Depression, isolation, social support, and cardiovascular disease in older adults
Abstract
Research evidence related specifically to psychosocial issues in older adults with cardiovascular disease remains sparse; however, widespread recognition of the impact of the changing population demographic is spurring new research in this important area. National guidelines for cardiac rehabilitation and secondary prevention in several countries include recommendations related to psychosocial issues; authors are beginning to address the older cardiac patient in their recommendations. The purpose of this article is to highlight some key psychosocial factors that have been independently associated with coronary heart disease but to do so with a focus on the older adult in the secondary prevention setting. The selected psychosocial factors are social support, social isolation, and depression. Although evidence supports a relationship between psychosocial factors and coronary heart disease, the issue addressed in this article is whether such relationships hold true in the older adult and whether rehabilitation and secondary prevention interventions are targeted to address these factors. As much as possible, current recommendations (related to psychosocial issues) from worldwide Clinical Practice Guidelines are highlighted. Finally, any examination of psychosocial factors and coronary heart disease must consider the possibility of sex and/or gender differences. Therefore, a commentary on reported differences between men and women with respect to social support, social isolation, and depression is included.
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Non-systematic reviews have identified similar findings with respect to increased risk of mortality, cardiovascular disease and outcomes, and mental health, with less evidence for other physical health conditions and behaviours.
“Non-systematic reviews have identified similar findings with respect to increased risk of mortality 59-64 , cardiovascular disease and outcomes 62, 65-72 , mental health 61, 62, 64, 73-90 , with less evidence for other physical health conditions and behaviours 72, 76, 80, 91-93 .”
From An overview of systematic reviews on the public health consequences of social isolation and loneliness (2017) · cites this paper as [67]
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- Authors
- Arthur, H. M.
- Affiliations
- Heart and Stroke Foundation (CA)
- Corresponding author
- Arthur, Heather M.
- Venue
- The Journal of Cardiovascular Nursing
- Published
- 2006-09
- Volume
- 21
- Issue
- 5 Suppl 1
- Pages
- S2-S7
- ISSN
- 0889-4655 (ISSN-L)
- OpenAlex
- W2074994993
- Cited by
- 70
- References
- 33
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 1 · 2022: 2 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 3 · 2013: 4 · 2012: 4
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Cardiovascular Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- depression, social isolation, social support, cardiovascular disease, older adults, coronary artery disease, secondary prevention, cardiac rehabilitation, psychosocial factors, sex differences, gender differences
- MeSH terms
- Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Cardiovascular Diseases, Depression, Female, Humans, Male, Quality of Life, Risk Factors, Sex Factors, Social Isolation, Social Support, Global Health, Comorbidity
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