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15 - Cardiorespiratory disorders

from Part III - Working with specific units

Published online by Cambridge University Press:  10 December 2009

By
Christopher Bass
Edited by
Geoffrey Lloyd  and
Elspeth Guthrie
Geoffrey Lloyd
Affiliation:
Priory Hospital, London
Elspeth Guthrie
Affiliation:
University of Manchester
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Summary

Introduction

This chapter attempts to describe how psychosocial factors influence both cardiovascular and respiratory diseases. This will include an exploration of not only the ways in which psychosocial factors contribute to ‘disease risk’, but also the psychological consequences of disorders such as coronary heart disease (CHD) and chronic obstructive pulmonary disease (COPD). Psychosocial aspects of the transplantation of major organs will also be described. Only brief mention will be made of other topics such as non-cardiac chest pain and hyperventilation, which will be dealt with elsewhere (Chapter 7).

Cardiovascular disorders

Coronary heart disease

Around one-quarter of all deaths among men and one-fifth of all deaths of women in Britain are due to CHD. Among women the proportion is relatively stable throughout the adult years, whilst in men it peaks among 55–64-year-olds, for whom CHD accounts for a third of all deaths. The National Health Service in England deals with around 200 000 inpatient episodes due to CHD for men and 100 000 for women each year, representing around 5% of all hospital inpatient episodes for men and 3% for women. In addition, there are about 30 million work days lost due to certified incapacity for CHD among men and over 4 million among women each year in Britain (Ness & Davey-Smith 2003).

Coronary heart disease rates in Britain increased from the beginning of the century until the 1980s for men, but since the late 1970s CHD mortality has declined steadily in both men and women.

Keywords

cardiovascular diseasechronic obstructive pulmonary diseasecoronary heart diseaseheart transplantationrespiratory diseaselung transplantationpsychosocial factor
Type
Chapter
Information
Handbook of Liaison Psychiatry , pp. 365 - 389
Publisher: Cambridge University Press
Print publication year: 2007

