Depression in patients with heart disease: the case for more trials
Open accessAbstract
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.
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- Authors
- Liu, S. S., & Ziegelstein, R. C.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Ziegelstein, Roy C
- ORCID
- Ziegelstein, Roy C
- Venue
- Future Cardiology
- Publisher
- Informa UK Limited
- Published
- 2010-07
- Volume
- 6
- Issue
- 4
- Pages
- 547-556
- ISSN
- 1479-6678 (ISSN-L)
- 1744-8298
- PMC
- PMC2926794
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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