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Stress Proof the Heart pp 61–91Cite as

Psychological Management of Patients with Heart Failure

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Abstract

Heart failure (HF) is a complicated clinical syndrome that is progressive in nature and restrictive of physical independence. This disease presents with an array of psychosocial challenges. Patients must adapt to a new way of living and learn to cope with HF and its clinical course, which is characterized by uncertainty. Adjustment to this condition is very difficult for many patients, and as a result, professional intervention is often indicated. A significant proportion of patients with HF suffer from depression and anxiety as they grapple with a life-changing diagnosis. From the perspective of the medical team, such comorbidities can lead to worsened clinical outcomes and poorer quality of life in patients with HF, but too often these conditions are overlooked and patients remain untreated. The present chapter will present some key pathophysiology and the epidemiology of HF and review what is currently known about the psychosocial experience of patients with HF. The clinical implications of addressing the psychological needs in this population – for achieving improvements in quality of life and overall improved patient outcome – will also be discussed.

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Authors and Affiliations

  1. Department of Psychology, Beaumont Hospital, Beaumont, Dublin 9, Ireland

    Jonathan Gallagher MPsychSc

  2. University of Connecticut School of Medicine, John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT, 06030, USA

    Adam Grimaldi M.D. Candidate

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  1. Jonathan Gallagher MPsychSc
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  2. Adam Grimaldi M.D. Candidate
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  1. Henry Low Heart Center, Hartford Hospital, Seymour Street 80, Hartford, 06102, Connecticut, USA

    Ellen A. Dornelas

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Gallagher, J., Grimaldi, A. (2012). Psychological Management of Patients with Heart Failure. In: Dornelas, E.A. (eds) Stress Proof the Heart. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5650-7_5

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