriate treatment, it is paramount that we treat not only the heart but also the mind in order to improve the quality of care and patient and clinical outcomes.",
author = "S.S. Pedersen and {von Kaenel}, R. and P.J. Tully and J. Denollet",
year = "2017",
month = "6",
doi = "10.1177/2047487317703827",
language = "English",
volume = "24",
pages = "108--115",
journal = "European Journal of Preventive Cardiology",
issn = "2047-4873",
publisher = "Sage Publications Ltd",
number = "3",

}

Psychosocial perspectives in cardiovascular disease. / Pedersen, S.S.; von Kaenel, R.; Tully, P.J.; Denollet, J.

In: European Journal of Preventive Cardiology, Vol. 24, No. 3, 06.2017, p. 108-115.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Psychosocial perspectives in cardiovascular disease

AU - Pedersen, S.S.

AU - von Kaenel, R.

AU - Tully, P.J.

AU - Denollet, J.

PY - 2017/6

Y1 - 2017/6

N2 - Adaptation to living with cardiovascular disease may differ from patient to patient and is influenced not only by disease severity and limitations incurred by the disease but also by socioeconomic factors (e.g. health literacy), the patients’ psychological make-up and susceptibility to distress. Co-morbid depression and/or anxiety is prevalent in 20% of patients with cardiovascular disease, which may be either transient or chronic. Distress, such as depression, reduces adherence, serves as a barrier to behaviour change and the adoption of a healthy lifestyle, and increases the risk that patients drop out of cardiac rehabilitation, impacting on patients’ quality of life, risk of hospitalisation and mortality. Hence it is paramount to identify this subset of high-risk patients in clinical practice. This review provides a general overview of the prevalence of selected psychosocial risk factors, their impact on patient-reported and clinical outcomes, and biological and behavioural mechanisms that may explain the association between psychosocial factors and health outcomes. The review also provides recommendations on which self-report screening measures to use to identify patients at high risk due to their psychosocial profile, and the effectiveness of available trials that target these risk factors. Despite challenges and barriers associated with screening of patients combined with appropriate treatment, it is paramount that we treat not only the heart but also the mind in order to improve the quality of care and patient and clinical outcomes.

AB - Adaptation to living with cardiovascular disease may differ from patient to patient and is influenced not only by disease severity and limitations incurred by the disease but also by socioeconomic factors (e.g. health literacy), the patients’ psychological make-up and susceptibility to distress. Co-morbid depression and/or anxiety is prevalent in 20% of patients with cardiovascular disease, which may be either transient or chronic. Distress, such as depression, reduces adherence, serves as a barrier to behaviour change and the adoption of a healthy lifestyle, and increases the risk that patients drop out of cardiac rehabilitation, impacting on patients’ quality of life, risk of hospitalisation and mortality. Hence it is paramount to identify this subset of high-risk patients in clinical practice. This review provides a general overview of the prevalence of selected psychosocial risk factors, their impact on patient-reported and clinical outcomes, and biological and behavioural mechanisms that may explain the association between psychosocial factors and health outcomes. The review also provides recommendations on which self-report screening measures to use to identify patients at high risk due to their psychosocial profile, and the effectiveness of available trials that target these risk factors. Despite challenges and barriers associated with screening of patients combined with appropriate treatment, it is paramount that we treat not only the heart but also the mind in order to improve the quality of care and patient and clinical outcomes.

U2 - 10.1177/2047487317703827

DO - 10.1177/2047487317703827

M3 - Article

VL - 24

SP - 108

EP - 115

JO - European Journal of Preventive Cardiology

JF - European Journal of Preventive Cardiology

SN - 2047-4873

IS - 3

ER -