Journal of Medical Case Reports and Reviews

an Open Access Publication


Isa Ardahanlı
Bilecik State Hospital, Department of Cardiology.
  • Articles
  • Submited: April 6, 2019
  • Published: May 14, 2019


Cardiovascular diseases (CVD) are a major cause of mortality and morbidity worldwide. Psychosocial factors are important in the development and prognosis of CVD. Psychosocial risk factors such as lack of social support, work and family life stress, depression, anxiety, personality type have been shown to worsen both coronary heart disease development risk and clinical process and prognosis in many studies conducted for many years. In addition, some psychobiological and behavioral mechanisms have been defined. In clinical practice, psychosocial risk factors should be identified and medical outcomes discussed with the patient. Risky patients with clinical symptoms of anxiety and depression should be guided for professional mental health assistance. In cardiac rehabilitation, psychosocial interventions, including cognitive therapy, problem-solving therapy, and stress management programs, can be performed alone or in combination with other interventions.


1. Wong ND. Epidemiological studies of coronary heart disease and the evolution of preventive cardiology. Nat Rev Cardiol 2014; 11:276–289.
2. Mendis, S., Puska, P. &Norrving, B. (Eds) Global Atlas on Cardiovascular Disease Prevention and Control, WHO, 2011.
3. Shapiro PA. Heart disease. In: Levenson JL, editör. Textbook of Psychosomatic Medicine. Washington, DC: The American Psychiatric Publishing; 2005. p. 423- 444
4. Albus C. Psychological and social factors in coronary heart disease. Ann Med 2010;42(7):487-94.
5. Lett HS, Blumenthal JA, Babyak MA, Sherwood A, Strauman T, et al. Depression as a risk factor for coronary artery disease: evidence, mechanisms and treatment. Psychosom Med 2004:66;305-315.
6. Albus C. Psychological and social factors in coronary heart disease. Ann Med 2010;42(7):487-94.
7. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation.1999;99(16):2192-217.
8. Anda R, Williamson D, Jones D, Macera C, Eaker E, Glasman A, Marks J. Depressed affect, hopelessness, and the risk of ischemic heart disease in a cohort of U. S. adults. Epidemiology. 1993;4:285–294.
9. Everson SA, Goldberg DE, Kaplan GA, Cohen RD, Pukkala E, Tuomilehto J, Salonen J. Hopelessness and risk of mortality and incidence of myocardial infarction and cancer. Psychosom Med. 1996;58:113– 121
10. Stoll DP, Csaszar N, Szoke H, Bagdi P. The importance of psychological assesment and support in patients suffering from cardiovascular disease or undergoing cardiac treatment. J Cardiovasc Dis Diagn 2014;2(4);1- 5.
11. Uchino BN. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. J Behav Med. 2006;29(4):377-87.
12. Arthur HM. Depression, isolation, social support, and cardiovascular disease in older adults. J Cardiovasc Nurs 2006; 21:2-7.
13. Lichtman JH, Bigger JT, Blumenthal JA, Frasure-Smith N, Kauffman PG, et al. Depression and coronary heart disease: recommendations for screening, referral and treatment: a science advisory from the American Heart Association Prevention. Council on Clinical Cardiology, Council on Epidemiology and Prevention and Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Psychiatric Association. Circulation, 2008;118:1768-75.
14. Hare DL, Toukhsati SR, Johansson P, Jaarsma T. Clinical update, depression and cardiovascular disease: a clinical review. Eurpean Heart Journal 2013;25:1-11.
15. 34. Tan MP, Morgan K. Psychological interventions in cardiovascular disease: An update. Curr Opin Psychiatry 2015;28(5):371-377.
How to Cite
Ardahanlı, I. (2019). PSYCHOSOCİAL SİTUATİONS İN CARDİOVASCULAR DİSEASES. Jmcrr, 2(5). Retrieved from
Article reviewers