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Cited by 610Cardiac Health and Mental HealthHeart Failure Treatment and ManagementAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 117 of the 118 references it cites were found in a registry or an index.

Depression and anxiety in heart failure: a review.

Open access
Celano, Christopher M., Villegas, Ana C., Albanese, Ariana M., Gaggin, Hanna K., Huffman, Jeff C.·2018·Harvard Review of Psychiatry
DOI 10.1097/hrp.0000000000000162PMC PMC6042975
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Abstract

LEARNING OBJECTIVES: After participating in this activity, learners should be better able to:• Identify the relationships between depression, anxiety, and heart failure (HF).• Assess methods for accurately diagnosing depression and anxiety disorders in patients with HF.• Evaluate current evidence for treatment of anxiety and depression in patients with HF. BACKGROUND: In patients with heart failure (HF), depression and anxiety disorders are common and associated with adverse outcomes such as reduced adherence to treatment, poor function, increased hospitalizations, and elevated mortality. Despite the adverse impact of these disorders, anxiety and depression remain underdiagnosed and undertreated in HF patients. METHODS: We performed a targeted literature review to (1) identify associations between depression, anxiety, and HF, (2) examine mechanisms mediating relationships between these conditions and medical outcomes, (3) identify methods for accurately diagnosing depression and anxiety disorders in HF, and (4) review current evidence for treatments of these conditions in this population. RESULTS: Both depression and anxiety disorders are associated with the development and progression of HF, including increased rates of mortality, likely mediated through both physiologic and behavioral mechanisms. Given the overlap between cardiac and psychiatric symptoms, accurately diagnosing depression or anxiety disorders in HF patients can be challenging. Adherence to formal diagnostic criteria and utilization of a clinical interview are the best courses of action in the evaluation process. There is limited evidence for the efficacy of pharmacologic and psychotherapy in patients with HF. However, cognitive-behavioral therapy has been shown to improve mental health outcomes in patients with HF, and selective serotonin reuptake inhibitors appear safe in this cohort. CONCLUSIONS: Depression and anxiety disorders in HF patients are common, underrecognized, and linked to adverse outcomes. Further research to improve detection and develop effective treatments for these disorders in HF patients is badly needed.

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Metadata

Authors
Celano, C. M., Villegas, A. C., Albanese, A. M., Gaggin, H. K., & Huffman, J. C.
Affiliations
Harvard University (US)
Corresponding author
Celano, Christopher M.
ORCID
Venue
Harvard Review of Psychiatry
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2018-07
Volume
26
Issue
4
Pages
175-184
ISSN
  • 1067-3229 (ISSN-L)
  • 1465-7309
DOI
10.1097/hrp.0000000000000162
PMC
PMC6042975
OpenAlex
W2810982760
Cited by
610
References
118
Citations by year
2026: 71 · 2025: 76 · 2024: 97 · 2023: 99 · 2022: 102 · 2021: 76 · 2020: 76 · 2019: 10 · 2018: 3
FWCI
7.69
Type
journal article
Language
en
Open access
Locations
  • Harvard Review of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Heart, Lung, and Blood Institute (K23HL123607, R01HL113272)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
heart failure, depression, anxiety disorders, comorbidities, depression diagnosis, anxiety diagnosis, cognitive behavioral therapy, selective serotonin reuptake inhibitors, antidepressant safety, medication adherence, mortality, hospitalization, psychotherapy
MeSH terms
Anxiety Disorders, Depressive Disorder, Heart Failure, Humans, Comorbidity

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