Dtsch Med Wochenschr 2021; 146(11): 738-741
DOI: 10.1055/a-1218-9204
Klinischer Fortschritt
Kardiologie

Update Psychokardiologie

Update Psychocardiology
Monika Sadlonova
1   Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Göttingen
2   Klinik für Herz-, Thorax- und Gefäßchirurgie, Universitätsmedizin Göttingen
3   Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort Göttingen
,
Christoph Herrmann-Lingen
1   Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Göttingen
3   Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort Göttingen
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Was ist neu?

Psychosomatische Effekte auf das Herz-Kreislauf-System Belastende Erlebnisse in Kindheit und Jugend erhöhen entlang der Lebenslinie das Risiko für Diabetes mellitus Typ II, KHK und Schlaganfälle. Optimismus, Sinnhaftigkeit/Zielstrebigkeit und Achtsamkeit zeigen sich als mögliche protektive Faktoren für die kardiovaskuläre Gesundheit.

Interventionen 

  • In Deutschland wird derzeit in der randomisierten, kontrollierten TEACH-Multicenterstudie bei psychisch belasteten Patienten mit koronarer Herzkrankheit die Wirksamkeit einer nach Bedarf gestuften teambasierten Behandlung („Blended Collaborative Care“) in der Sekundärprävention getestet.

  • Therapien aus positiver Psychologie und Achtsamkeitstrainings können bei Herzpatienten zur signifikanten Reduktion von Angst, Stress und Depressivität führen.

Abstract

Psychocardiological research has contributed a better understanding of mental health, psychosocial factors and quality of life of in patients with cardiovascular diseases. In this update of psychocardiology in 2021, stressful experiences in childhood and adolescence are found to increase the risk of type II diabetes mellitus, coronary heart disease and stroke along the life course. Higher level of optimism, sense of purpose, and mindfulness can be possible protective factors for cardiovascular health. Summarizing the update of psychocardiological interventions, the effectiveness of team-based treatment (“blended collaborative care”) in secondary prevention is currently being tested in Germany in the randomized, controlled TEACH multicenter trial of patients with coronary heart disease and distress. Interventions such as positive psychology and mindfulness training can lead to a significant reduction in anxiety, stress and depression in heart patients.

Schlüsselwörter

Herz-Kreislauf-Erkrankungen - Psychokardiologie - psychosoziale Risikofaktoren - teambasierte Behandlung

Key words

cardiovascular diseases - psychocardiology - psychosocial risk factors - team-based treatment


Publication History

Article published online:
01 June 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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