Delirium, depression, and other psychosocial and neurobehavioral issues in cardiovascular disease.
Understanding relevant psychosocial (neural, behavioral, psychiatric) issues is essential to optimal care of individuals who have cardiovascular disorders. Delirium, a condition of diffuse cerebral dysfunction caused by underlying systemic or central nervous system pathology, and often requiring measures of acute neurobehavioral management with nonpharmacological and pharmacological means, in addition to treatment of the underlying medical disorder, often occurs in association with severe cardiovascular disease. Depression is a psychiatric disorder known to be associated with cardiovascular disease. Substantial improvement in understanding the nature of this association has occurred in the past 10 to 20 years, including very preliminary data suggesting that pharmacological treatment with selective serotonin reuptake inhibitor (SSRI) antidepressants might improve postmyocardial infarction cardiac prognosis. Numerous other factors-anxiety, stress, social support, anger, and other personality factors-also are implicated in the relationship of psychosocial issues to cardiovascular disease.
Cameron
Oliver G
OG
Department of Psychiatry, University of Michigan Medical Center, Ann Arbor, MI 48103-9735, USA. ocameron@umich.edu
D002318:Cardiovascular Diseases / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D003693:Delirium / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003863:Depression / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011619:Psychotropic Drugs / Q000009:adverse effects / Q000627:therapeutic use; D012307:Risk Factors
D011619:Psychotropic Drugs