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References

Abelson, J., Weg, J., Nesse, R., et al. (2001). Persistent respiratory irregularity in patients with panic disorder. Biological Psychiatry, 49, 588–95.Google Scholar
Alloway, R. (1987). The buffer theory of social support; a review of the literature. Psychological Medicine, 17, 91–108.Google Scholar
Baker, D. (1934). Sighing respiratory as a symptom. Lancet, i, 174–7.Google Scholar
Bass, C. (1997). Hyperventilation syndrome: a chimera?Journal of Psychosomatic Research, 42, 421–6.Google Scholar
Barbey, J. and Roose, S. (1998). SSRI safety in overdose. Journal of Clinical Psychiatry, 59 (Suppl. 15), 42–8.Google Scholar
Berkman, L. F., Blumenthal, J., Burg, M., et al. (2003). Enhancing Recovery in Coronary Heart Disease Patients Investigators (ENRICHD). Effects of treating depression and low perceived social support on clinical events after myocardial infarction: the Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD). Journal of the American Medical Association, 289, 3106–16.Google Scholar
Blau, J., Wiles, C. and Solomon, F. (1989). Unilateral somatic symptoms due to hyperventilation. British Medical Journal, 286, 1108.Google Scholar
Bosma, H., Marmot, M., Hemingway, H., et al. (1997). Low job control and risk of coronary heart disease in the Whitehall II (prospective cohort) study. British Medical Journal, 314, 588–65.Google Scholar
Bosma, H., Peter, R., Siegrist, J., et al. (1998). Alternative job stress models and the risk of coronary heart disease: the effort–reward imbalance model and the job strain model. American Journal of Public Health, 88, 68–74.Google Scholar
Brown, G. and Harris, T. (1999). Life Events and Illness. London: Guildford Press.
Bucher, H. C. (1994). Social support and prognosis following first angiocardial infarction. Journal of General Internal Medicine, 9, 409–17.Google Scholar
Burns, B. and Howell, J. (1969). Disproportionately severe breathlessness in chronic bronchitis. Quarterly Journal of Medicine, 38, 277–94.Google Scholar
Carr, R. (1998). Panic disorder and asthma: causes, effects and research implications. Journal of Psychosomatic Research, 44, 43–52.Google Scholar
Carr, R. E., Lehrer, P., Rausch, L., et al. (1994). Anxiety sensitivity and panic attack in an asthmatic population. Behaviour Research and Therapy, 32, 411–18.Google Scholar
Checkley, S. (1996). The neuroendocrinology of depression and chronic stress. British Medical Bulletin, 52, 597–617.Google Scholar
Cooper, A., Lloyd, G., Weinman, J., et al. (1999). Why patients do not attend rehabilitation: role of intentions and illness beliefs. Heart, 82, 234–6.Google Scholar
Craske, M., Rowe, M., Lewin, M., et al. (1997). Interoceptive exposure versus breathing retraining within cognitive behavioural therapy for panic disorder with agoraphobia. British Journal of Clinical Psychology, 36, 85–99.Google Scholar
Creed, F. (1999). The importance of depression following myocardial infarction. Heart, 82, 406–8.Google Scholar
Davies, S. J., Ghahramani, P., Jackson, P., et al. (1999). Association of panic disorder and panic attacks with hypertension. American Journal of Medicine, 107, 310–16.Google Scholar
Davies, S., Jackson, P. and Ramsey, L. (2001). Dysfunctional breathing and asthma. Panic disorder needs to be considered. British Medical Journal, 323, 631.Google Scholar
Davies, S., Jackson, P., Potokar, J., et al. (2004). Treatment of anxiety and depressive disorders in patients with cardiovascular disease. British Medical Journal, 328, 939–43.Google Scholar
Guire, S., Gervitz, R., Kawahara, Y., et al. (1992). Hyperventilation syndrome and the assessment of treatment for functional cardiac symptoms. American Journal of Cardiology, 70, 673–7.Google Scholar
Guire, S., Gervitz, R., Hawkinson, D., et al. (1996). Breathing retraining: a three year follow up study of treatment for hyperventilation syndrome and associated functional cardiac symptoms. Biofeedback and Self Regulation, 21, 191–8.Google Scholar
Ruiter, C., Ryken, H., Barssen, B., et al. (1989). Breathing retraining, exposure and a combination of both in the treatment of panic disorder with agoraphobia. Behaviour Research and Therapy, 27, 647–55.Google Scholar
Demeter, S. and Cordasco, E. (1986). Hyperventilation syndrome and asthma. American Journal of Medicine, 81, 989–94.Google Scholar
Department of Health. (2000). National Service Framework for Coronary Heart Disease. London: Department of Health.
Dickens, C. M., Percival, C., McGowan, L., et al. (2004a). The risk factors for depression in first myocardial infarction patients. Psychological Medicine, 34, 1083–92.Google Scholar
