Coronary heart disease and depression: Getting evidence into clinical practice

Prasuna Reddy; J A Dunbar; M A J Morgan; A O'Neil

doi:10.1002/smi.1201

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Coronary heart disease and depression: Getting evidence into clinical practice

Journal article

Peer reviewed

Coronary heart disease and depression: Getting evidence into clinical practice

Prasuna Reddy, J A Dunbar, M A J Morgan and A O'Neil

Stress and Health, Vol.24(3), pp.223-230

2008

DOI: https://doi.org/10.1002/smi.1201

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Abstract

depression

coronary heart disease comorbidity

collaborative care

clinical pathways

chronic disease management

Clinical guidelines based on systematic reviews of the evidence recommend identification and treatment of patients with coronary heart disease and depression. The evidence shows that depression is an independent risk factor for heart disease, and when present after an acute coronary event, is a predictor of poor prognosis. This paper will describe our experience of getting that evidence into practice using change management based on mapping the processes of the patient's journey through the healthcare system. This allowed identification of the points in the journey where screening and intervention could take place. Cardiac rehabilitation is the intervention point for acute presentation, and primary care has the role in long term follow up of risk factors including depression. Overall, comorbid depression is best managed within a system of collaborative care based on chronic disease management principles. Copyright © 2008 John Wiley & Sons, Ltd.

Details

Title: Coronary heart disease and depression: Getting evidence into clinical practice
Authors: Prasuna Reddy (Author) - Flinders University
J A Dunbar (Author) - Flinders University
M A J Morgan (Author) - Flinders University
A O'Neil (Author) - Flinders University
Publication details: Stress and Health, Vol.24(3), pp.223-230
Publisher: John Wiley & Sons Ltd.
Date published: 2008
DOI: 10.1002/smi.1201
ISSN: 1532-3005
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99451292102621
Output Type: Journal article

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6 Times Cited - Web of Science

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Collaboration types: Domestic collaboration
Web Of Science research areas: Psychiatry; Psychology; Psychology, Applied

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