title: Relationship between depression and medication adherence in cardiovascular disease: the perfect challenge for the integrated care team.
abstract: Many individuals with cardiovascular disease (CVD) experience depression that is associated with poor health outcomes, which may be because of medication nonadherence. Several factors influence medication adherence and likely influence the relationship between depression and medication adherence in CVD patients. This comprehensive study reviews the existing literature on depression and medication adherence in CVD patients, addresses the methods of and problems with measuring medication adherence, and explains why the integrated care team is uniquely situated to improve the outcomes in depressed CVD patients. This paper also explores how the team can collaboratively target depressive symptoms and medication-taking behavior in routine clinical care. Finally, it suggests the limitations to the integrated care approach, identifies targets for future research, and discusses the implications for CVD patients and their families.
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI.
authors.forename: Carly M
authors.initials: CM
authors.lastname: Goldstein
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; Department of Psychological Sciences, Kent State University, Kent, OH.
authors.forename: Emily C
authors.initials: EC
authors.lastname: Gathright
authors.affiliation: Neuropsychology Section, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Garcia
keywords: cardiovascular disease; collaborative care; compliance; electronic monitoring; integrated care; medication adherence; self-management