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Review on depression and coronary heart disease.
Arch Cardiovasc Dis. 2013 Feb; 106(2):103-10.AC

Abstract

The impact of psychological factors on somatic disorders - and vice versa - and the involvement of biological mechanisms in psychic disorders have generated considerable interest in recent years, notably thanks to cutting-edge investigation techniques (immunohistochemistry, functional imaging, genetics, etc.). In the field of psychosomatics, coronary heart disease (CHD) is a frequent co-morbidity of mental disorders, particularly mood disorders. Indeed, there is a bidirectional relationship between CHD and mood disorders, with a strong co-occurrence of the two diseases accompanied by a reciprocal worsening of the prognosis for the two conditions. Various epidemiological studies have shown that depression is a psychic risk factor for CHD and that CHD is present in almost 30% of patients with affective disorders. In this review of the literature, we tackle the crucial question of the diagnosis of depression during myocardial infarction. This clinical approach is essential given the underevaluation of this psychic problem. Then, various psychological, biological and genetic arguments are presented in support of the hypothesis that various aetiological mechanisms of the two disorders are partly shared. We finally deal with the treatment of depression in the context of CHD with its pharmacological and psychological specificities. In conclusion, this review reiterates the need for a multidisciplinary approach, which is necessary to understand, diagnose and then treat this frequent co-morbid condition of heart disease and depression.

Authors+Show Affiliations

Service de psychiatrie et addictologie, centre hospitalier universitaire de Dijon, hôpital Général, 3, rue du Faubourg-Raines, 21000 Dijon, France. jean-christophe.chauvet-gelinier@chu-dijon.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

23527914

Citation

Chauvet-Gélinier, Jean-Christophe, et al. "Review On Depression and Coronary Heart Disease." Archives of Cardiovascular Diseases, vol. 106, no. 2, 2013, pp. 103-10.
Chauvet-Gélinier JC, Trojak B, Vergès-Patois B, et al. Review on depression and coronary heart disease. Arch Cardiovasc Dis. 2013;106(2):103-10.
Chauvet-Gélinier, J. C., Trojak, B., Vergès-Patois, B., Cottin, Y., & Bonin, B. (2013). Review on depression and coronary heart disease. Archives of Cardiovascular Diseases, 106(2), 103-10. https://doi.org/10.1016/j.acvd.2012.12.004
Chauvet-Gélinier JC, et al. Review On Depression and Coronary Heart Disease. Arch Cardiovasc Dis. 2013;106(2):103-10. PubMed PMID: 23527914.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Review on depression and coronary heart disease. AU - Chauvet-Gélinier,Jean-Christophe, AU - Trojak,Benoit, AU - Vergès-Patois,Bénédicte, AU - Cottin,Yves, AU - Bonin,Bernard, Y1 - 2013/02/01/ PY - 2012/08/20/received PY - 2012/12/13/revised PY - 2012/12/17/accepted PY - 2013/3/27/entrez PY - 2013/3/27/pubmed PY - 2013/9/17/medline SP - 103 EP - 10 JF - Archives of cardiovascular diseases JO - Arch Cardiovasc Dis VL - 106 IS - 2 N2 - The impact of psychological factors on somatic disorders - and vice versa - and the involvement of biological mechanisms in psychic disorders have generated considerable interest in recent years, notably thanks to cutting-edge investigation techniques (immunohistochemistry, functional imaging, genetics, etc.). In the field of psychosomatics, coronary heart disease (CHD) is a frequent co-morbidity of mental disorders, particularly mood disorders. Indeed, there is a bidirectional relationship between CHD and mood disorders, with a strong co-occurrence of the two diseases accompanied by a reciprocal worsening of the prognosis for the two conditions. Various epidemiological studies have shown that depression is a psychic risk factor for CHD and that CHD is present in almost 30% of patients with affective disorders. In this review of the literature, we tackle the crucial question of the diagnosis of depression during myocardial infarction. This clinical approach is essential given the underevaluation of this psychic problem. Then, various psychological, biological and genetic arguments are presented in support of the hypothesis that various aetiological mechanisms of the two disorders are partly shared. We finally deal with the treatment of depression in the context of CHD with its pharmacological and psychological specificities. In conclusion, this review reiterates the need for a multidisciplinary approach, which is necessary to understand, diagnose and then treat this frequent co-morbid condition of heart disease and depression. SN - 1875-2128 UR - https://www.unboundmedicine.com/medline/citation/23527914/Review_on_depression_and_coronary_heart_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1875-2136(13)00006-5 DB - PRIME DP - Unbound Medicine ER -