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冠心病相关的特定心理共病:挑战与重大机遇。

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

机构信息

Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center.

Department of Psychology, Northwestern University.

出版信息

Am Psychol. 2018 Nov;73(8):1019-1030. doi: 10.1037/amp0000239.

DOI:10.1037/amp0000239
PMID:30394780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6478390/
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).

摘要

公众对心身疾病之间相互关系的兴趣可追溯到古希腊时代,为现代科学探究冠心病中心理合并症之间的关系铺平了道路。尽管系统证据表明冠心病合并心理疾病的患者预后不良和生活质量较低,但机制尚不清楚。在这篇选择性综述文章中,介绍了冠心病合并常见心理疾病(抑郁、焦虑、压力和失眠)的流行病学、机制、筛查和治疗建议。我们着眼于 21 世纪方法学和技术创新带来的这一领域研究的巨大挑战和前所未有的机遇。(PsycINFO 数据库记录(c)2018 APA,保留所有权利)。

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