Assessment and treatment of depression following myocardial infarction

Thomas Guck, Michael G. Kavan, Gary N. Elsasser, Eugene J. Barone

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

Approximately 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression. Major depression is present in 15 to 22 percent of these patients. Depression is an independent risk factor in the development of and mortality associated with cardiovascular disease in otherwise healthy persons. Persons who are depressed and who have pre-existing cardiovascular disease have a 3.5 times greater risk of death than patients who are not depressed and have cardiovascular disease. Physicians can assess patients for depression by using one of several easily administered and scored self-report inventories, including the SIG E CAPS + mood mnemonic. Cognitive-behavior therapy is the preferred psychologic treatment. Selective serotonin reuptake inhibitor antidepressants are the recommended pharmacologic treatment because of the relative absence of effects on the cardiovascular system. The combination of a selective serotonin reuptake inhibitor with cognitive-behavior therapy is often the most effective treatment for depression in patients with cardiovascular disease.

Original languageEnglish
JournalAmerican Family Physician
Volume64
Issue number4
StatePublished - 2001

Fingerprint

Myocardial Infarction
Depression
Cardiovascular Diseases
Serotonin Uptake Inhibitors
Cognitive Therapy
Therapeutics
Preexisting Condition Coverage
Cardiovascular System
Self Report
Antidepressive Agents
Physicians
Equipment and Supplies
Mortality

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Assessment and treatment of depression following myocardial infarction. / Guck, Thomas; Kavan, Michael G.; Elsasser, Gary N.; Barone, Eugene J.

In: American Family Physician, Vol. 64, No. 4, 2001.

Research output: Contribution to journalArticle

@article{00a94c3365374402892d4cfd480cde05,
title = "Assessment and treatment of depression following myocardial infarction",
abstract = "Approximately 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression. Major depression is present in 15 to 22 percent of these patients. Depression is an independent risk factor in the development of and mortality associated with cardiovascular disease in otherwise healthy persons. Persons who are depressed and who have pre-existing cardiovascular disease have a 3.5 times greater risk of death than patients who are not depressed and have cardiovascular disease. Physicians can assess patients for depression by using one of several easily administered and scored self-report inventories, including the SIG E CAPS + mood mnemonic. Cognitive-behavior therapy is the preferred psychologic treatment. Selective serotonin reuptake inhibitor antidepressants are the recommended pharmacologic treatment because of the relative absence of effects on the cardiovascular system. The combination of a selective serotonin reuptake inhibitor with cognitive-behavior therapy is often the most effective treatment for depression in patients with cardiovascular disease.",
author = "Thomas Guck and Kavan, {Michael G.} and Elsasser, {Gary N.} and Barone, {Eugene J.}",
year = "2001",
language = "English",
volume = "64",
journal = "American Family Physician",
issn = "0002-838X",
publisher = "American Academy of Family Physicians",
number = "4",

}

TY - JOUR

T1 - Assessment and treatment of depression following myocardial infarction

AU - Guck, Thomas

AU - Kavan, Michael G.

AU - Elsasser, Gary N.

AU - Barone, Eugene J.

PY - 2001

Y1 - 2001

N2 - Approximately 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression. Major depression is present in 15 to 22 percent of these patients. Depression is an independent risk factor in the development of and mortality associated with cardiovascular disease in otherwise healthy persons. Persons who are depressed and who have pre-existing cardiovascular disease have a 3.5 times greater risk of death than patients who are not depressed and have cardiovascular disease. Physicians can assess patients for depression by using one of several easily administered and scored self-report inventories, including the SIG E CAPS + mood mnemonic. Cognitive-behavior therapy is the preferred psychologic treatment. Selective serotonin reuptake inhibitor antidepressants are the recommended pharmacologic treatment because of the relative absence of effects on the cardiovascular system. The combination of a selective serotonin reuptake inhibitor with cognitive-behavior therapy is often the most effective treatment for depression in patients with cardiovascular disease.

AB - Approximately 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression. Major depression is present in 15 to 22 percent of these patients. Depression is an independent risk factor in the development of and mortality associated with cardiovascular disease in otherwise healthy persons. Persons who are depressed and who have pre-existing cardiovascular disease have a 3.5 times greater risk of death than patients who are not depressed and have cardiovascular disease. Physicians can assess patients for depression by using one of several easily administered and scored self-report inventories, including the SIG E CAPS + mood mnemonic. Cognitive-behavior therapy is the preferred psychologic treatment. Selective serotonin reuptake inhibitor antidepressants are the recommended pharmacologic treatment because of the relative absence of effects on the cardiovascular system. The combination of a selective serotonin reuptake inhibitor with cognitive-behavior therapy is often the most effective treatment for depression in patients with cardiovascular disease.

UR - http://www.scopus.com/inward/record.url?scp=0034878725&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034878725&partnerID=8YFLogxK

M3 - Article

VL - 64

JO - American Family Physician

JF - American Family Physician

SN - 0002-838X

IS - 4

ER -