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Psychological Adjustment to Cardiac Disease

What You May Take Away. How people make sense of CHDHow people adjust to CHDHow people can be helped to self-manage their condition. Coronary Heart Disease (CHD) and psychological variables. Anxiety and depression are common in patients following MIPrevalence of major depression of around 20% in

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Psychological Adjustment to Cardiac Disease

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    1. Psychological Adjustment to Cardiac Disease Dr. Andrea Papitsch-Clark Department of Clinical Health Psychology The Hillingdon Hospital andrea.papitsch-clark@thh.nhs.uk

    2. What You May Take Away How people make sense of CHD How people adjust to CHD How people can be helped to self-manage their condition

    3. Coronary Heart Disease (CHD) and psychological variables Anxiety and depression are common in patients following MI Prevalence of major depression of around 20% in coronary patients, with a higher incidence in women (Frasure-Smith et al., 1995) Strong suggested link between depression and impaired recovery (Hemingway and Marmot, 1999)

    4. CHD and psychological variables II Less data available on the effects of anxiety on recovery from a cardiac event, but similar negative consequences may apply. Anxiety may be associated with poorer self-reported outcomes (Grace et al., 2004) Anxiety and depression frequently co-occur

    5. Anxiety and CHD Some anxiety immediately after a cardiac event is understandable However, anxiety in itself can cause physical sensations: feeling sick, rapidly beating heart, feeling faint, breathless-ness, dry mouth, tense muscles; wanting to escape from a situation, avoiding activities, feeling that you have a serious illness…

    6. Cardiac Misconceptions Why do people who have regained their health after a cardiac event remain afraid and functionally restricted? Cardiac misconceptions: unhelpful ideas/misconceptions/myths about coronary artery disease “My heart is worn out”, “Stress and excitement kill”, “Heart disease is always fatal” Changing these unhelpful ideas (eg. through rehabilitation) can help psychological adjustment

    7. Cognitive-Behavioural Model

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