Ai Amy L, Rollman Bruce L, Berger Candyce S
School of Social Work, University of Pittsburgh, PA 15260, USA.
Health Soc Work. 2010 Feb;35(1):27-38. doi: 10.1093/hsw/35.1.27.
On the basis of current epidemiological and clinical research, this article describes how mental health symptoms are associated with heart disease, a major chronic condition that occurs primarily in middle and late life. The article describes the culturally and historically important link between heart and mind. It then describes depression and anxiety, both as manifestations of heart disease and as contributors to the disease prognosis. In addition to discussing risk factors, the article discusses factors that protect against the co-occurrence of mental health problems and heart disease such as positive attitudes, coping mechanisms, social supports, and spirituality. Further, the article highlights issues concerning the clinical assessment of mental health symptoms and interventions to address them. Finally, it summarizes the collaborative chronic care model, in which health care professionals-including medical, mental health, gerontological, and community social workers-assess and manage patients with comorbid mental health symptoms and heart disease.
基于当前的流行病学和临床研究，本文描述了心理健康症状如何与心脏病相关联，心脏病是一种主要发生在中老年时期的重大慢性疾病。文章阐述了心脏与心理在文化和历史上的重要联系。接着描述了抑郁症和焦虑症，它们既是心脏病的表现形式，也是影响疾病预后的因素。除了讨论风险因素外，本文还讨论了预防心理健康问题与心脏病同时发生的因素，如积极的态度、应对机制、社会支持和精神信仰。此外，文章强调了心理健康症状的临床评估及应对措施等问题。最后，总结了协作式慢性病护理模式，在该模式中，包括医学、心理健康、老年医学和社区社会工作者在内的医护专业人员对患有心理健康症状合并心脏病的患者进行评估和管理。
