Mental health-related risk factors and interventions in patients with heart failure: a position paper endorsed by the European Association of Preventive Cardiology (EAPC)

Ladwig, Karl-Heinz and Baghai, Thomas C. and Doyle, Frank and Hamer, Mark and Herrmann-Lingen, Christoph and Kunschitz, Evelyn and Lemogne, Cedric and Beresnevaite, Margarita and Compare, Angelo and von Kaenel, Roland and Sager, Hendrik B. and Kop, Willem Johan (2022) Mental health-related risk factors and interventions in patients with heart failure: a position paper endorsed by the European Association of Preventive Cardiology (EAPC). EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 29 (7). pp. 1124-1141. ISSN 2047-4873, 2047-4881

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Abstract

The prevalence and public health burden of chronic heart failure (CHF) in Europe is steadily increasing mainly caused by the ageing population and prolonged survival of patients with CHF. Frequent hospitalizations, high morbidity and mortality rates, and enormous healthcare costs contribute to the health-related burden. However, multidisciplinary frameworks that emphasize effective long-term management and the psychological needs of the patients are sparse. The present position paper endorsed by the European Association of Preventive Cardiology (EAPC) provides a comprehensive overview on the scientific evidence of psychosocial aspects of heart failure (HF). In order to synthesize newly available information and reinforce best medical practice, information was gathered via literature reviews and consultations of experts. It covers the evidence for aetiological and prospective psychosocial risk factors and major underlying psycho-biological mechanisms. The paper elucidates the need to include psychosocial aspects in self-care concepts and critically reviews the current shortcomings of psychotherapeutic and psycho-pharmacological interventions. It also highlights the need for involvement of psychological support in device therapy for patients with HF and finally calls for better palliative care in the final stage of HF progression.

Item Type: Article
Uncontrolled Keywords: ALL-CAUSE MORTALITY; IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS; VENTRICULAR ASSIST DEVICES; COGNITIVE-BEHAVIORAL THERAPY; PALLIATIVE CARE; MYOCARDIAL-INFARCTION; ATHEROSCLEROSIS RISK; DEPRESSIVE SYMPTOMS; DISEASE MANAGEMENT; ANTIDEPRESSANT USE; Heart failure; Psychological Factors; Depression; Anxiety; Palliative Care; Review; Risk Factors; Psychosocial
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 12 Dec 2023 14:41
Last Modified: 12 Dec 2023 14:41
URI: https://pred.uni-regensburg.de/id/eprint/58693

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