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Several recent studies have found that somatic symptoms of depression predict cardiac events in patients with established coronary heart disease but cognitive symptoms of depression do not. However, other studies have not supported this finding, and the research in this area is complicated by methodological differences and inconsistencies in the classification of "cognitive" and "somatic" symptoms. In addition, somatic symptoms are more common than cognitive symptoms in cardiac patients and are often associated with more severe depression. These factors may confound the relationship between somatic symptoms and cardiac outcomes. Some reasons why somatic symptoms may be more common than cognitive symptoms in cardiac patients are considered, as well as whether somatic symptoms are likely to be symptoms of depression or of medical illness. Finally, some directions for future research are proposed.

Titel:	Are somatic symptoms of depression better predictors of cardiac events than cognitive symptoms in coronary heart disease?
Autor/in / Beteiligte Person:	Carney, RM ; Freedland, KE
Zeitschrift:	Psychosomatic medicine, Jg. 74 (2012), Heft 1, S. 33-8
Veröffentlichung:	Hagerstown, MD : Lippincott Williams & Wilkins ; <i>Original Publication</i>: Baltimore [etc.], 2012
Medientyp:	academicJournal
ISSN:	1534-7796 (electronic)
DOI:	10.1097/PSY.0b013e3182405ac4
Schlagwort:	Comorbidity Confounding Factors, Epidemiologic Coronary Disease diagnosis Coronary Disease psychology Data Interpretation, Statistical Depressive Disorder diagnosis Female Health Status Humans Male Prognosis Psychiatric Status Rating Scales statistics & numerical data Psychometrics Recurrence Severity of Illness Index Coronary Disease mortality Depressive Disorder epidemiology Depressive Disorder physiopathology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Language: English [Psychosom Med] 2012 Jan; Vol. 74 (1), pp. 33-8. <i>Date of Electronic Publication: </i>2012 Jan 03. MeSH Terms: Coronary Disease / mortality ; Depressive Disorder / epidemiology ; Depressive Disorder / *physiopathology ; Comorbidity ; Confounding Factors, Epidemiologic ; Coronary Disease / diagnosis ; Coronary Disease / psychology ; Data Interpretation, Statistical ; Depressive Disorder / diagnosis ; Female ; Health Status ; Humans ; Male ; Prognosis ; Psychiatric Status Rating Scales / statistics & numerical data ; Psychometrics ; Recurrence ; Severity of Illness Index References: Health Psychol. 2001 Mar;20(2):112-9. (PMID: 11315728) ; Psychosom Med. 1998 Nov-Dec;60(6):752-8. (PMID: 9847036) ; Circulation. 2002 Mar 5;105(9):1049-53. (PMID: 11877353) ; Am J Psychiatry. 2006 Jan;163(1):138-44. (PMID: 16390901) ; J Affect Disord. 2011 Jun;131(1-3):158-63. (PMID: 21159385) ; Psychol Med. 2010 May;40(5):807-14. (PMID: 19691872) ; Arch Gen Psychiatry. 2007 Feb;64(2):225-33. (PMID: 17283290) ; Am J Psychiatry. 2009 Apr;166(4):410-7. (PMID: 19289455) ; J Affect Disord. 