Cardiovascular diseases and community mental health

İbrahim Topuz, Ayşe Topuz
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Abstract

Cardiovascular diseases (CVDs) are cited as the deadliest of illnesses. Their incidence and prevalence around the world are steadily rising. CVDs are the cause of approximately one-third of all deaths in the world. It has been stated in empirical studies over the years that poor socioeconomic status, the lack of social support, stress at work and in the family, depression, and psychosocial risk factors such as anxiety and feelings of hostility aggravate the risk of developing coronary heart disease and also worsen the clinical course and prognosis. Additionally, psychobiological, and behavioral mechanisms have been identified in this context. Psychosocial risk factors should be identified in clinical practice and medical results shared with individuals with CVDs, who should also be screened for anxiety, stress, and stress management, as well as for symptoms of depression. Individuals at risk or who are diagnosed as displaying symptoms of anxiety and depression should be referred to psychiatric professionals to ensure that they receive assistance. Cardiac rehabilitation may involve psychosocial interventions that include cognitive behavioral therapy, problem-solving therapy, and stress management programs, applied on their own or together with other interventions. The aim of this review article is to examine CVDs and community mental health, determine which applications may be adopted as standard practice in this context, and raise awareness about this topic among the public and especially among health professionals. 
心血管疾病与社区心理健康
心血管疾病(CVD)被认为是最致命的疾病。其发病率和流行率在全球稳步上升。心血管疾病造成的死亡人数约占全球总死亡人数的三分之一。多年来的实证研究表明,社会经济地位低下、缺乏社会支持、工作和家庭压力、抑郁以及焦虑和敌意等心理社会风险因素会增加患冠心病的风险,并使临床病程和预后恶化。此外,在这方面还发现了心理生物学和行为学机制。在临床实践中应识别社会心理风险因素,并与心血管疾病患者分享医疗结果,还应对他们进行焦虑、压力和压力管理以及抑郁症状的筛查。有焦虑和抑郁风险或被诊断出有焦虑和抑郁症状的患者应转诊至精神科专业人员,以确保他们得到帮助。心脏康复可能涉及社会心理干预,包括认知行为疗法、问题解决疗法和压力管理计划,可单独使用,也可与其他干预一起使用。这篇综述文章旨在研究心血管疾病和社区心理健康,确定哪些应用可作为这方面的标准实践,并提高公众尤其是医疗专业人员对这一主题的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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