Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Nov;73(8):1019-1030.
doi: 10.1037/amp0000239.

Selected psychological comorbidities in coronary heart disease: Challenges and grand opportunities

Karina W Davidson  1 , Carmela Alcántara  1 , Gregory E Miller  2
Affiliations
Review

Selected psychological comorbidities in coronary heart disease: Challenges and grand opportunities

Karina W Davidson et al. Am Psychol. 2018 Nov.

Abstract

Evidence of popular interest in the interrelationships between mind, body, and heart disease dates to Ancient Grecian times and paved the way for modern-day scientific inquiry into the relationships between psychological comorbidities in coronary heart disease. Although the systematic evidence has suggested an association of poor medical prognosis and lower quality of life among patients with coronary heart disease with comorbid psychological conditions, the mechanisms are less well understood. In this selective review article, the epidemiology, mechanisms, screening, and treatment recommendations for 4 common psychological conditions (depression, anxiety, stress, and insomnia) comorbid with coronary heart disease are presented. We focus on the grand challenges and unprecedented opportunities for research in this area considering the methodological and technological innovations of the 21st century. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

PubMed Disclaimer

Figures

Figure
Figure
Unidirectional and Multidirectional Models of Mechanisms Linking Psychological Comorbidities to Coronary Heart Disease
See this image and copyright information in PMC

References

    1. Alcantara C, Muntner P, Edmondson D, Safford MM, Redmond N, Colantonio LD, & Davidson KW (2015). Perfect storm: concurrent stress and depressive symptoms increase risk of myocardial infarction or death. Circulation. Cardiovascular Quality and Outcomes, 8(2), 146–154. doi: 10.1161/circoutcomes.114.001180 - DOI - PMC - PubMed
    1. Alcantara C, Peacock J, Davidson KW, Hiti D, & Edmondson D (2014). The association of short sleep after acute coronary syndrome with recurrent cardiac events and mortality. International Journal of Cardiology, 171(2), e11–12. - PMC - PubMed
    1. Alcantara C, & Davidson KW (2014). Mental Disorders and Coronary Heart Disease Risk: Could the Evidence Elude Us While We Sleep?. Circulation, 129(2), 139–141. 10.1161/CIRCULATIONAHA.113.006515 - DOI - PMC - PubMed
    1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Arlington, VA: American Psychiatric Association.
    1. Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N, & Taylor RS (2016). Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database of Systematic Reviews(1), Cd001800. doi: 10.1002/14651858.CD001800.pub3 - DOI - PMC - PubMed

Publication types

MeSH terms