1997 Aug;45(1-2):53-63. (PMID: 9268775) ; Psychosom Med. 2005 May-Jun;67 Suppl 1:S37-41. (PMID: 15953799) ; J Affect Disord. 2006 Aug;94(1-3):231-7. (PMID: 16733070) ; Psychother Psychosom. 2010;79(5):319-20. (PMID: 20689349) ; J Am Coll Cardiol. 2007 May 1;49(17):1824; author reply 1824-5. (PMID: 17466236) ; J Psychosom Res. 2000 Apr-May;48(4-5):379-91. (PMID: 10880660) ; J Clin Psychiatry. 2009 Dec;70(12):1667-73. (PMID: 19646367) ; Biol Psychiatry. 1996 Mar 15;39(6):411-8. (PMID: 8679786) ; J Psychosom Res. 1998 Feb;44(2):241-50. (PMID: 9532553) ; Am J Cardiol. 2003 Dec 1;92(11):1277-81. (PMID: 14636903) ; Am J Psychiatry. 2006 Jul;163(7):1295-6; author reply 1296. (PMID: 16816243) ; Behav Med. 2004 Spring;30(1):35-43. (PMID: 15473631) ; JAMA. 1999 Nov 10;282(18):1737-44. (PMID: 10568646) ; Sleep. 2008 Apr;31(4):481-8. (PMID: 18457235) ; J Health Psychol. 2011 May;16(4):584-95. (PMID: 21346014) ; CNS Spectr. 2010 Jun;15(6):394-404. (PMID: 20625372) ; Psychol Med. 2010 Jan;40(1):41-50. (PMID: 19460188) ; J Affect Disord. 2008 Jan;105(1-3):53-62. (PMID: 17512058) ; Behav Res Ther. 1985;23(2):157-65. (PMID: 4004694) ; J Clin Psychiatry. 2010 Apr;71(4):391-9. (PMID: 20021992) ; Circ Cardiovasc Qual Outcomes. 2009 Jul;2(4):328-37. (PMID: 20031858) ; Ann Behav Med. 2006 Oct;32(2):121-6. (PMID: 16972809) ; J Clin Psychiatry. 2011 May;72(5):598-604. (PMID: 21535996) ; Int J Behav Med. 2005;12(1):30-8. (PMID: 15743734) ; J Am Coll Cardiol. 2010 Sep 7;56(11):838-44. (PMID: 20813281) ; Am J Psychiatry. 2008 Dec;165(12):1543-50. (PMID: 18765482) ; JAMA. 1989 Sep 15;262(11):1479-84. (PMID: 2769898) ; Psychosom Med. 2010 Nov;72(9):874-81. (PMID: 20841558) ; Psychosom Med. 2000 Nov-Dec;62(6):790-5. (PMID: 11138998) ; Psychosom Med. 1999 Nov-Dec;61(6):729-37. (PMID: 10593621) ; Acta Psychiatr Scand. 2000 Nov;102(5):359-65. (PMID: 11098808) ; Arch Gen Psychiatry. 2009 May;66(5):499-507. (PMID: 19414709) ; J Consult Clin Psychol. 1986 Jun;54(3):328-33. (PMID: 3722561) ; Circulation. 2008 Oct 21;118(17):1768-75. (PMID: 18824640) ; J Psychosom Res. 2004 Jan;56(1):119-23. (PMID: 14987973) ; Psychiatry Res. 2011 May 15;187(1-2):121-4. (PMID: 21216475) ; J Psychosom Res. 1991;35(4-5):535-44. (PMID: 1681098) ; Int J Psychiatry Med. 1992;22(3):221-9. (PMID: 1487385) ; J Psychosom Res. 2007 Apr;62(4):455-61. (PMID: 17383497) ; Psychosom Med. 1996 Mar-Apr;58(2):99-110. (PMID: 8849624) ; Am J Epidemiol. 1997 Jul 15;146(2):105-14. (PMID: 9230772) ; Arch Gen Psychiatry. 2003 Jun;60(6):627-36. (PMID: 12796226) ; J Psychosom Res. 2010 Feb;68(2):121-30. (PMID: 20105694) ; Am J Med. 2008 Nov;121(11 Suppl 2):S20-7. (PMID: 18954589) Grant Information: R01 HL089336 United States HL NHLBI NIH HHS; R01 HL089336-01A2 United States HL NHLBI NIH HHS; R01 HL08933601A2 United States HL NHLBI NIH HHS Entry Date(s): Date Created: 20120106 Date Completed: 20120424 Latest Revision: 20211021 Update Code: 20240513 PubMed Central ID: PMC3254789

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Are somatic symptoms of depression better predictors of cardiac events than cognitive symptoms in coronary heart disease?