The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Psychosocial perspectives in cardiovascular disease
Open accessAbstract
Adaptation to living with cardiovascular disease may differ from patient to patient and is influenced not only by disease severity and limitations incurred by the disease but also by socioeconomic factors (e.g. health literacy), the patients' psychological make-up and susceptibility to distress. Co-morbid depression and/or anxiety is prevalent in 20% of patients with cardiovascular disease, which may be either transient or chronic. Distress, such as depression, reduces adherence, serves as a barrier to behaviour change and the adoption of a healthy lifestyle, and increases the risk that patients drop out of cardiac rehabilitation, impacting on patients' quality of life, risk of hospitalisation and mortality. Hence it is paramount to identify this subset of high-risk patients in clinical practice. This review provides a general overview of the prevalence of selected psychosocial risk factors, their impact on patient-reported and clinical outcomes, and biological and behavioural mechanisms that may explain the association between psychosocial factors and health outcomes. The review also provides recommendations on which self-report screening measures to use to identify patients at high risk due to their psychosocial profile, and the effectiveness of available trials that target these risk factors. Despite challenges and barriers associated with screening of patients combined with appropriate treatment, it is paramount that we treat not only the heart but also the mind in order to improve the quality of care and patient and clinical outcomes.
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“Both a clinical diagnosis and subthreshold levels – often undetected – comprise barriers for lifestyle changes, increase risk of non-adherence, refusal or dropout from cardiac rehabilitation (CR), hospitalisation, and premature death [4–6].”
From Efficacy and cost-effectiveness of a therapist-assisted web-based intervention for depression and anxiety in patients with ischemic heart disease attending cardiac rehabilitation [eMindYourHeart trial]: a randomised controlled trial protocol (2021) · cites this paper as [4]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Both a clinical diagnosis and subthreshold levels – often undetected – comprise barriers for lifestyle changes, increase risk of non-adherence, refusal or dropout from cardiac rehabilitation (CR), hospitalisation, and premature death [4–6].”
From Efficacy and cost-effectiveness of a therapist-assisted web-based intervention for depression and anxiety in patients with ischemic heart disease attending cardiac rehabilitation [eMindYourHeart trial]: a randomised controlled trial protocol (2021) · cites this paper as [4]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Both a clinical diagnosis and subthreshold levels – often undetected – comprise barriers for lifestyle changes, increase risk of non-adherence, refusal or dropout from cardiac rehabilitation (CR), hospitalisation, and premature death [4–6].”
From Efficacy and cost-effectiveness of a therapist-assisted web-based intervention for depression and anxiety in patients with ischemic heart disease attending cardiac rehabilitation [eMindYourHeart trial]: a randomised controlled trial protocol (2021) · cites this paper as [4]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Depression is associated with risk of non-adherence to cardiac rehabilitation (CR) and dropout, inadequate risk factor management, poor quality of life (QoL), increased healthcare costs and premature death.”
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Cites
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2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization
Lawton, J. S., Tamis‐Holland, J. E., Bangalore, S., Bates, E., Beckie, T. M., Bischoff, J. M., Bittl, J. A., Cohen, M. G., DiMaio, J. M., Don, C. W., et al. (2021) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2021.09.006 · Cited by 1,691
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The Importance of Gender to Understand Sex Differences in Cardiovascular Disease
Connelly, P. J., Azizi, Z., Alipour, P., Delles, C., Pilote, L., & Raparelli, V. (2021) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2021.02.005 · Cited by 194
Metadata
- Authors
- Pedersen, S. S., von Känel, R., Tully, P. J., & Denollet, J.
- Affiliations
- University of Southern Denmark (DK)
- Department of Neurology, Inselspital Bern University Hospital and University of Bern, Switzerland
- Université de Bordeaux (FR)
- Tilburg University (NL)
- Corresponding author
- Pedersen, Susanne S
- Venue
- European Journal of Preventive Cardiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-06
- Volume
- 24
- Issue
- 3_suppl
- Pages
- 108-115
- ISSN
- 2047-4873 (ISSN-L)
- 2047-4881
- OpenAlex
- W2625623957
- Cited by
- 210
- References
- 40
- Citations by year
- 2026: 6 · 2025: 17 · 2024: 19 · 2023: 31 · 2022: 33 · 2021: 29 · 2020: 29 · 2019: 23 · 2018: 19 · 2017: 4
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Preventive Cardiology (publishedVersion)
- Tilburg University Research Portal (publishedVersion)
- PubMed (publishedVersion)
- RUNE (Research UNE) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion)
- Figshare (submittedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- cardiovascular disease, psychosocial risk factors, depression, anxiety, distress, health literacy, socioeconomic factors, medication adherence, quality of life, psychosocial screening, biological mechanisms, behavioral mechanisms, patient-reported outcomes
- MeSH terms
- Adaptation, Psychological, Anxiety, Cardiovascular Diseases, Depression, Health Status, Humans, Health Knowledge, Attitudes, Practice, Mental Health, Quality of Life, Risk Factors, Socioeconomic Factors, Stress, Psychological, Health Behavior, Comorbidity, Incidence, Prevalence, Cost of Illness
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