Dickens, C. M., McGowan, L., Percival, C., et al. (2004b). Lack of a close confidant, but not depression, predicts further cardiac events after myocardial infarction. Heart, 90, 518–22.Google Scholar
Dickens, C., McGowan, L., Percival, C., et al. (2005). Association between depressive episode before first myocardial infarction and worse cardiac failure following infarction. Psychosomatics, 46, 523–8.Google Scholar
Empana, J. P., Sykes, D. H., Luc, G., et al., PRIME Study Group. (2005). Contributions of depressive mood and circulating inflammatory markers to coronary heart disease in healthy European men: the Prospective Epidemiological Study of Myocardial Infarction (PRIME). Circulation, 111, 2299–305.Google Scholar
Endicott, J. (1984). Measurement of depression in patients with cancer. Cancer, 53, 2243–9.Google Scholar
Farney, R., Lugo, A., Jensen, R., et al. (2004). Simultaneous use of antidepressant and hypertensive medications increase the likelihood of diagnosis of obstructive sleep apnea syndrome. Chest, 125, 1279–85.Google Scholar
Ford, D. E. and Mead, L. A. (1998). Depression is a risk factor for coronary artery disease in men: the precursors study. Archives of Internal Medicine, 158, 1422–6.Google Scholar
Frasure-Smith, N., Lesperance, F., Prince, R., et al. (1991). Randomised trial of home-based psychological nursing intervention for patients recovering from myocardial infarction. Lancet, 350, 473–9.Google Scholar
Frasure-Smith, N., Lesperance, F. and Talajic, M. (1995). Depression and 18 month prognosis after myocardial infarction. Circulation, 91, 999–1005.Google Scholar
Gabbay, F. H., Krantz, D. S., Kop, W. J., et al. (1996). Triggers of myocardial ischaemia during daily life in patients with coronary artery disease: physical and mental activities, anger, and smoking. Journal of the American College of Cardiology, 27, 585–92.Google Scholar
Gardner, W. N. and Bass, C. (1986). Hyperventilation in clinical practice. British Journal of Hospital Medicine, 41, 73–81.Google Scholar
Gardner, W. N., Meah, M. and Bass, C. (1986). Controlled study of respiratory responses during prolonged measurement in patients with chronic hyperventilation. Lancet, 8511, 826–30.Google Scholar
Glynn, C., Lloyd, J. and Folkhard, S. (1981). Ventilatory response to chronic pain. Pain, 11, 201–11.Google Scholar
Goodwin, R. D. and Hamilton, S. P. (2002). Cigarette smoking and panic: the role of neuroticism. American Journal of Psychiatry, 159, 1208–13.Google Scholar
Goodwin, R. D. and Pine, D. S. (2002). Respiratory disease and panic attacks among adults in the United States. Chest, 122, 645–50.Google Scholar
Guell, R., Casan, P., Belda, J., et al. (2000). Long-term effects of out-patient rehabilitation of COPD: a randomised trial. Chest, 117, 976–83.Google Scholar
Haines, A. P., Imeson, J. D. and Meade, T. W. (1987). Phobic anxiety and ischaemic heart disease. British Medical Journal, 295, 297–9.Google Scholar
Han, J., Stegen, K., Valck, C., et al. (1996). Influence of breathing therapy on complaints, anxiety and breathing pattern in patients with hyperventilation syndrome. Journal of Psychosomatic Research, 41, 481–93.Google Scholar
Han, J., Stegen, K., Simkens, K., et al. (1997). Unsteadiness of breathing in patients with hyperventilation syndrome and anxiety disorders. European Respiratory Journal, 10, 167–76.Google Scholar
Haynes, R., Sackett, D., Taylor, D., et al. (1978). Increased absenteeism from work after detection and labelling of hypertensive patients. New England Journal of Medicine, 299, 741–4.Google Scholar
Hemingway, H. and Marmot, M. (1999). Psychosocial factors in the aetiology and prognosis of coronary heart disease: a systematic review of prospective studies. British Medical Journal, 318, 1460–7.Google Scholar
Hippisley-Cox, J., Fielding, K. and Pringle, M. (1998). Depression as a risk factor for ischaemic heart disease in men: population based case-control study. British Medical Journal, 316, 1714–18.Google Scholar
Hornsfeld, H., Garssen, B., Dop, M., et al. (1996). Double-blind placebo-controlled study of the hyperventilation provocation test and live validity of the hyperventilation syndrome. Lancet, 348, 154–8.Google Scholar
Howell, J. B. (1990). Behavioural breathlessness. Thorax, 45, 287–9Google Scholar
Howell, J. B. (1997). The hyperventilation syndrome: a syndrome under threat?Thorax, 52 (Suppl. 3), 530–4.Google Scholar
Isles, C. (2003). Prevalence, epidemiology, and pathophysiology of hypertension. In Oxford Textbook of Medicine, ed. Warrell, D., Cox, T., Firth, J., et al., 4th edn. Oxford: Oxford University Press, pp. 1151–60.
