Screening for Emotional Distress in Patients with Cardiovascular Disease

Curr Cardiol Rep. 2023 Oct;25(10):1165-1174. doi: 10.1007/s11886-023-01936-0. Epub 2023 Aug 23.

Abstract

Purpose of review: In this article, we discuss the relationship between emotional distress and common cardiovascular disease condition, including coronary artery disease, atrial fibrillation, congestive heart failure, mechanical circulatory support, and heart transplant. We review screening measures that have been studied and used in clinical practice for each condition, as well as priorities for future research.

Recent findings: Studies consistently demonstrate failing to identify and treat emotional distress in patients with cardiovascular disease is associated with adverse outcomes. However, routine emotional distress screening is not formally recommended for all cardiovascular disease conditions and is limited to depression screening in select patient populations. Future research should focus on evaluating the validity and reliability of standardized screening measures across the scope of emotional distress in patients with or at risk for cardiovascular disease. Other areas of future research include implementation of evidence-based pharmaceutical treatments and integrated behavioral health approaches and interventions.

Keywords: Cardiovascular disease; Emotional stress; Mental health; Screening.

Publication types

  • Review

MeSH terms

  • Atrial Fibrillation* / diagnosis
  • Cardiovascular Diseases* / diagnosis
  • Emotions
  • Humans
  • Psychological Distress*
  • Reproducibility of Results