title: Heart Disease and Depression: Is Culture a Factor?
abstract: OBJECTIVE
  This article seeks to review and discuss the evidence linking depression, coronary heart disease (CHD), and culture.
  
  
  METHODS
  PsychInfo, CINAHL, PubMed, and Google were searched for pertinent evidence linking depression, culture, and CHD, and retrieved articles were analyzed using thematic content analysis.
  
  
  RESULTS
  Identified themes were the followings: depression is a factor in development and prognosis of CHD and affects the capacity to self-manage and adhere to treatment recommendations; culture mediates mental health/illness representations and treatment-seeking behaviors; screening and assessment of depression can be affected by cultural factors; and there is a need for culturally appropriate screening and therapeutic strategies.
  
  
  CONCLUSIONS
  As depression is a predictor and moderating variable in the genesis and progression of CHD, understanding how factors such as culture affect screening and management of the disease is important to inform the development of culturally and linguistically competent strategies that ensure accurate screening, detection, and treatment of depression in cardiac patients in clinical practice.
authors.affiliation: University of Technology, Sydney, New South Wales, Australia gholizadeh.leila@gmail.com.
authors.forename: Leila
authors.initials: L
authors.lastname: Gholizadeh
authors.affiliation: Johns Hopkins University, Baltimore, USA.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Davidson
authors.affiliation: University of Technology, Sydney, New South Wales, Australia.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Heydari
authors.affiliation: University of Western Sydney, Sydney, New South Wales, Australia.
authors.forename: Yenna
authors.initials: Y
authors.lastname: Salamonson
mesh_terms: D000328:Adult; D003466:Cultural Characteristics; D003863:Depression / Q000523:psychology*; D006331:Heart Diseases / Q000523:psychology*; D006801:Humans
keywords: cardiovascular; culture; depression; heart disease; psychiatric/mental health; transcultural health