Cross-disciplinary cardiovascular and psychiatric recommendations: A systematic review of clinical guidelines.

IF 1.3 4区 医学 Q4 PSYCHIATRY
Marina Delli Colli, Kyle T Greenway, Michael Goldfarb
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引用次数: 0

Abstract

IntroductionIndividuals with serious mental illness (SMI), including major depression, schizophrenia, and bipolar disorder, experience disproportionately high rates of cardiovascular (CV) risk and disease. Despite this well-established connection, it remains unclear how professional society guidelines across cardiology and psychiatry address this relationship.MethodsMajor American and European CV and psychiatric society guidelines published from 2013-2023 were reviewed. Included were guidelines on primary and secondary CV disease prevention, and disease-specific guidelines for schizophrenia, bipolar disorder, and major depressive disorder. Relevant text was extracted and classified as recommendations or supporting text.ResultsTwenty-six guidelines were included (13 CV; 13 psychiatric). Psychiatric considerations appeared in 5 CV guidelines (38%), most commonly addressing mental illness treatment to improve CV outcomes (n = 5), pharmacological considerations (n = 2), and recognition of mental illness as a CV risk factor (n = 2). Only 13% of American CV guidelines included psychiatric content, compared to 80% of European CV guidelines. In contrast, 10 psychiatric guidelines (77%) included CV-related recommendations, including CV screening (n = 16), pharmacological considerations (n = 8), and risk factor control (n = 7). Among psychiatric guidelines, 40% of U.S. and 100% of European documents included CV content.ConclusionsCV considerations are more frequently addressed in psychiatric than psychiatric considerations in CV guidelines. European guidelines showed greater cross-disciplinary integration. These findings highlight the need for more unified, interdisciplinary guidance to reduce CV risk in individuals with SMI.

跨学科心血管和精神病学建议:临床指南的系统回顾。
患有严重精神疾病(SMI)的个体,包括重度抑郁症、精神分裂症和双相情感障碍,经历了不成比例的高心血管(CV)风险和疾病发生率。尽管这种联系已经确立,但目前尚不清楚心脏病学和精神病学的专业协会指南如何处理这种关系。方法回顾2013-2023年美国和欧洲主要的CV和精神病学学会指南。包括原发性和继发性心血管疾病预防指南,以及精神分裂症、双相情感障碍和重度抑郁症的疾病特异性指南。提取相关文本并将其分类为建议或支持文本。结果共纳入26条指南(13条CV;13精神)。精神病学方面的考虑出现在5份CV指南中(38%),最常见的是通过精神疾病治疗来改善CV结果(n = 5),药理学方面的考虑(n = 2),以及将精神疾病视为CV危险因素(n = 2)。美国CV指南中只有13%包含精神病学内容,而欧洲CV指南中有80%。相比之下,10份精神病学指南(77%)包含CV相关建议,包括CV筛查(n = 16)、药理学考虑(n = 8)和危险因素控制(n = 7)。在精神病学指南中,40%的美国和100%的欧洲文献包含CV内容。结论在CV指南中,scv因素在精神病学中比在精神病学中更常被提及。欧洲的指导方针显示出更大的跨学科整合。这些发现强调需要更统一的跨学科指导来降低重度精神分裂症患者的心血管风险。
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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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