January 1, 2013Frontiers in PsychologyOpen Access

Social support, depression, and heart disease: a ten year literature review

Q: What is the clinical evidence from this study?

Study design: Review. Population: Heart disease. Intervention: Social support and marital status vs. Low social support or unmarried status. Primary outcome: Cardiac prognosis and adverse outcomes.

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Key result

Low social support, being unmarried, and depression are independent and significant risk factors for poor cardiac prognosis in patients with heart disease.

Why the study?

Does low social support and depression increase poor prognosis in patients with heart disease?

Structured PICO

Does low social support and depression increase poor prognosis in patients with heart disease?

Population

Patients with heart disease (including congestive heart failure, sudden cardiac arrest, acute myocardial infarction, and coronary heart disease) across 5 studies (3 prospective cohorts, 1 case-control, 1 RCT).

Intervention

Low social support, being unmarried, and depression

Comparator

High social support, being married, and absence of depression

Outcome

Poor cardiac prognosis (including mortality, morbidity, sudden cardiac arrest, and incident CHD)hard clinical

Depressive symptoms and the absence of social or marital support are significant, independent risk factors for poor prognosis in cardiac patients, highlighting the need for psychosocial assessment in cardiac rehabilitation.

Limitations

The majority of studies did not focus on the quality of marital or social relationships, but assessed only the presence of marital status or social relationship.
Lack of adequate control groups in some included studies.
High gender imbalance in some included studies.
Use of a single-item scale to assess loneliness in one of the studies.
Majority of studies did not focus on the quality of marital or social relationships, assessing only the presence of marital status or social relationship
Lack of adequate control groups in some studies
High gender imbalance in some studies
Use of a single-item scale for assessment in some studies

Discussion

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Implication

May inform psychosocial risk assessment in heart disease; leaves open whether interventions targeting these factors improve outcomes.

Cite This Study

Compare et al. (2013) conducted a review in Heart disease. Social support and marital status vs. Low social support or unmarried status was evaluated on Cardiac prognosis and adverse outcomes. Low social support, being unmarried, and depression are independent and significant risk factors for poor cardiac prognosis in patients with heart disease.

synapsesocial.com/papers/6a0ffb082badbc352aff14c3 https://doi.org/10.3389/fpsyg.2013.00384

Topics

Coronary artery disease

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Social support, depression, and heart disease: a ten year literature review

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Topics

Social support, depression, and heart disease: a ten year literature review

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider