Psychosocial perspectives in cardiovascular disease.
Identifieur interne : 000515 ( PubMed/Checkpoint ); précédent : 000514; suivant : 000516Psychosocial perspectives in cardiovascular disease.
Auteurs : Susanne S. Pedersen [Danemark] ; Roland Von K Nel [Suisse] ; Phillip J. Tully [France] ; Johan Denollet [Pays-Bas]Source :
- European journal of preventive cardiology [ 2047-4881 ] ; 2017.
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.
DOI: 10.1177/2047487317703827
PubMed: 28618908
Affiliations:
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Tully</name><affiliation wicri:level="1"><nlm:affiliation>7 Bordeaux Population Health, University of Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>7 Bordeaux Population Health, University of Bordeaux</wicri:regionArea><wicri:noRegion>University of Bordeaux</wicri:noRegion><wicri:noRegion>University of Bordeaux</wicri:noRegion></affiliation></author><author><name sortKey="Denollet, Johan" sort="Denollet, Johan" uniqKey="Denollet J" first="Johan" last="Denollet">Johan Denollet</name><affiliation wicri:level="1"><nlm:affiliation>9 CoRPS - Department of Medical and Clinical Psychology, Tilburg University, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>9 CoRPS - Department of Medical and Clinical Psychology, Tilburg University</wicri:regionArea><wicri:noRegion>Tilburg University</wicri:noRegion></affiliation></author></analytic><series><title level="j">European journal of preventive cardiology</title><idno type="eISSN">2047-4881</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28618908</PMID><DateCreated><Year>2017</Year><Month>06</Month><Day>16</Day></DateCreated><DateRevised><Year>2017</Year><Month>06</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2047-4881</ISSN><JournalIssue CitedMedium="Internet"><Volume>24</Volume><Issue>3_suppl</Issue><PubDate><Year>2017</Year><Month>Jun</Month></PubDate></JournalIssue><Title>European journal of preventive cardiology</Title><ISOAbbreviation>Eur J Prev Cardiol</ISOAbbreviation></Journal><ArticleTitle>Psychosocial perspectives in cardiovascular disease.</ArticleTitle><Pagination><MedlinePgn>108-115</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/2047487317703827</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pedersen</LastName><ForeName>Susanne S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>1 Department of Psychology, University of Southern Denmark, Denmark.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>2 Department of Cardiology, Odense University Hospital, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>von Känel</LastName><ForeName>Roland</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>3 Department of Neurology, Inselspital Bern University Hospital and University of Bern, Switzerland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>4 Department of Clinical Research, University of Bern, Switzerland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>5 Department of Psychosomatic Medicine, Clinic Barmelweid, Switzerland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>6 Hypertension in Africa Research Team, Potchefstroom, North-West University, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tully</LastName><ForeName>Phillip J</ForeName><Initials>PJ</Initials><AffiliationInfo><Affiliation>7 Bordeaux Population Health, University of Bordeaux, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>8 Freemasons Foundation Centre for Men's Health, The University of Adelaide, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Denollet</LastName><ForeName>Johan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>9 CoRPS - Department of Medical and Clinical Psychology, Tilburg University, the Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>10 Department of Cardiology, Antwerp University Hospital, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Prev Cardiol</MedlineTA><NlmUniqueID>101564430</NlmUniqueID><ISSNLinking>2047-4873</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Mechanisms</Keyword><Keyword MajorTopicYN="N">interventions</Keyword><Keyword MajorTopicYN="N">patient-reported outcomes</Keyword><Keyword MajorTopicYN="N">prognosis</Keyword><Keyword MajorTopicYN="N">psychosocial factors</Keyword><Keyword MajorTopicYN="N">screening</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28618908</ArticleId><ArticleId IdType="doi">10.1177/2047487317703827</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Danemark</li><li>France</li><li>Pays-Bas</li><li>Suisse</li></country></list><tree><country name="Danemark"><noRegion><name sortKey="Pedersen, Susanne S" sort="Pedersen, Susanne S" uniqKey="Pedersen S" first="Susanne S" last="Pedersen">Susanne S. 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