Interpersonal Psychotherapy for Depression in Patients with Coronary Heart Disease

  • D. Koszycki


Depression is common in patients with coronary heart disease. It is estimated that 15–20% of post-myocardial infarction (MI), unstable angina, congestive heart failure and post-bypass surgery patients meet diagnostic criteria for major depression during hospitalization, with another 15–25% experiencing mild forms of depression [1]–[4]. Although there are relatively few longitudinal studies of depression in patients with coronary artery disease available, data indicate that it tends to follow a chronic course, resulting in significant disability and psychosocial impairment [5], [6]. In a substantial number of patients, moderate-to-severe depression has been reported one-year post-MI [7]. Moreover, one third of patients recovering from MI show substantial depressed mood three years later [8] and one fifth fail to achieve emotional adjustment 5 years later [9]. It has also been reported that a significant proportion of coronary patients with minor depression at index progress to major depression over the course of 12 months [6].


Depressive Symptom Cardiac Rehabilitation Interpersonal Psychotherapy Sick Role Stable Coronary Heart Disease 
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Copyright information

© Springer-Verlag Italia 2006

Authors and Affiliations

  • D. Koszycki
    • 1
    • 2
    • 3
  1. 1.Stress and Anxiety, Clinical Research UnitUniversity of OttawaOttawa
  2. 2.Institute of Mental Health ResearchRoyal Ottawa HospitalOttawa
  3. 3.University of OttawaOttawa

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