Johnson, M., Foulkes, J., Johnson, D., et al. (1999). Impact on patients and partners of inpatient and extended cardiac counselling and rehabilitation: a controlled trial. Psychosomatic Medicine, 61, 225–33.Google Scholar
Jones, D. and West, R. (1996). Psychological rehabilitation after myocardial infarction, multicentre randomised controlled trial. British Medical Journal, 313, 1517–21.Google Scholar
Karajgi, B., Rifkin, A., Doddi, S., et al. (1990). The prevalence of anxiety disorders in patients with chronic obstructive pulmonary disease. American Journal of Psychiatry, 147, 200–1.Google Scholar
Kuh, D. and Ben-Shlomo, Y. ed. (1997). A Life-Course Approach to Chronic Disease Epidemiology. Oxford: Oxford University Press.
Ladwig, K., Roll, G., Breithardt, G., et al. (1994). Post-infarction depression and incomplete recovery 6 months after acute myocardial infarction. Lancet, 343, 20–3.Google Scholar
Lesperance, F. and Frasure-Smith, N. (1996). Negative emotions and coronary heart disease: getting to the heart of the matter. Lancet, 347, 415–16.Google Scholar
Lewin, R., Roberson, I. H., Cay, E., et al. (1992). Effects of self-help post-myocardial infarction rehabilitation on psychological adjustment and use of health services. Lancet, 316, 1036–40.Google Scholar
Lewin, R., Thompson, D. and Taylor, R. (2000). Cardiac rehabilitation. European Heart Journal, 21, 860–1.Google Scholar
Lloyd, G. and Cawley, R. (1983). Distress or illness? A study of psychological symptoms after myocardial infarction. British Journal of Psychiatry, 142, 120–5.Google Scholar
MacDonald, L., Sackett, D., Haynes, R., et al. (1984). Labelling in hypertension: a review of the behavioural and psychological consequences. Journal of Chronic Disease, 37, 933–42.Google Scholar
MacNee, W. (2003). Chronic obstructive pulmonary disease. In Oxford Textbook of Medicine, ed. Warrell, D, Cox, T, Firth, J, et al., 4th edn. Oxford: Oxford University Press, pp. 1377–96.
Mai, F. (1993). Psychiatric aspects of heart transplantation. British Journal of Psychiatry, 163, 285–92.Google Scholar
Malmberg, L. P., Tamminen, K. and Sovijarvi, A. R. (2000). Orthostatic increase of respiratory gas exchange in hyperventilation syndrome. Thorax, 55, 295–301.Google Scholar
Marmot, M. and Batley, M. (2002). Social class and coronary heart disease. In Stress and the Heart, ed. Stansfeld, S and Marmot, M. London: BMJ Books, pp. 5–19.
Martikainen, P. T. and Valkonen, T. (1996). Excess mortality of unemployed men and women during a period of rapidly increasing unemployment. Lancet, 348, 909–12.Google Scholar
Mayou, R. (1984). Prediction of social and emotional outcome after heart attack. Journal of Psychosomatic Research, 28, 17–25.Google Scholar
Mayou, R., Thompson, D., Clements, A., et al. (2002). Guideline-based early rehabilitation after myocardial infarction: a pragmatic randomised controlled trial. Journal of Psychosomatic Research, 52, 89–95.Google Scholar
Miller, T. Q., Smith, T. W., Turner, C. W., et al. (1996). A meta-analytic review of research on hostility and physical health. Psychological Bulletin, 119, 322–48.Google Scholar
Mittelman, M. A., McClure, M., Sherwood, J. B., et al. (1995). Triggering of acute myocardial infarction onset by episodes of anger. Circulation, 92, 1720–5.Google Scholar
Morgan, A., Peck, D., Buchanan, D., et al. (1983). Psychological factors contributing to disproportionate disability in chronic bronchitis. Journal of Psychosomatic Research, 27, 259–63.Google Scholar
Mosterd, A., Agestine, R., Silbershatz, H., et al. (1999). Trends in the prevalence of hypertension, antihypertensive therapy and left ventricular hypertrophy from 1950–1989. New England Journal of Medicine, 340, 1221–7.Google Scholar
Musselman, D., Evans, D. and Nemeroff, C. (1998). The relationship of depression to cardiovascular disease. Archives of General Psychiatry, 55, 580–92.Google Scholar
Ness, A. and Davey-Smith, G. (2003). The epidemiology of ischaemic heart disease. In Oxford Textbook of Medicine, ed. Warrell, D, Cox, T, Firth, J, et al., 4th edn. Oxford: Oxford University Press, pp. 909–20.
O'Sullivan, G., Harvey, I., Bass, C., et al. (1992). Psychophysiological investigations of patients with unilateral symptoms in the hyperventilation syndrome. British Journal of Psychiatry, 161, 664–7.Google Scholar
Petrie, K., Weinman, J., Sharpe, N., et al. (1996). Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study. British Medical Journal, 3112, 1191–4.Google Scholar
Petrie, K., Cameron, L., Ellis, C., et al. (2002). Changing illness perceptions following myocardial infarction, an early intervention randomised controlled trial. Psychosomatic Medicine, 64, 580–6.Google Scholar
