Posttraumatic stress disorder: a missed link between psychiatric and cardiovascular morbidity?

CNS Spectrums
G CotterEyal Shemesh

Abstract

Posttraumatic stress disorder (PTSD) symptoms may develop as a result of an acute, life-threatening traumatic event. Such acute events are quite common in patients with cardiovascular illnesses (ie, a myocardial infarction, acute exacerbations of heart failure or edema). Indeed, PTSD symptoms have been described in a substantial minority of patients who had such events (10% to 25%), and have been shown to be associated with medical morbidity and with non-adherence to medications. This review summarizes available information about these symptoms in patients with cardiovascular illnesses. It also describes the importance of recognizing PTSD as a distinct psychiatric disorder (that can be addressed by specific treatments) and as an important compounding factor in studies of psychopathology in cardiovascular patients. In particular, an argument is made that the understanding of depressive disorders in patients with cardiovascular illnesses should incorporate conceptual and treatment information from the emotional trauma literature if indeed depressive and anxiety disorders are to be successfully treated in these patients. The authors conclude with a description of the challenges and promise of an effort to implement a clinical prog...Continue Reading

References

Mar 26, 1982·JAMA : the Journal of the American Medical Association
Jul 8, 1999·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·M A DewB P Griffith
Apr 19, 2000·JAMA : the Journal of the American Medical Association·K BradyG M Farfel
Dec 1, 2001·The American Journal of Psychiatry·R D MarshallR Zaninelli
Jan 11, 2002·The New England Journal of Medicine·Rachel Yehuda
Jul 26, 2002·The Psychiatric Clinics of North America·Rachel Yehuda
Aug 10, 2002·JAMA : the Journal of the American Medical Association·Alexander H GlassmanUNKNOWN Sertraline Antidepressant Heart Attack Randomized Trial (SADHEART) Group
Sep 21, 2002·Lancet·Richard Gist, Grant J Devilly
Sep 21, 2002·Lancet·Arnold A P van EmmerikPaul M G Emmelkamp
May 27, 2003·The Medical Journal of Australia·Alexander C McFarlane
Jun 7, 2003·Psychotherapy and Psychosomatics·Suzanna RoseSimon Wessely
Jun 19, 2003·JAMA : the Journal of the American Medical Association·Lisa F BerkmanUNKNOWN Enhancing Recovery in Coronary Heart Disease Patients Investigators (ENRICHD)
Jul 2, 2003·The British Journal of Psychiatry : the Journal of Mental Science·Simon Wessely, Martin Deahl
Oct 7, 2003·Heart & Lung : the Journal of Critical Care·Susanne Schmidt PedersenMogens Lytken Larsen
Feb 5, 2004·American Heart Journal·Gad CotterAbraham Kornberg
Nov 27, 2004·Psychosomatic Medicine·Jürgen BarthChristoph Herrmann-Lingen
Dec 2, 2005·The Journal of Nervous and Mental Disease·Ulfert HapkeChristian Meyer

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Citations

Dec 10, 2015·Pediatric Transplantation·C SupelanaE Shemesh
Sep 6, 2020·Paediatric Drugs·Bianca R CampagnaRachel A Annunziato
Aug 30, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Eyal Shemesh
Jan 1, 2009·International Journal of Psychiatry in Medicine·Chiara C AbbasRoland von Känel
Apr 21, 2011·Circulation. Arrhythmia and Electrophysiology·Samuel F SearsJamie B Conti
Mar 14, 2018·Clinical Cardiology·Peter OfmanCatherine R Rahilly-Tierney
Dec 28, 2019·Pediatric Transplantation·Rachel A AnnunziatoEyal Shemesh
Oct 28, 2015·The Journal of Pediatrics·Eyal ShemeshRachel A Annunziato

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