ReviewClinical research in cardiology : official journal of the German Cardiac Society2019
Significance of psychosocial factors in cardiology: update 2018 : Position paper of the German Cardiac Society.
Review in Clinical research in cardiology : official journal of the German Cardiac Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 3 of them syntheses that pooled it.
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Who cites it
72 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Gender and Social Connections as Determinants of Hypertension: A Systematic Review of Longitudinal Studies.Reviews in cardiovascular medicine · 2024Pooled it
- The impact of SSRIs on mortality and cardiovascular events in patients with coronary artery disease and depression: systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2021Pooled it
- A meta-analysis on the prevalence, associated factors and diagnostic methods of mental stress induced myocardial ischemia.Journal of translational medicine · 2020Pooled it
- Stress Management Intervention for Leaders Increases Nighttime SDANN: Results from a Randomized Controlled Trial.International journal of environmental research and public health · 2022Trial
- The Impact of Nurse-Led Peer Support Interventions on Psychological Status and Quality of Life After Acute Myocardial Infarction Stent Implantation in China.The Journal of cardiovascular nursingTrial
- Hobby engagement and hypertension risk: evidence from two large prospective cohorts.BMC public health · 2026Article
- Guideline-directed Low-density Lipoprotein Cholesterol Management After Acute Coronary Syndrome in Patients With Mental Illness: a Population-based Study.Cardiovascular drugs and therapy · 2026Article
- Mental Health and Interoceptive Sensibility in Inherited Cardiovascular Conditions: A Clinical Investigation of Psychological and Behavioural Correlates.International journal of behavioral medicine · 2026Article
- Factors affecting quality of life after percutaneous coronary intervention in elderly patients with coronary heart disease: effects of the cardiac rehabilitation nursing model.American journal of translational research · 2026Article
- Cerebral Ventricular Dimensions in Patients with Heart Failure with Reduced Ejection Fraction (HFrEF): A Cross-Sectional MRI Study.International journal of general medicine · 2026Article
- Chronic disease self-management in heart failure: A narrative review of performance gaps and emerging solutions.Medicine · 2025Review
- Improvement of anxious but not depressive symptoms is associated with functional outcomes of psychocardiological rehabilitation.Scientific reports · 2025Article
- Investigating the association between stressful life events and the risk of myocardial infarction and mortality: the Tromsø study.BMC cardiovascular disorders · 2025Article
- Cardiovascular Prevention: Current Gaps and Future Directions.Diagnostics (Basel, Switzerland) · 2025Review
- 2024 Thai guidelines on the treatment of hypertension.Asian biomedicine : research, reviews and news · 2025Article
- Psychological and Physical Health Improvements After Coronary Bypass: A Longitudinal Study in Cardiovascular Rehabilitation.European journal of investigation in health, psychology and education · 2025Article
- Predictive model of neurocognitive functioning after acute coronary syndrome. A machine learning approach.Journal of cardiovascular and thoracic research · 2025Article
- Psychosocial moderators of the effect of lifestyle interventions in primary prevention of cardiovascular disease: a scoping review.BMC public health · 2025Article
- Behavioural Cardiology: A Review on an Expanding Field of Cardiology-Holistic Approach.Journal of personalized medicine · 2025Review
- Neurocognitive and Psychosocial Interactions in Atrial Fibrillation: Toward a Holistic Model of Care.Healthcare (Basel, Switzerland) · 2025Article
12 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
18 authors.
Funding
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Abstract
backgroundPsychosocial factors in cardiovascular diseases are increasingly acknowledged by patients, health care providers and payer organizations. Due to the rapidly increasing body of evidence, the German Cardiac Society has commissioned an update of its 2013 position paper on this topic. The German version was published in 2018 and the current manuscript is an extended translation of the original version.
methodsThis position paper provides a synopsis of the state of knowledge regarding psychosocial factors in the most relevant cardiovascular diseases and gives recommendations with respect to their consideration in clinical practice.
resultsPsychosocial factors such as low socioeconomic status, acute and chronic stress, depression, anxiety and low social support are associated with an unfavorable prognosis. Psychosocial problems and mental comorbidities should be assessed routinely to initiate targeted diagnostics and treatment. For all patients, treatment should consider age and gender differences as well as individual patient preferences. Multimodal treatment concepts should comprise education, physical exercise, motivational counseling and relaxation training or stress management. In cases of mental comorbidities, brief psychosocial interventions by primary care providers or cardiologists, regular psychotherapy and/or medications should be offered. While these interventions have positive effects on psychological symptoms, robust evidence for possible effects on cardiac outcomes is still lacking.
conclusionsFor coronary heart disease, chronic heart failure, arterial hypertension, and some arrhythmias, there is robust evidence supporting the relevance of psychosocial factors, pointing to a need for considering them in cardiological care. However, there are still shortcomings in implementing psychosocial treatment, and prognostic effects of psychotherapy and psychotropic drugs remain uncertain. There is a need for enhanced provider education and more treatment trials.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.