From Feeling Blue to Clinical Depression: Exploring the Pathogenicity of Depressive Symptoms and Their Management in Cardiac Practice
Abstract
From the Department of Medicine, Division of Cardiovascular Medicine, University of Florida, Malcom Randall VA Medical Center, Gainesville, Florida D.S.S.); and the Division of Cardiology, St. Luke's–Roosevelt Hospital Center, and the Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY (A.R.). Address correspondence and reprint requests to David S. Sheps, MD, MSPH, Department of Medicine, Division of Cardiovascular Medicine, University of Florida, Malcom Randall VA Medical Center, Gainesville, FL 32610-0277. E-mail: [email protected] Accepted for publication March 18, 2005. In accordance with CME accreditation guidelines, author David S. Sheps disclosed that he has served on the speakers' bureau for Pfizer. Alan Rozanski disclosed no real or potential conflicts of interest.
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Chronic persistent psychological distress can lead to increased sympathetic tone, decreased vagal tone, decreased heart rate variability, and increased arterial stiffness and endothelial dysfunction.
“Chronic persistent psychological distress can also lead to increased sympathetic tone, decreased vagal tone, decreased heart rate variability, and increased arterial stiffness and endothelial dysfunction. 120-123”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [122]
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The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice
Rozanski, A., Blumenthal, J. A., Davidson, K. W., Saab, P. G., & Kubzansky, L. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2004.12.005 · Cited by 1,238 · cited 1× · see citing works
“Why have we chosen to do one now? Evidence is growing that a variety of psychosocial factors are strongly linked to coronary artery disease (CAD), including such factors as depression, poor social support, low socioeconomic status, and various forms of chronic stress (1).”
BackgroundSelf-citationPharmacologic Treatment of Depression in Patients With Heart Disease
Roose, S. P., & Miyazaki, M. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000163455.43226.bf · Cited by 76 · see citing works
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Levine, G. N., Cohen, B. E., Commodore-Mensah, Y., Fleury, J., Huffman, J. C., Khalid, U., Labarthe, D. R., Lavretsky, H., Michos, E. D., Spatz, E. S., et al. (2021) · Circulation · doi:10.1161/cir.0000000000000947 · Cited by 865 · see citing works
Anxiety disorders and comorbid medical illness
Roy-Byrne, P. P., Davidson, K. W., Kessler, R. C., Asmundson, G. J. G., Goodwin, R. D., Kubzansky, L., Lydiard, R. B., Massie, M. J., Katon, W., Laden, S. K., et al. (2008) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2007.12.006 · Cited by 668 · see citing works
- Authors
- Sheps, D. S., & Rozanski, A.
- Affiliations
- St. Luke's-Roosevelt Hospital Center (US)
- Corresponding author
- Sheps, David S.
- ORCID
- Rozanski, Alan
- Venue
- Psychosomatic Medicine
- Published
- 2005-05
- Volume
- 67
- Pages
- S2-S5
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2000352426
- Cited by
- 23
- References
- 2
- Citations by year
- 2021: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2013: 2 · 2012: 2
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depressive symptoms, major depressive disorder, depression treatment, cardiac patients, cardiovascular depression
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