Depression In Coronary Patients Research Articles

Treating Depression in Coronary Patients to Enhance Vocational Functioning

In recent decades, there has been an increasing interest in the relationship between cardiovascular disease (CVD) and depression. Not only has depression emerged as a robust risk factor for CVD onset [1], but depression is common in patients who have experienced a heart event. Evidence suggests that approximately 15% of Myocardial Infarction (MI) patients experience major depression, with another 1520% reporting mild to moderate depressive symptoms [2]. Indeed, MI patients with depression are at increased risk of mortality [3], morbidity and suicide [4]. These patients have also been shown to experience impaired health related quality of life (HRQOL) [5] and poorer CVD risk factor profiles, medication adherence [6], health service utilisation [7] and work outcomes [8]. In fact, depression has also been shown to predict negative return to work outcomes [9], productivity and absenteeism in cardiac populations.

Effects of rehabilitation exercise programmes on anxiety and depression in coronary patients: A meta‐analysis

In coronary patients, emotional disturbances in the sense of increased anxiety and depression have often been documented. Over the last years, there has been a growing interest in the effects of exercise on emotion. This meta-analysis, based on 13 to 15 studies on psychological effects of exercise programmes in coronary patients, showed a positive effect size both for anxiety (dmean = .3137) and depression (dmean = .4569). Nevertheless, these effect sizes have to be evaluated as less than medium by convention and in comparison to the effect size of psychotherapeutic interventions. The effect sizes on anxiety or depression were not related to methodological characteristics of the included studies, like duration of the exercise programme, time chosen for follow-up, publication year or use of control groups. But there was a significantly negative correlation between sample size and effect size. This might indicate a potential publication bias in the sense that significant rather than non-significant results may be published on small subject samples. We concluded that exercise programmes should not be considered the only treatment for emotional disturbances in coronary patients, but that they can be psychologically beneficial as an additional treatment component.

Effect of counselling on anxiety and depression in coronary patients

Effect of counselling on anxiety and depression in coronary patients