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[Comorbidity of depressive disorders and cardiovascular diseases. Implications for diagnosis, pharmaco- and psychotherapy].
- Source :
-
Der Nervenarzt [Nervenarzt] 2002 Mar; Vol. 73 (3), pp. 205-17; quiz 218. - Publication Year :
- 2002
-
Abstract
- Controlled studies and meta-analyses show not only that depression and cardiovascular disease often occur together, but that depressive illnesses are an independent risk factor in the development and the progression of coronary heart disease. It can be difficult to distinguish between reactive mood disturbance after myocardial infarction and depressive episodes that may have preceded the infarction and which require treatment. Due to this difficulty, depressive disorders are rarely diagnosed, and only a minority of patients receive adequate treatment. However, owing to the introduction of new antidepressants in recent years, the number of treatment options has increased. Specifically, selective serotonin reuptake inhibitors (SSRI) offer a valuable alternative to tricyclic antidepressants, which are problematic in heart disease. The authors describe on the one hand controlled studies of SSRIs and discuss differential therapeutic consequences. On the other hand, studies of psychotherapeutic interventions in comorbid patients with depression and coronary heart disease are reported. Finally, the authors discuss which psychotherapeutic interventions may be suitable.
- Subjects :
- Antidepressive Agents adverse effects
Antidepressive Agents therapeutic use
Combined Modality Therapy
Comorbidity
Coronary Disease psychology
Depressive Disorder diagnosis
Depressive Disorder therapy
Drug Interactions
Humans
Myocardial Infarction psychology
Psychotherapy
Selective Serotonin Reuptake Inhibitors adverse effects
Selective Serotonin Reuptake Inhibitors therapeutic use
Coronary Disease epidemiology
Depressive Disorder epidemiology
Myocardial Infarction epidemiology
Subjects
Details
- Language :
- German
- ISSN :
- 0028-2804
- Volume :
- 73
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Der Nervenarzt
- Publication Type :
- Academic Journal
- Accession number :
- 11963256
- Full Text :
- https://doi.org/10.1007/s001150101168