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Published VersionCC BY V4.0, Open Access
Journal article
Management of depression in patients with coronary artery disease: A systematic review
Asian Journal of Psychiatry, Vol.83, pp.1-15
2023
PMID: 36871435
Abstract
Depression is an independent risk factor for coronary artery disease (CAD). Both illnesses contribute significantly to the global burden of disease. This systematic literature review examines treatment interventions for CAD patients with comorbid depression. We systematically reviewed The Cochrane Library, MEDLINE, EMBASE, PsycINFO, PUBMED, CINAHL and the ISRCTN Registry for English language randomised control trials investigating treatment interventions for depression in adults with CAD and comorbid depression. Data extracted included author name(s), year published, number of participants, enrolment criteria, depression definition/measures (standardised interviews, rating scales), description of control arms and interventions (psychotherapy and/or medications), randomisation, blinding, follow up duration, follow up loss, depression scores and medical outcome. The database search revealed 4464 articles. The review yielded 19 trials. Antidepressant and/or psychotherapy did not significantly influence CAD outcomes in the overall population. There was no difference between antidepressant use and aerobic exercises. Psychological interventions and pharmacological interventions provide small effect on depression outcomes in CAD patients. Patient autonomy in choice of treatment is associated with greater depression treatment satisfaction, but the majority of studies are underpowered. More research is required to explore the role of neurostimulation treatment, complementary and alternative treatments.
Details
- Title
- Management of depression in patients with coronary artery disease: A systematic review
- Authors
- Wole Akosile (Corresponding Author) - The University of QueenslandBabangida Tiyatiye (Author) - The University of Western AustraliaDavid Colquhoun (Author) - The University of QueenslandRoss Young (Author) - University of the Sunshine Coast, Queensland, Office of the Deputy Vice-Chancellor (Research and Innovation)
- Publication details
- Asian Journal of Psychiatry, Vol.83, pp.1-15
- Publisher
- Elsevier BV
- Date published
- 2023
- DOI
- 10.1016/j.ajp.2023.103534
- ISSN
- 1876-2026; 1876-2018
- PMID
- 36871435
- Copyright note
- © 2023 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- Organisation Unit
- Office of the Deputy Vice-Chancellor (Research and Innovation)
- Language
- English
- Record Identifier
- 99711298502621
- Output Type
- Journal article
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- Psychiatry
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