Cited by 15Cardiac Health and Mental HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

Depression in patients with heart disease: the case for more trials

Open access
Liu, Stanley S, Ziegelstein, Roy C·2010·Future Cardiology

Abstract

Depression is common among patients with heart disease. It is an important comorbidity, both because of its well-known effect on the quality of life and also because it has a significant impact on the ability of patients with heart disease to engage in healthy behaviors and to avoid unhealthy ones. In addition, depression is associated with increased morbidity and mortality in those with established cardiovascular disease. However, no study has demonstrated that treatment of depression improves cardiac outcomes in patients with heart disease. Some have argued that additional trials are not necessary, and that the importance of depression argues for increased recognition and treatment even if it cannot be demonstrated that this improves morbidity and mortality. This article makes the case for more trials in this area, highlighting the importance of using the results of prior trials to generate hypotheses and provide directions for future studies in this area and noting the effect that demonstrating improved survival might have on clinical practice.

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  • Interventions not informed by consumer preferences are associated with poor treatment retention and low efficacy.

    “are not informed by consumer preferences, which is associated with poor treatment retention and low efficacy45 46”

    From Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme (2022) · cites this paper as [46]

    The section “Studying different methods of delivering depression treatment” (page unavailable) says collaborative care considers patients’ preferences and reports improved outcomes, but it does not compare care that ignores preferences or link it to retention or efficacy. The passages on adherence and treatment effects likewise do not establish that association; searches for patient preferences, retention, and efficacy found no passage that does. (LLM, conf=0.72)

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  1. [56]Glassman AH Bigger JT Jr Gaffney M Psychiatric characteristics associated with long-term mortality among 361 patients having an acute coronary syndrome and major depression. Seven-year follow-up of SADHART participants Arch. Gen. Psychiatry 2009 66 1022 1029 19736359

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Authors
Liu, S. S., & Ziegelstein, R. C.
Affiliations
Johns Hopkins University (US)
Corresponding author
Ziegelstein, Roy C
Venue
Future Cardiology
Published
2010-07
Volume
6
Issue
4
Pages
547-556
ISSN
  • 1479-6678 (ISSN-L)
  • 1744-8298
OpenAlex
W2162401843
Cited by
15
References
57
Citations by year
2024: 1 · 2022: 1 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 1 · 2014: 2 · 2013: 1 · 2012: 1
FWCI
0.21
Type
journal article
Language
en
Open access
Locations
  • Future Cardiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Center for Complementary and Alternative Medicine and by the Miller Family Scholar Program (R24AT004641)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
depression, heart disease, cardiovascular comorbidity, depression treatment, cardiac outcomes, mortality, morbidity, quality of life, health behavior, clinical trials
MeSH terms
Clinical Trials as Topic, Depression, Depressive Disorder, Heart Diseases, Humans, Comorbidity

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