Universität zu Köln

Albus, C., Waller, C., Fritzsche, K., Gunold, H., Haass, M., Hamann, B., Kindermann, I., Koellner, V., Leithaeuser, B., Marx, N., Meesmann, M., Michal, M., Ronel, J., Scherer, M., Schrader, V., Schwaab, B., Weber, C. S. and Herrmann-Lingen, C. (2018). Significance of psychosocial factors in cardiology-Update 2018. Position paper of the German Cardiac Society. Kardiologe, 12 (5). S. 312 - 332. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1864-9726

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Abstract

Psychosocial factors in cardiovascular diseases are increasingly acknowledged by patients, healthcare providers and payer organizations. Due to the rapidly increasing body of evidence the German Society for Cardiology commissioned an update of its 2013 position paper on this topic. This position paper provides a synopsis of the state of knowledge regarding psychosocial factors in the most relevant cardiovascular diseases and gives recommendations with respect to their consideration in clinical practice. Psychosocial factors such as low socioeconomic status, acute and chronic stress, depression, anxiety and lack of social support are associated with an increased risk of diseases and an unfavorable prognosis. Psychosocial problems and mental comorbidities should be assessed routinely to initiate targeted diagnostics and treatment. For all patients, treatment should consider age and sex-specific differences as well as individual patient preferences. Multimodal treatment concepts should comprise education, physical exercise, motivational counselling and relaxation training or stress management. In cases of mental comorbidities, basic psychosomatic treatment and psychotherapeutic interventions by primary care providers or cardiologists, regular psychotherapy and/or medication should be offered. While these interventions have positive effects on psychological symptoms, robust evidence for possible effects on cardiac outcomes is still lacking. For coronary heart disease, chronic heart failure, arterial hypertension, and some arrhythmias there is robust evidence supporting the relevance of psychosocial factors, pointing to a need for considering them in cardiological care; however, there are still shortcomings in implementing psychosocial treatment and prognostic effects of psychotherapy and psychotropic drugs remain uncertain. There is a need for enhanced provider education and more treatment trials.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Albus, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Waller, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fritzsche, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gunold, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Haass, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamann, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kindermann, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koellner, V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Leithaeuser, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Marx, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Meesmann, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Michal, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ronel, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Scherer, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schrader, V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwaab, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, C. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Herrmann-Lingen, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-173768
DOI:	10.1007/s12181-018-0271-4
Journal or Publication Title:	Kardiologe
Volume:	12
Number:	5
Page Range:	S. 312 - 332
Date:	2018
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1864-9726
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CORONARY-HEART-DISEASE; QUALITY-OF-LIFE; COGNITIVE-BEHAVIORAL THERAPY; IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS; POSTTRAUMATIC-STRESS-DISORDER; ACUTE MYOCARDIAL-INFARCTION; RISK-FACTORS; SCIENTIFIC STATEMENT; ATRIAL-FIBRILLATION; EUROPEAN-SOCIETY Multiple languages Cardiac & Cardiovascular Systems Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17376