Tags

Type your tag names separated by a space and hit enter

[Treatment of patients with coronary heart disease and depressive disorders in rehabilitation].
Psychother Psychosom Med Psychol. 2005 Sep-Oct; 55(9-10):416-24.PP

Abstract

Depressive disorders in patients with coronary heart disease (CHD) are connected with negative effects on the course of the cardiac disease. Until today there has been no clear etiological model to explain the interaction of depressive disorders and cardiac risk parameters. Both, somatic and behavioural aspects seem to be important. Depressive symptoms are a serious risk factor for CHD-patients demanding for a broad bio-psychosocial treatment conception in cardiac rehabilitation. Most intervention studies have mainly focussed on the reduction of depressive and anxious symptoms in CHD-patients without co-morbid mental disorders. However, for CHD-patients with a co-morbid depressive disorder specific psychotherapeutic and psychopharmacological treatments have proved a reduction in depressive symptoms. This reduction in depression was -- unexpectedly -- not associated with an improved cardiac prognosis. Based on these previous studies the present paper introduces the concept of a combined psychotherapeutic and psychopharmacological intervention for depressed patients in cardiac rehabilitation. Specific characteristics of the patients and of the health care system are taken into consideration. Anticipated difficulties in the psychotherapeutic treatment of depressive CHD-patients are addressed and possible solutions are indicated.

Authors+Show Affiliations

Universität Freiburg, Institut für Psychologie, Abteilung für Rehabilitationspsychologie, Freiburg. mail@juergen-barth.deNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Research Support, Non-U.S. Gov't
Review

Language

ger

PubMed ID

16136445

Citation

Barth, Jürgen, et al. "[Treatment of Patients With Coronary Heart Disease and Depressive Disorders in Rehabilitation]." Psychotherapie, Psychosomatik, Medizinische Psychologie, vol. 55, no. 9-10, 2005, pp. 416-24.
Barth J, Härter M, Paul J, et al. [Treatment of patients with coronary heart disease and depressive disorders in rehabilitation]. Psychother Psychosom Med Psychol. 2005;55(9-10):416-24.
Barth, J., Härter, M., Paul, J., & Bengel, J. (2005). [Treatment of patients with coronary heart disease and depressive disorders in rehabilitation]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 55(9-10), 416-24.
Barth J, et al. [Treatment of Patients With Coronary Heart Disease and Depressive Disorders in Rehabilitation]. Psychother Psychosom Med Psychol. 2005;55(9-10):416-24. PubMed PMID: 16136445.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of patients with coronary heart disease and depressive disorders in rehabilitation]. AU - Barth,Jürgen, AU - Härter,Martin, AU - Paul,Juliane, AU - Bengel,Jürgen, PY - 2005/9/2/pubmed PY - 2005/10/27/medline PY - 2005/9/2/entrez SP - 416 EP - 24 JF - Psychotherapie, Psychosomatik, medizinische Psychologie JO - Psychother Psychosom Med Psychol VL - 55 IS - 9-10 N2 - Depressive disorders in patients with coronary heart disease (CHD) are connected with negative effects on the course of the cardiac disease. Until today there has been no clear etiological model to explain the interaction of depressive disorders and cardiac risk parameters. Both, somatic and behavioural aspects seem to be important. Depressive symptoms are a serious risk factor for CHD-patients demanding for a broad bio-psychosocial treatment conception in cardiac rehabilitation. Most intervention studies have mainly focussed on the reduction of depressive and anxious symptoms in CHD-patients without co-morbid mental disorders. However, for CHD-patients with a co-morbid depressive disorder specific psychotherapeutic and psychopharmacological treatments have proved a reduction in depressive symptoms. This reduction in depression was -- unexpectedly -- not associated with an improved cardiac prognosis. Based on these previous studies the present paper introduces the concept of a combined psychotherapeutic and psychopharmacological intervention for depressed patients in cardiac rehabilitation. Specific characteristics of the patients and of the health care system are taken into consideration. Anticipated difficulties in the psychotherapeutic treatment of depressive CHD-patients are addressed and possible solutions are indicated. SN - 0937-2032 UR - https://www.unboundmedicine.com/medline/citation/16136445/[Treatment_of_patients_with_coronary_heart_disease_and_depressive_disorders_in_rehabilitation]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2005-866902 DB - PRIME DP - Unbound Medicine ER -