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Supportive Care in Heart Failure$
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James Beattie and Sarah Goodlin

Print publication date: 2008

Print ISBN-13: 9780198570288

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198570288.001.0001

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Depression and Anxiety in Patients With Chronic Heart Failure

Depression and Anxiety in Patients With Chronic Heart Failure

Chapter:
(p.273) Chapter 15 Depression and Anxiety in Patients With Chronic Heart Failure
Source:
Supportive Care in Heart Failure
Author(s):

David Bekelman

Mark D. Sullivan

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198570288.003.0015

This chapter summarizes research concerning the assessment, epidemiology, and management of depression and anxiety in patients with chronic heart failure (HF). It starts by emphasizing the measurement, assessment, and diagnosis of depression and anxiety through structured diagnostic interviews and self-report measures. Specifically, it describes the challenges in the diagnosis of depression given that some symptoms of depression may be due to symptoms from HF (such as sleep disturbance, appetite, and weight changes). It also makes recommendations about how to screen for depression in HF. It then discusses the epidemiology of depression and anxiety in HF, including incidence and prevalence. Next, it reports the risk factors for depression and anxiety in HF as well as complications and outcomes. It introduces a conceptual model of risk factors and outcomes that describes the relationship between depression/anxiety and HF health status and the mediators of this relationship. Finally, it evaluates the management of depression and anxiety in HF using psychological and pharmacological modalities.

Keywords:   chronic heart failure, depression, anxiety, diagnosis, sleep disturbance, appetite, weight changes, epidemiology, conceptual model

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