Key result
Depression and related psychological factors, including vital exhaustion and Type D personality, are epidemiologically linked to heart disease through various proposed mechanisms.
This review summarizes the epidemiological links and proposed mechanisms connecting depression and related psychological factors with heart disease, alongside evidence for treating depression in cardiac patients.
Supports integrated psychological screening in cardiac care; leaves open whether treating depression improves outcomes in prospective trials.
In this article we review the role of depression and other related psychological factors in heart disease. The prevalence of heart disease in patients with depression is high, and epidemiological links between depression and heart disease are evident in studies of community samples, psychiatric patients, and heart disease patients. We also describe the links between heart disease and related psychological factors-including vital exhaustion, Type A behavior pattern, anger and hostility, and Type D personality-and summarize proposed mechanisms that may link negative affects with heart disease. Finally, we review treatment of depression in heart disease, including evidence from several large clinical trials.
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Kent et al. (2009) conducted a review in Heart disease and depression. Depression and related psychological factors, including vital exhaustion and Type D personality, are epidemiologically linked to heart disease through various proposed mechanisms.
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