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In fact, patients who have anxiety or depression during hospital admission are at increased risk for higher rates of in-hospital complications such as recurrent ischemia, re-infarction and malignant arrhythmias [Zuidersma M, Thombs BD, de Jonge P.Onset and Recurrence of depression as predictors of cardiovascular prognosis in depressed acute coronary syndrome patients: A systematic review Psychother Psychosom 2011; 80: 227-37.].Given the prevalence of anxiety and depression in the general population and in patients with Coronary Heart Disease [CHD], the potential public health impact for preventing the development and progression of CHD by appreciating the nature of the relationship between anxiety, depression and CHD is enormous .Thus, it is clinically relevant in patient with cardiovascular disease to assess the psychological profile and treat emotional conditions that confer an increase risk of major adverse cardiovascular events.In the first part of the article, there is a description of anxiety and depression from the definitions of DSM-IV TR.In the second part, the authors present the available tests and questionnaires to assess depression and anxiety in patients with cardiovascular disease.
Loss of control, vital exhaustion and coronary heart disease: stress, personal control, and health In: Steptoe A, Appels Ad, Eds. It has been well studied in both screening for and follow-up of depression in primary care , fulfilling the need for a quick and reliable depression screening tool.Permission is granted to copy, distribute and/or modify this document under the terms of the GNU Free Documentation License, Version 1.2 or any later version published by the Free Software Foundation; with no Invariant Sections, no Front-Cover Texts, and no Back-Cover Texts.A copy of the license is included in the section entitled GNU Free Documentation License.Anxiety is a negative affective state resulting from an individual’s perception of threat and characterized by a perceived inability to predict, control or gain the preferred results in given situations .Anxiety seemed to be an independent risk factor for incident CHD and cardiac mortality.