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KENTO SONODA, MD, AAHIVS, Saint Louis University, St Louis, Missouri

CATHERINE PEONY KHOO, MD, California Hospital Medical Center, Los Angeles

Am Fam Physician. 2024;110(6):575-576

 This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

CLINICAL QUESTION

Are psychological interventions safe and effective for the treatment of depression and anxiety in patients with coronary heart disease (CHD) or heart failure (HF)?

EVIDENCE-BASED ANSWER

Compared with no psychological intervention, psychological interventions are safe and effective for improving depression, anxiety, and mental health–related quality of life (QOL) at 6 to 12 months in patients with CHD or HF.1 (Strength of Recommendation: B, limited-quality patient-oriented evidence.)

PRACTICE POINTERS

More than 30% of patients with cardiovascular disease are estimated to also have depression or anxiety, which can result in increased morbidity and mortality.2–4 Mental health treatment for anxiety and depression significantly reduces rehospitalization and mortality rates.5 The authors of this Cochrane review sought to evaluate the benefits and risks of psychological treatment for depression and anxiety in patients with cardiovascular disease.1

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These are summaries of reviews from the Cochrane Library.

This series is coordinated by Corey D. Fogleman, MD, assistant medical editor.

A collection of Cochrane for Clinicians published in AFP is available at https://www.aafp.org/afp/cochrane.

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