Post-traumatic stress disorder in patients with coronary artery disease: screening and management implications.
OBJECTIVE
To review the literature on anxiety, post-traumatic stress disorder (PTSD) and depression in patients with coronary artery disease (CAD), and to present an approach to diagnosis and treatment.


METHODS
MEDLINE and PsychInfo searches of English-language articles were performed. Search terms included 'anxiety', 'post-traumatic stress disorder' and 'depression', with various cardiac-related subject headings.


RESULTS
Research indicates that anxiety, PTSD and depression occur frequently in patients with CAD, but these psychological problems are rarely identified or treated in the cardiology or primary care setting.


CONCLUSIONS
The present review offers practical recommendations on how to detect and assess anxiety, PTSD and depression in the cardiology or primary care setting. Treatment recommendations are provided, with a focus on pharmacotherapy for anxiety and depressive disorders in patients with CAD.
Department of Psychology, University of Massachusetts Medical School, Worcester, USA. doerfler@assumption.edu
Leonard A
LA
Doerfler
John A
JA
Paraskos
D003324:Coronary Artery Disease / Q000150:complications / Q000523:psychology*; D003866:Depressive Disorder / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000517:prevention & control*