Porzelius, J., Vest, M. and Nochomovitz, M. (1992). Respiratory function, cognitions, and panic in chronic obstructive pulmonary patients. Behaviour Research and Therapy, 30, 75–7.Google Scholar
Rumsfeld, J. S., Jones, P. G., Whooley, M. A., et al. (2005). Depression predicts mortality and hospitalization in patients with myocardial infarction complicated by heart failure. American Heart Journal, 150, 961–7.Google Scholar
Rutter, B. (1977). Some psychological concomitants of chronic bronchitis. Psychological Medicine, 7, 459–64.Google Scholar
Rutter, B. (1979). The prognostic significance of psychological factors in the management of chronic bronchitis. Psychological Medicine, 9, 63–70.Google Scholar
Scharloo, M., Kaptein, A., Weinman, J., et al. (2000). Physical and psychological correlates of functioning in patients with chronic obstructive pulmonary disease. Journal of Asthma, 37, 17–29.Google Scholar
Schmidt, N., Woolaway-Bictel, K., Trakowski, J., et al. (2000). Dismantling cognitive behavioural treatment for panic disorder: questioning the utility of breathing retraining. Journal of Consulting and Clinical Psychology, 68, 417–24.Google Scholar
Schneiderman, N., Saab, P. G., Catellier, D. J., et al. ENRICHD. (2004). Psychosocial treatment within sex by ethnicity subgroups in the Enhancing Recovery in Coronary Heart Disease clinical trial. Psychosomatic Medicine, 66, 475–83.Google Scholar
Shimbo, D., Davidson, K. W., Haas, D. C., et al. (2005). Negative impact of depression on outcomes in patients with coronary artery disease: mechanisms, treatment considerations, and future directions. Journal of Thrombosis & Haemostasis, 3, 897–908.Google Scholar
Smoller, J., Pollack, M., Systrom, D., et al. (1998). Sertraline effect on dyspnoea in patient with obstructive airway disease. Psychosomatics, 39, 24–9.Google Scholar
Spinhoven, P., Ros, M., Westgeest, A., et al. (1994). The prevalence of respiratory disorders in panic disorder, major depressive disorder and V-code patients. Behaviour Research and Therapy, 32, 647–9.Google Scholar
Spitzer, R., Williams, J., Sibbon, M., et al. (1992). The Structured Clinical Interview for DSM-III-R(SCID): history, rationale, and description. Archives of General Psychiatry, 49, 624–9.Google Scholar
ten Brinke, A., Ouwerkerk, M., Zwinderman, A., et al. (2001). Psychopathology in patients with severe asthma is associated with increased heath care utilization. American Journal of Respiratory Critical Care Medicine, 163, 1093–6.Google Scholar
Thomas, M., McKinley, R., Freeman, E., et al. (2001). Prevalence of dysfunctional breathing in patients treated for asthma in primary care; a cross sectional survey. British Medical Journal, 322, 1098–100.
Thomas, M., McKinley, R., Freeman, E., et al. (2003). Breathing remaining for dysfunctional breathing in asthma; a randomised controlled trial. Thorax, 58, 110–15.Google Scholar
Thompson, D. and Lewin, R. (2000). Coronary disease. Management of the post myocardial infarction patient: rehabilitation and cardiac neurosis. Heart, 84, 101–5.Google Scholar
Thompson, D. R., Bowman, G. S., Bono, D. P., et al. (1997). Cardiac Rehabilitation: Guidelines and Audit Standards. London: Royal College of Physicians.
Trumper, A. and Appleby, L. (2001). Psychiatric morbidity in patients undergoing heart, heart and lung, or lung transplantation. Journal of Psychosomatic Research, 50, 103–5.Google Scholar
Verrier, R. L. and Mittelman, M. A. (1996). Life-threatening cardiovascular consequences of anger in patients with coronary artery disease. Cardiology Clinics, 14, 289–307.Google Scholar
Whitehead, M. (1995). Tackling inequalities: a review of policy initiatives. In Tackling Inequalities in Health: An Agenda for Action, ed. Benzeval, M., Judge, K. and Whitehead, M.. London: Kings Fund.
Wihelm, F., Gevitz, R. and Rotts, W. (2001). Respiratory dysregulaton in anxiety, functional cardiac, and pain disorders. Assessment, phenomenology and treatment. Behavior Modification, 25, 513–45.Google Scholar
Williams, R. (2002). Hostility, psychosocial risk factors, changes in brain serotonergic function, and heart disease. In Stress and the Heart. Psychosocial Pathways to Coronary Heart Disease, ed. Stansfeld, S. and Marmot, M.. London: BMJ Books, pp. 86–100.
Yellowlees, P., Alpers, J., Bowden, J., et al. (1987). Psychiatric morbidity in patients with chronic airflow obstruction. Medical Journal of Australia, 146, 305–7.Google Scholar
Zaubler, T. and Katon, W. (1998). Panic disorder in the general medical setting. Journal of Psychosomatic Research, 44, 25–42.Google Scholar

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