Older patients' views on the relationship between depression and heart disease.

摘要: Background and Objectives—Longitudinal studies have found evidence of associations between coronary heart disease clinical depression. We sought to understand older patients' views regarding relationships depression facilitate patient-provider communication about lay the groundwork for designing interventions. Methods—The design was a qualitative study using semi-structured interviews. In all, 33 primary care patients 65 years over with dysphoria, anhedonia, hopelessness, worthlessness, or sleep disturbance who were taking at least one medication targeting cardiovascular risk factors interviewed in office their clinician. Participants asked open-ended questions treatment. A multidisciplinary research team coded transcripts identified key themes. Results—Participants gave clear descriptions how can lead disease. supported treating immediately context generally preferred integrated care. Conclusions—Depression treatment may be more acceptable if discussed terms overall risk. Our results support integration management Cardiovascular is associated depression, an independent factor 1,2 Given prevalence both setting, 3 researchers called development interventions 4,5 To develop intervention that will patients, we need ways which conceptualize Evidence suggests take into account patient understandings illness appropriate improved outcomes. 6,7 Indeed, beliefs been predict help-seeking behavior, evaluation suitability, choices, engagement adherence 8,9 Causal attributions are self-ratings medical recommendations behavior change. 10