Psychosocial considerations in elderly patients with heart failure.
Neuropsychiatric conditions, such as Alzheimer's dementia, and complications, such as delirium, are common in elderly patients with heart failure. Persistent alcohol abuse and cigarette smoking sometimes contribute to the onset and progression of heart failure. Major depression and other depressive disorders are common in this population and have adverse effects on functional status, quality of life, and prognosis. Anxiety and social isolation are clinically significant problems in many cases. These problems often are treatable and deserve more clinical attention than they typically receive.
Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri 63108, USA.
K E
KE
Freedland
R M
RM
Carney
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D001008:Anxiety Disorders / Q000209:etiology*; D015897:Comorbidity; D003704:Dementia / Q000209:etiology*; D003866:Depressive Disorder / Q000209:etiology*; D006333:Heart Failure / Q000150:complications* / Q000523:psychology*; D006801:Humans; D011379:Prognosis; D011788:Quality of Life; D012934:Social Isolation; D012944:Social Support; D019966:Substance-Related Disorders / Q000209:etiology*